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I looked more into the U.S. policy on uninsured patients, ER hospital policy, and how they are treated. If you go the ER without insurance, you are expected to pay the full bill; however you are guaranteed under the federal Emergency Medical Treatment and Labor Act to receive treatment regardless of your ability to pay it. There are assistance programs available to help those whom cannot afford to pay their medical bills. Some of these are private charities, there are government programs that help with those at or below the poverty line, and the hospitals themselves will often negotiate a much lower price than originally billed for to meet a patient’s financial need. Despite this, there are still many cases where all of the above are not sufficient enough to keep patients out of bankruptcy. (http://health.howstuffworks.com/medicine/go-to-er-without-insurance.htm)

I followed up on the history of PTSD, Mental illness in the Fire, Police, and EMS services both in disasters and in normal functions, and i looked at existing policies designed to minimize the trauma associated with disaster put in place by organizations such as FEMA and ARC.

 I researched more into why the fire department’s Radios were having difficulties and issues, especially on the higher floors. First, the agency primarily used VHF (very high frequency) radios which are better for long distance when there is line-of-sight form point-to-point with minimal obstructions. UHF operates on a higher frequency and thus transmits with shorter wave-lengths which is better for object penetration. There are many challenges with radio communications in a city like NYC, starting with the sheer fact that to transmit directly from the ground to the top requires going through over a hundred stories of steel and concrete.

The repeaters worked to an extent. We know that they were operational and working, at least partly, as they recorded the relayed transmissions. The police used a separate but almost identical repeater as the fire department with mostly success. The NYFD experienced more issues. I found reports that claimed from fire fighters in the towers that while the transmissions were getting through, they were not understood due to the loud working environment and congested radio traffic.

The Incident Command System was largely ineffective. The only agency that was properly trained in ICS was the fire department which made inter-agency command and control through ICS moot. It was because of the events on 9/11/2001 that resulted in the development of the Nation Incident Management System, by the Department of Homeland Security, which encompasses ICS and more. Federal funding for emergencies now requires that NIMS be used as well as all first responders that respond to hazardous materials incidents be trained in the ICS.

The extensive citation show the work that went into the research to put the article together. The article cites other research articles as well as government publications and interviews.

The goal of the Jerry and the other people persuing the Marine Corps in this film is to get the corps to come clean and live up to their motto "Semper Fi - Always Faithful." They want the corps to own up to the injustices committed and be faithful to those who served at the bases, providing for the effected and their families.

Dr. Emily Goldmann graduated from the University of Michigan with her PhD in Epidemiology and Columbia University with a Bachelor’s in economics and Chinese. Dr. Goldmann is currently a clinical assistant Professor of Global Public Health at New York University. “I am currently on the faculty of NYU's College of Global Public Health, in the Division of Social Epidemiology. My current research focuses on the intersection between physical and mental health in older adults, specifically trajectories of depressive symptoms following stroke. I also have a strong interest in the characterization, prevention, and treatment of mental illness in low-resource settings globally. I currently teach a master's level course in global mental health and an introductory course in epidemiology to undergraduate students.” (LinkedIn profile)

Dr. Sandro Galea graduated from University of Toronto with his MD, Harvard with a MPH, and Columbia with a DPH. Dr. Galea works as a physician and epidemiologist at Boston University School of Public Health. “In his scholarship, Dr Galea is centrally interested in the social production of health of urban populations, with a focus on the causes of brain disorders, particularly common mood-anxiety disorders and substance abuse. He has long had a particular interest in the consequences of mass trauma and conflict worldwide, including as a result of the September 11 attacks, Hurricane Katrina, conflicts in sub-Saharan Africa, and the American wars in Iraq and Afghanistan. ” (Boston University Biography)

"The real challenge of a disaster involving nuclear facilities, however, lies in how to handle the unexpected, unpredictable, utterly novel, and barely intelligible chain of events unfolding in real time."

"...existing organizations with subject expertise have negligible international autority and often ave problematic rapport with general public, and confirm the need for a well-coordinated and integrated sociotechnical approach."

"Ellis clearly realized that a nuclear disaster response team would face tremendous challenges on the international level. He emphasized it would be necessary 'to find the sweet spot between national sovereignty and international accountability.'"

This film would best address audiances of middle aged people who understand the conditions that result in the films discussions, or health care providers of any age and training who would be faced with the moral and ethical conditions posed in the film.

The bibliography is not included in the excerpt that we received. Based on the text it appears that many other research articles and outside studies were used as well as interviews.

This article argues that many of the root causes of disease are based on social inequality and structural violance, citing factors such as environmental conditions, racism, pollution, housing conditions, poverty, infrastructure, and access to food, water, and healthcare. It presents the case that if clinicians take these factors into account, programs can be put into effect which, even in the poorest of rural communities, could help to mitigate disease transmission.