[-empyre-] Rigging the Risk Odds

Stewart Auyash auyash at ithaca.edu
Thu Nov 15 08:09:20 EST 2012

Good point, Bishnu about the distribution of funding.

Ever since 9-1-1, money has been diverted from community public health
services to "disaster preparedness," which did NOT mean protection against
"natural" disasters.  Resources for nearly everything including child
immunizations, flu clinics, dental care, nutrition education, and home
health care were shifted to prepare for the next 9-1-1.  Thus, the risk
shifted to those most vulnerable.

I cannot say with certainty what, if any resources that were diverted had
anything to do with Sandy relief, but I did often think about that as I
watched and read about the event. We are still fighting against the
military industrial complex that Eisenhower warned us against. I only wish
there was a public health industrial complex. haha...

This post 9-1-1 cartoon may be apt.

[image: Inline image 1]

On Wed, Nov 14, 2012 at 2:29 PM, Bishnupriya Ghosh <bg366 at cornell.edu>wrote:

>  Hi Tim and Stewart,
>  Interesting discussion on catastrophe preparedness that yokes together
> ecological and health risk I'm thinking of Andrew Lakoff and Stephen
> Collier's work in *Biosecurity Interventions* with regard to the linkage:
> Lakoff argues the state funds exercises in a "vital systems preparedness"
> that protects national populations against major calamities ranging from
> bioterror attacks to hurricanes to pandemics (see, Lakoff,
> http://publicculture.dukejournals.org/content/19/2/247.full.pdf+html)
> What Lakoff wants to show is the militarisation of these security
> apparatuses--we spend something like 16 million on military exercises that
> enact possible worst-case scenarios (see exercises, "Dark Winter" or "Black
> Ice" publicly available:
> http://www.upmc-biosecurity.org/website/events/2001_darkwinter/dark_winter.pdf).
>  When Sandy comes around, we are sure glad we are prepared. But how is
> this preparation funded? What kinds of budget distribution does does the
> government oversee in its arbitration of risk? The distribution between,
> say,  FEMA resources (manpower and supplies) and military preparedness
> funding? The same folks in congress who are happy to fund military games,
> after all, also want to dismantle FEMA.
>  Just a thought--
>  Bishnu
>  ------------------------------
> *From:* empyre-bounces at lists.cofa.unsw.edu.au [
> empyre-bounces at lists.cofa.unsw.edu.au] on behalf of Stewart Auyash [
> auyash at ithaca.edu]
> *Sent:* Wednesday, November 14, 2012 7:58 AM
> *To:* soft_skinned_space
> *Subject:* Re: [-empyre-] Rigging the Risk Odds
>  Love your term, Tim - "revenge of risk."  And good question.
>  The infrastructure managers (not that they are an organized group) did
> make conscious decisions NOT to listen to those who recommended protecting
> New York and the Jersey/Long Island shores.  Among those are insurance
> companies.  They (at least some of the people who calculate risk for them)
> are very concerned about the risk of climate change ecology. After all,
> they make huge payouts for catastrophic events.  They could have severely
> increased the cost of insurance to the businesses and residents along the
> water thus pointing out to us all that they understood that the risk had
> shifted over the years. This would have been a wakeup call.  Likewise, the
> federal gov't direct subsidy (National Flood Insurance Program) takes aim
> at the "real" risk rates offered by insurance companies and meddled  in the
> markets offering lower cost insurance to those with the greatest risk
> (though it's mostly on the Gulf Coast and Florida).  So here's an example
> where private insurers knew the risk was high but a the program passed by
> Congress diminished the perception of risk by offering lower than market
> rates for insurance (hence the program was $15 billion in debt after
> Katrina).
>  We can still rig the odds for to help secure health but we can never be
> 100% risk free. For example, estimates of the cost to protect NYC harbor
> are about $15-20B if we start soon. The cost of dealing and cleaning up
> after Sandy in NYC alone ranges from $40-80.  This brings up the psychology
> of future risk. Most often we think "it won't happen to us." That goes for
> the government as well as the residents and businesses along the coast. I
> hope Sandy is a wakeup call with regard to both our health security and
> ecological change.
>  I wonder if folks in other countries have any knowledge of how they deal
> with ecological risk.
>  Thanks for your response.
>  Cheers,
> -Stewarat
> On Tue, Nov 13, 2012 at 11:34 PM, Timothy Conway Murray <tcm1 at cornell.edu>wrote:
>> Thanks, Stewart.  In light of the devastation caused by Sandy along
>> densely populated upper income coastal zones of the Northeastern US, I'm
>> thinking that we've witnessed something of the revenge of risk, according
>> to your terms.  For the comfort of the suburbs proved to be no more secure
>> from this globally warmed storm than the inner zones of Newark ( although
>> we are witnessing disparities in emergency response along economic lines
>> (the Rockaways still seem to be receiving little assistance).   Most
