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ciera.williams

The policy definitely provides a good amount of suport for a large amount of people affected. However, certain populations are left out of this. The large number of transiet persons, as well as non-resident people, in New York City is enourmous. These people were surely affected by the attacks, but are not included in the policy. This is, of course, understandable, as tracking the presence of these people's is nearly impossible nearly 10 years after the attacks. Regardless, it is a flaw in the policy. 

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tamar.rogoszinski
  • "For a variety of reasons, including a heightened awareness of medical error and a focus on cost cutting, we have entered an era in which a narrow, demanding version of evidence-based medicine prevails. "
  • "No formal research can offer a 40-year lead-in or a 19-year follow-up. Few studies report on both symptoms and social progress. Research reduces information about many people; vignette retains the texture of life in one of its forms."
  • "Beyond its roles as illustration, affirmation, hypothesis-builder and low-level guidance for practice, storytelling can act as a modest counterbalance to a straitened understanding of evidence."
  • "We need storytelling, to set us in the clinical moment, remind us of the variety of human experience and enrich our judgment."

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ciera.williams
Annotation of

I was unable to find the number of currently active field missions for MSF, but I found information on the process of working for MSF. Each year they send about 2500 international aid workers (not just doctors) to many countries. These people are put alongside locally hired medical personnel to complete the missions. The process for becoming a volunteer is a bit long, with lots of requirements. Candidates need experience in their discipline, experience in management/ teaching, language skills, and previous experience in a humanitarian environment. From the film, it didn't seem that all the doctors had this experience, namely Davinder. MSF also likes that candidates have profficieny in French.

While looking at the FAQs on the US website, I found an interesting portion regarding care facilities and missions in Gaza, the West Bank, and Jerusalem. The MSF has a section defending their care in that area, but it is posed in the form of questions like "Why are you taking sides? You seem biased" or "Why are you getting involved in this but choose to stay neutral in other conflicts around the world?" It just strikes me as strangely unprofessional to have it phrased that way. The answers also seem very defensive in a reactionary manner. I just honestly thought it could have been phrased better or not included at all. It is information that maybe a few people might find useful, but would be better placed in a press release or answered by a recruiter.

I also learned that, interestingly enough, 90 percent of the medical professionals are local rather than international. They are trained by the international staff so as to provide a continuity of care. The film didn't really portray that fact, and made it seem like the clinic would have nearly no staff once the international doctors left.

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tamar.rogoszinski

While this policy doesn't directly address public health, it does concern the rights and protection of displaced persons. They recognize the stressful situations that refugees are in and that welfare resources will be needed to help them. They discuss housing rights and rights to public education. While these might not be medical treatments, they would help with public health and are associated with overall well-being of these refugees. 

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tamar.rogoszinski

This article discussed gender-based violence in the context of humanitarianism. It focuses on rape and assault and whether or not they should be treated by humanitarian efforts as other issues are. The author provides pros and cons to humanitarian intervention and the implications of each. 

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tamar.rogoszinski

Because this is an academy, it does have tuition and fees. They are outlined as: Tuition, per credit hour: $981. Academic Support Fee, per semester: $420. Additional Fees (mandatory):$590 -- (Student Activity: $120, Health Center: $320, Reily Center: $150). Medical Insurance, per academic year: $3,030. Assuming people don't waive the medical insurance, take 16 credit hours (as is the norm for RPI), the yearly cost is: $20,156. 

The Provost's Office provides students up to $500 for travel needed to present a poster or paper at a conference. There are other opportunities to be granted money with the purpose of travel for conferences or training opportunities. 

Other than this information, I could not find who else would fund this academy. I can assume that Tulane takes on part of the burden as well as governmental agencies in their partner countries. 

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tamar.rogoszinski

This report includes Recommendations towards the end that provides an analysis of the data collected and ways in which these can be improved and fixed in the community. Some include that insurance companies should cover transgender-related health care, ways to end violence against this community, that medical providers should avoid bias and provide proper, equal care, and that more data needs to be collected and obtained to continue in the fight against discrimination.