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This group is a volunteer organization and is not a goverment program. Its disaster relief is based primarily on the desire of people to help others. The volunteers are not legally mandated to help, they do it because they want to.

This is a legislative report produced by Department of Human Services following up on SF 119, an act creating a new certification for Community Paramedics. 

Laura Garro is a professor of anthropology at UCLA, so this shows her extensive background in athropology, and indicates that she writes this article with that sort of background, rather than a medical one.

While "front line" emergency response is not directly addressed in the article, it does discuss the motivation and sociopolitical background for emergency response from the public health perpsective at great length. The article looks at nationalism and the self interest of countries in epidemic scenarios and other international public health crises, and discusses how emergency response to a public health crisis and eradicating diseases within the borders of one country is not the best plan of action, but is the one most friequently taken under current international protocols.

"In the interest of sustainable and socially legitimate solutions, arguably decisions to even the technical responses to disasters should not be left to scientists and engineers alone"

This statement is very thought-provoking and is not exactly expected in a research article - that a scientist's or engineer's decision should be influenced or editied by those without such specific education or expertise.

-balancing point between safety and profitability

-disaster did not happen as a chain of events that made it bound to occur at some point, it happened on a system that was in good shape

-over regulation of the industry and workers results in a lack of flexibility and therefore an inability to be creative in emergency situations

-need emergency response team to be skilled professionally and socially, but on a low budget - and very importantly - cooperation from nuclear corporations

I followed up by looking at rape rates across the world, how rape is regarded in different countries, and when humanitarian aid started.

FDNY, Fire Department, City of New York
-composed of individual Engine, Truck, Ladder, Rescue, HazMat, and EMS companies, as well as other specialized units which handle most of the city's emergencies that could cause dammage to life and property. The FDNY was technically the agency in command of the response at the WTC site.

NYPD - New York City Police Department. 
-Provides law enforcement for the NYC. Police Emergency Service Units are also mentioned. These are groups which share some of the responsibilities and training of firefighters, and are familuar with technical rescue equiptment.

PAPDNYNJ - Port Authority Police Department of New York and New Jersey. 
-Responsible for providing protection at all of the major ports and entrances to NYC, incluing bus terminals, shipping docks and ports, train stations, rail yards, bridges, tunnels, and other commuter and shipping hubs.

They are partnered with some of the largest and most prestigious health care companies and institutes in the world, so that helps them to have cutting edge technology and as many resources as possible, given their budget. Those partners may encourage them to use their resources in particular ways, but overall, healthcare is the basis of each partner's goals, so they shouldn't be swayed in unethical ways.

There clearly need to be some policy changes in the healthcare system. I think Obamacare is not the answer and is way too much policy and not enough sense, but we need something. People need affordable coverage for the issues that make sense for their gender and age bracket, they need to be given more help when they are trying to work, and there needs to be more incentive to become a doctor so that there are more PCPs out there nipping a lot of these issues in the bud. So the ER is for emergencies and is a less stressful, long-wait, ridiculous situation.