Cultural Assessment Los Angeles County
Metropolitan areas have demands that are unique to them. In a metropolitan area primarily there is commuting, on a large scale each day and thus there is a large daily movement of population from the suburbs to the central city for business, and many other needs that could be or tourism, shopping, schooling and so on. These shifts in the population also is determining the cost sand the means of transports, accommodation and host of problems that is related to the large travel of such population and the attendant medical needs and hygiene.
The governments in the area of Los Angeles County are responsible for the maintenance of the civic amenities that concern the health and other civil amenities required. The law is that all county is required by State law to "aid and relieve all indigent persons within its boundaries who are incapacitated by age, disease, or accident." (Jones; Wilcox, 1949) This is achieved by the establishing of county boards of supervisors to levy taxes and use it for the care of the medically indigent in Los Angeles County, and provide for these required amenities. Thus the state also undertakes charities with the Superintendent of Charities as head of the County Department of Charities. There is thus a provision of providing the indigent medical aid, and this public aid is available irrespective of the financial resources providing the type of care for all persons and this is ensured by the State legislation and county ordinances that ensure public medical aid. (Jones; Wilcox, 1949)
On examination thus it can be seen that medical care is provided through county facilities, yet there have been some problems with the heath aspects in the past. It is to be borne in mind that ever expanding metro that began with area of 1,474 square miles is now the largest Metro in the world. Such an assorted inhabitation and commerce puts large amount of pressure on many civil amenities and has its own unique health, and medical governance aspects, for example, the control of epidemics. It can be shown that there is a problem of the spreading of Tuberculosis, and this is a grave problem in the county. Administration of health inn this aspect became problematic because there was a clash between the demand for care was more and the opposite lack and practical implications and possibility was diminished. (Abel, 2007)
The county has to act fast to reduce the danger of tuberculosis sufferers spreading the disease, and has to attend to the needs of the sufferers was weighted with the need to return these sick people to the labor force, and the increasing danger of further infection and also the need for more sanatoriums and hospitals to deal with the demand of the county. Pitted against the need for "workforce capacity" the county had to resort to many rehabilitation programs as well as medical care and the case of the indigent sick had to be attended to as they were generally perceived to be 'malingerers, all too willing to impose excessive burdens on others'. (Abel, 2007)
Thus there is a resistance to the free and low-cost services in Los Angeles for the poor people affected by major diseases that stops the participation of private investment and depends on the county resources. Thus these hospitals and sanatoriums are created by the county authorities on account of keeping public safety by segregating the patients who may infect others. With regards to the case of tuberculosis patients the isolation caused its own problems and as far as the general institutions were concerned they were successful inn curtailing the disease with the earlier detected patients thus creating patients who were independent and not indigent with social value. (Abel, 2007)
The detection of epidemics is one major hazard management. The county has other plans too. For example the Los Angeles County created a Local All-Hazards Mitigation Plan with strategies for natural and man-made hazards and the plan was approved by, FEMA and the Governor's Office of Emergency Services -- OES. (L. A. County Online, 2012)
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