Professional Documents
Culture Documents
Haro CE Ethics Paper Semester F21 66832
Haro CE Ethics Paper Semester F21 66832
Haro CE Ethics Paper Semester F21 66832
Haror@usc.edu
WRIT 340
Local Revision
Shortages,
Short Biography: In Fall 2021 Richard Haro was majoring in Civil Engineering at the University of
Southern California. He is from East Los Angeles, CA, and enjoys hanging friends and playing sports.
Abstract
Throughout the era of the COVID-19 pandemic, some of the most severely impacted
groups have surprisingly been low-income communities and healthcare workers. In today's day
and age, engineers play a significant role in the medical field and hold great influence. As this
pandemic has managed to harm the most vulnerable and even the heroes/heroines of this era,
engineers have been looked upon to search for innovative solutions to end the existing
disparities. This article will contain researched information and data/statistics relevant to
Introduction - Issues
In the year 2020 the month of March, my life changed drastically. I was a senior in high
school that just received my driver's license and was looking forward to being able to drive and
flaunt a bit. Within two to three weeks of me driving to school, the school decided to shut down
due to the pandemic and there was a switch to remote learning. This was the start of the
notorious COVID-19 pandemic era. At the start of the pandemic, one of the most affected groups
was POC low-income families, a major constituent of the essential workers’ workforce. The
breakdown of the demographics and wages for essential workers can be viewed in Figure 1[1]
below. In a study conducted by the Urban Institute, it states, “Roughly 43% of parents living
with children report they or a family member has lost a job or work hours due to the pandemic.
That includes 62% of Hispanic families, 50% of black families and 36.5% of white families. Just
over half of low-income families and one-third of higher-income families reported job
losses...While 41.5% of those who are employed can work from home, only about one-quarter of
low-income and Hispanic parents could do so. Roughly 65% of all families had paid sick leave,
but only about half of low-income and Hispanic families had this benefit.”
(a.) Demographic breakdown highlighting the large amount of POC in the essential workforce
Hispanic parents could do so. Roughly 65% of all families had paid sick leave, but only about
Another group of citizens/essential workers that also happen to be suffering and in need
of help are healthcare workers. Healthcare workers are at the frontline of our country, yet they
are not receiving the proper support/funding to stay protected and healthy. This may seem a bit
ironic as many would believe they would receive a great amount of governmental support;
however, that has not been the case. According to Bonnie Castillo from the National Nurses
Organizing Committee, it states at a governmental committee hearing across the country, nurses
have been denied the protections they need to prevent exposure to COVID–19. As a result, tens
of thousands of healthcare workers have been infected. As of June 2020, NNU knows of at least
914 healthcare workers who have died and of which more than 134 have been registered nurses.
These deaths could have been prevented if employers had protected their workers properly[3]. In
addition, effective federal and state efforts to distribute Personal Protective Equipment (PPE)
have not been met, leading to shortages. This can also be attributed to the fact that the inventory
of respirators and other PPE in the country is simply not adequate enough[3].
Even as the health/livelihood of healthcare workers are disregarded and neglected, they
continue to stay and work at the frontlines assisting the surrounding communities. In light of this
situation, engineers ranging from different fields have assisted in various ways. For instance, the
great amount of assistance and capability that engineers hold can be reflected through their
Ultraviolet rays(UV-C).
Engineers Impact/Assistance
Engineers have been a part of the medical field just like how they have been a part of
nearly every field of profession. Engineers share their knowledge with other professional fields
and peers as it is beneficial to society. For example, although the pandemic contributed to the
lack of research and manufacturing shortages, photonic researchers and companies have made
crucial contributions to diagnostics and PPE by adapting existing systems. To address the
shortage of PPE, specifically, in the healthcare industry, they helped with the development of
fabric face-masks, 3D printable face shields, and respirators for healthcare workers as well as
creating easily manufacturable biomedical devices[4]. Although their PPE contribution did not
resolve the problem, it helped lead to innovations that can minimize the casualties of the
engineers searched for a method to properly disinfect PPE to allow for multiple usages.