>> telling is the vulnerability to the digital infrastructure of vast
>> population, commerce, and entertainment zones dependent on shared power
>> grids.
>> Interesting that even the institutions most relied on by New Yorkers for
>> their combat of health risk, the hospitals, were brought to their knees by
>> natural threats to the grid -- not immunological threats but power surges
>> and burn outs.  An aging infrastructure sustaining the power grids of Wall
>> Street.
>> I'm wondering if you could say more about the linkage in your post
>> between securities of health and those of ecology.  Thanks so much.
>> Tim
>> Director, Society for the Humanities
>> Curator, Rose Goldsen Archive of New Media Art
>> Professor of Comparative Literature and English
>> A. D. White House
>> Cornell University
>> Ithaca, New York. 14853
>> ________________________________________
>> From: empyre-bounces at lists.cofa.unsw.edu.au [
>> empyre-bounces at lists.cofa.unsw.edu.au] on behalf of Stewart Auyash [
>> auyash at ithaca.edu]
>> Sent: Monday, November 12, 2012 8:04 AM
>> To: soft_skinned_space
>> Subject: [-empyre-] Rigging the Risk Odds
>> Rigging the Risk Odds
>> Schools closed, concerts and public events cancelled, travel down to a
>> drizzle of people and no one with a fever allowed in or out, quarantines
>> (forced and self-imposed), shops nearly empty, N95 masks and anti-microbial
>> products sold out, a large hospital devoted only to the diseased,
>> temperature checks in malls, schools, and at borders. Friends, family, and
>> colleagues back home begged, pleaded, and prayed for the expats to leave.
>> “Fear has a mind of its own,” declares the newspaper.  All in the effort to
>> decrease risk.
>> So how far would you be willing to go to avoid risk in a pandemic that
>> proved fatal to about 10% of all those infected and 50% for those over 65?
>>  Would you be willing to voluntarily quarantine yourself and your family if
>> you thought you might have been exposed? Would you accept a forced
>> quarantine if someone you recently met had the symptoms? Or how would your
>> react if you were not allowed to leave the country if you had a fever? (1)
>> Be it making choices in a pandemic, avoiding an oncoming storm, becoming
>> more  physically active, or driving old gas guzzlers paying no heed to
>> climate change, why don’t we make better decisions about our health and
>> those around us? Can’t we just do the right thing?
>> As Bill Leiss said in his plenary talk during Risk at Humanities, we make
>> choices about risks every day. But not all of us have the ability to make
>> the “right” choices to avoid the risks we know. When contemplating future
>> health risks, we are playing a game comparable to lottery as Dan Beauchamp
>> explains in his editorial, Lottery Justice (2). Not everyone has the equal
>> ability to avoid a pandemic, outrun a hurricane, or change our “lifestyle”
>> to lower risks to our health. The lottery is rigged. Geography, for
>> example, is destiny.  Born near the equator or sub-Saharan Africa, we can
>> expect high risk of poverty and illness.  Living in an inner city with no
>> safe recreation areas and lousy schools for your kids, what would you
>> expect? Not everyone can pack up and move.  But live in a clean suburb with
>> playgrounds and good schools and your kids will have a head start.  No need
>> to move, is there?
>> However, we can change the lottery odds for others to reduce risk. We can
>> make the air healthier to inhabit, quarantine during a pandemic, restrict
>> guns, design safer highways, restrict the size of soft drinks, and provide
>> better primary education to all.  Beauchamp calls these policies “gifts to
>> strangers.”
>> One could look at the election last week as a way to change the odds of
>> risk in the American lottery. One candidate clearly cared about rigging the
>> odds for the wealthy while the other candidate argued the opposite
>> approach.  As Bhaskar indicated last week, risk does not exist in a vacuum.
>> By changing the odds, we can rig the risk in favor of all.
>> (1) All these events took place in Singapore and elsewhere in 2003 during
>> the SARS pandemic.
>> (2) Beauchamp, D. (1981) Lottery justice. Journal of Public Health
>> Policy, 2:3, 201-3.
>> *Thanks to Renee and Tim for inviting me to participate in this forum.
>> --
>> Stewart Auyash, MPH PhD
>> Associate Professor and Dept Chair
>> Dept of Health Promotion and Physical Education
>> Hill Center 7
>> Ithaca College
>> 953 Danby Rd |  Ithaca, NY 14850
>> 607-274-1312<tel:607-274-1312>
>> _______________________________________________
>> empyre forum
>> empyre at lists.cofa.unsw.edu.au
>> http://www.subtle.net/empyre
>  --
> Stewart Auyash, MPH PhD
> Associate Professor and Dept Chair
> Dept of Health Promotion and Physical Education
> Hill Center 7
>  Ithaca College
> 953 Danby Rd |  Ithaca, NY 14850
> 607-274-1312
> _______________________________________________
> empyre forum
> empyre at lists.cofa.unsw.edu.au
> http://www.subtle.net/empyre

Stewart Auyash, MPH PhD
Associate Professor and Dept Chair
Dept of Health Promotion and Physical Education
Hill Center 7

Ithaca College
953 Danby Rd |  Ithaca, NY 14850
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