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Mary Wollstonecraft challenges the social disablement of women by promoting a vigorous and curative feminism that establishes women’s qualifications for equality by virtue of their capacities. She associates female weakness with inutility and social degradation and promotes bodily and physical independence as ideals. Misogynistic cultures weaken the bodies and minds of women, Wollstonecraft asserts, and she petitions for women to develop (and be permitted to develop) their physical and intellectual abilities rather than to perpetuate a culture that is focused on the aesthetics of women’s bodies. Significantly, she suggests that it is absurd that weakness is treated as something aesthetically desirable in women. She concludes that society cannot maintain women’s social inutility as an aesthetic, as it is detrimental to social progress. Wollstonecraft’s implied theory of deformity (which links it to moral degradation) is articulated through its acknowledged opposite, beauty. These views are, however, incompatible with the compassion, sympathy, and sensibility Wollstonecraft expresses when considering deformity more directly.
This brief report examines the shift from in-person care to US Department of Veterans Affairs (VA) telehealth services during 3 devastating hurricanes in 2017 (Harvey, Irma, and Maria).
Methods:
VA administrative data were used to analyze the number and percentage of telehealth services 30 d pre- and 30 d post- the 2017 hurricanes for 3 hurricane-impacted VA medical centers (VAMCs): Houston (Texas), Orlando (Florida), and San Juan (Puerto Rico).
Results:
All 3 VAMCs remained open during the hurricanes. For the Houston VAMC, during the first week post-Harvey, in-person patient visits decreased while telehealth visits increased substantially. Similarly, for the Orlando VAMC, during the 1-wk post-Irma, telehealth use increased substantially. For the San Juan VAMC, there were many interruptions in the use of telehealth due to many power outages, resulting in a modest increase in the use of telehealth post-Irma/Maria. The most commonly used telehealth services at Houston and Orlando VAMCs during the hurricanes were: primary care, triage, mental health, and home health.
Conclusions:
Telehealth has the potential to improve post-disaster access to and coordination of care. However, more information is needed to better understand how telehealth services can be used as a post-disaster health-care delivery tool, particularly for patients receiving care outside of systems such as VA.
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