Additionally, the most recent development in disinfection systems has been radiation-based
which includes the usage of UV-C light rays. “UV-C” is primarily an ultraviolet light ray. This
method of disinfection has been proven to be effective in disinfecting PPE such as masks, face
shields, and eyewear[4]. This has been one of several methods optical engineers have integrated
to help address shortages of PPE. This type of technology seems to have the capability to be
In addition to optical Engineers playing a role in fighting the pandemic, robotic engineers
have contributed as well. In healthcare facilities such as hospitals, there is a large usage and
Robots, the applications of robotics and automation in healthcare and allied areas are increasing
day by day with a predicted estimated demand for medical robots of 9.1 billion USD by 2022
[5]. Currently, usage for robotics in the medical field is for their ability to have great precision
and consistency. They allow for results to be easily replicated whereas human interactions are
more prone to accidents and mistakes. Robots designed for use in healthcare and medicine have
strict cleaning requirements as it is vital they stay germ and microbe-free to ensure they do not
spread communicable and contagious diseases such as COVID-19 to others[5]. In other parts of
the world, the efforts for the usage of robotics in the medical field are encouraged more and are
actively being tested. For example, the Chinese health ministry pursued the management of
COVID-19 through various robotic technologies such as patrol robots, sterilization robots, and
reception robots. In effect, very few cases were reported where the infection was transmitted to
healthcare workers[5]. These innovations would help mitigate the spread of the disease and can
be seen in Figure 2 below. In addition to significantly reducing transmission rates, these robots
can help lessen the demand for PPE as they reduce person-to-person contact. Overall, the role of
robotics in the medical field has always been present, but now their ideas are being adapted to
(a.) Robotic bear nurse used to move patients (b.) Robotic attendant for Hospital Care
in Japan
Solutions
Although engineers already play an essential role in fighting the pandemic, there is more
work to be done. Most importantly, there’s the obvious need for more funding and more
government support. As mentioned before, low-income communities have been one of the most
affected by this pandemic, and engineers need to ensure they receive sufficient assistance for
them to properly stay protected and healthy in this time of crisis. According to the APM
Research Lab Reports, as of September 15, 2020, the COVID-19 mortality rate for Black
Americans is 3.4 times higher than it is for White Americans[6]. Although rates may have
dropped due to the quickly anticipated roll-out of vaccines, it does not mean we can simply
forget about the problem, but rather find a way to prevent it in the future. As historically known,
black people and other minority groups do not account for a proportionate amount of STEM
and/or higher education jobs. More data on this can be seen reflected in Figure 1. This lack of
diversity and exclusion creates a barrier where people of color are the most likely to be forgotten
and receive insufficient assistance. According to Barabino, “Improved outcomes can be obtained
by having more Black physicians and healthcare providers, and more Black faculty and
engineers, who are more likely to serve their community, understand their needs, and develop
effective approaches for treatment and care.”[6] The previous quote is essential as it truly is one
of the best ways to combat the racial inequality that many colored families endure. Without
affirmative action, the equality barrier will continue to grow and low-income families will
continue to struggle. They are the ones that will genuinely understand what systematic disparities
need to be addressed first and how to properly do so. Colored and diverse engineers can fix the
problem from the inside out which can allow for more effective, authentic, and trusted solutions.
Engineers also have the ability to integrate the usage of robotics at larger scale
applications to help mitigate the crisis. As explained earlier, foreign countries have continued
using robotics and even expanded on their usage specifically to help reduce transmission of
disease. In addition, the use of UV-C has shown to be effective in disinfection which can firmly
address the shortages of PPE. One of the challenges towards this is the lack of regulation and
policy for the usage of UV-C. In [4], they claim UV-C can have negative health effects if not
used properly and safely. As well as claiming the lack of safety standards in UV-C based
consumer technologies. Currently, scientists are experimenting with UV-C that shows shorter
waves can result in proper disinfection. Studies on rats and mice revealed no damage to skin or
eyes; however, this “far” UV-C still requires further research and testing[7]. These technological
advances/improvements are key steps that will lead to better management of the pandemic by
addressing protective equipment shortages within medical fields. If more of these innovations
can receive more support and funding, they’ll have the capability of creating a better overall
Conclusion
To conclude, since the start of the pandemic one of the most disrupted and harmed groups
happened to be low-income families and healthcare workers. Both groups play a significant part
in the essential workforce which should provide them with proper care and equipment to ensure
the wellbeing of all workers. Unfortunately, that has not been the case as there have been
shortages in PPE for healthcare workers and low-income communities are the hotspots for
COVID-19 related casualties. In light of this situation, engineers are looked up to as their help is
needed to solve these situations. In addition to affirmative action being a necessity within
STEM-related fields to address racial inequalities, the great amount of capability that engineers
hold can be reflected in their effective solutions such as their robotics and technological
Bibliography
[1] C. McNicholas and M. Poydock, “Who are essential workers?: A comprehensive look at
their wages, demographics, and unionization rates,” Economic Policy Institute. [Online].
