The main findings in the article include the development of mental health disorders in disaster victims, looking at risks, psychopathology, course of the disorders, prevention, treatment and recovery.
The argument is supported through research into political trends - the survivors gave up their own values to support anyone that could help them. There were interviews with the survivors and those living in the area - they dicussed how their lives changed, their inability to find work and their health issues that started immediately or soon after the disaster. The authors also did research of programs to help the survivors - looking at the compensation they could recieve, options for working, how to get healthcare, etc.
The stakeholders are Dr. Atul Gawande, other healthcare professionals, and the patients with terminal illnesses. They have to decide what the patient's priorities are, treatment options, and basically how much time and quality of life patients are willing to trade for extended years to live. Is the treatment making the patient worse or better? Doctors have to put themselves in a position of vulnerability by personally getting to know their patients, and deal with the guilt and blame if their treatments aren't successful or what they had said to the patient's family.
**Linda not Laura as I previously stated
1. Under private equity ownership, some ambulance response times worsened, heart monitors failed and companies slid into bankruptcy, according to a Times examination of thousands of pages of internal documents and government records, as well as interviews with dozens of former employees. In at least two cases, lawsuits contend, poor service led to patient deaths.
2. “Private equity has, in this case, threatened public safety,” said Richard Thomas, the mayor of Mount Vernon, N.Y, which relied on TransCare. “It’s not the way to treat the public.”
3. Do the Write Thing “didn’t sit well with the firefighters,” said Nico Latini, who has worked at Rural/Metro for a decade. “We operate under a high level of integrity and we do the right thing every day — with an R, not a W.”
"Two FDNY EMTs who had to intervene to stop four police officers beating a handcuffed patient on a stretcher have turned the cops in to authorities"
""Three cops began to punch the patient in the face, EMS (had) to get in the middle of it to intervene. Pt's. wounds and injuries cleaned in the (ambulance)," the report said."
I further researched the reliability of some of the funds that were donated to in the months after the disaster. The FBI issued warnings to those donating to be sure they were giving money to a reliable fund, as there was a lot of fraud taking place. With so much money being donated internationally in a short period of time, it was likely easy for such to occur, and that also took away from the amount of aid Haiti received.
I also looked into the improvements in the country over the first few years since the earthquake. The people of Haiti were cited as having a strong desire to help rebuild, they just needed to be shown how. http://www.nbc29.com/story/20596283/haiti-sees-improvements-since-earth…
I looked up the rates of hospital bankruptcy/closing, the results looked to be interesting. The article (http://www.healthcarefinancenews.com/news/hospital-bankruptcies-result-…) makes it seem avoidable, if the warnings are taken seriously in the years leading up to the crisis. "What they found was that filing hospitals tended to be smaller, not part of a health system and were more likely to be in the Northeast or West Coast. Many factors were involved, including poor financial management, changes in payer mix, reimbursement reductions, overzealous construction and purchasing of physician practices, decrease in volume and demographic shifts that were the impetus for filing."
I also looked up ER wait time statistics, by state, over the course of several years, etc. (https://projects.propublica.org/emergency/) Very interesting!