Available:https://www.epi.org/blog/who-are-essential-workers-a-comprehensive-look-at-their-
2021].
[3]No Worker Left Behind: Supporting Essential Workers. Congressional Hearing, 2020-06-
[4]M. Soler, A. Scholtz, R. Zeto, and A. M. Armani, “Engineering photonics solutions for
COVID-19,” APL photonics, vol. 5, no. 9, pp. 90901–090901, 2020, doi: 10.1063/5.0021270.
[5]Z. H. Khan, A. Siddique, and C. W. Lee, “Robotics utilization for healthcare digitization in
health, vol. 17, no. 11, p. 3819–, 2020, doi: 10.3390/ijerph17113819.[Accessed: 12-Sep- 2021 ]
[6]G. A. Barabino, “Engineering Solutions to COVID-19 and Racial and Ethnic Health
Disparities,” Journal of racial and ethnic health disparities, vol. 8, no. 2, pp. 277–279, 2021, doi:
Available:https://www.nationalacademies.org/based-on-science/covid-19-does-ultraviolet-light-
1
How Advanced Personalized learning and Engineering Better Medicines Furthers Inequality
Intro:
Engineering’s Understandings of Its Role in Society,” the development of the NAE Grand
Challenges for Engineers is flawed through 4 different principles.2 Personally, I will be delving
into Authorial Particularism within the context of the two following grand challenges:
particularism questions and breaks down the membership of the committee that selected the
Grand challenges and what possible factors influenced their choices and proposed solutions.
Several members have certain interest groups which influence their biased proposals that do not
allow for an authentic, genuine solution. Instead, it can be a method of promoting their business
and creating a better lifestyle mainly for themselves.3 Although these two challenges seem to
have the ability to bring equality, they truly do not as they are ignorant to the challenges colored
communities face within the education and healthcare system. Furthermore, there was noticeably
a lack of diversity among the committee that picked the challenges, which left communities of
low income and color to be further underrepresented and underserved. . Ultimately, this allows
for the gap of inequality to widen even more which should be a “Challenge” in itself.4
education system however other issues within the system need to be addressed beforehand. APL
requires a strong dependency on technology as it can be extremely beneficial when learning but
in many parts of the world, schools and families can’t implement it within their budget. Students
also face social circumstances that can account for their struggles in school which are not
accounted for making APL ineffective. This sense of ignorance and lack of consideration has
been seen before where education systems are not adequately listened to and assisted. For
instance, in Michigan, charter schools were introduced as part of a ‘reform movement’ for failing
public schools. Public schools were deemed to be failing in a variety of dimensions such as low
test scores and low graduation rates. Moreover, in areas in Michigan where the public schools
are failing, the explanation for the failure has much less to do with poor teaching and much more
and even homelessness.[2]5 Just how charter schools were deemed the “solution” to failing
public systems, it ultimately failed. Instead of ignoring the economic and quality of life struggles
that negatively impact the education system, they should be tackled head-on. Not only will it
close the gap of inequality within education but it will lead to better performance which they aim
for. If not, APL will similarly follow the same path and many low-income individuals will
continue to lack the necessities of an education system. This extreme disadvantage and lack of
can be viewed/ related to the “tracked system” that is followed in the German educational
system. When students reach secondary schooling, they are selected in either lower secondary
schooling, middle secondary schooling, or upper secondary schooling. These tracks are heavily
connected and related to their social statuses and predetermine their future educational
also be reflected in the United States. Students in low-income neighborhoods are most likely to
receive low-paying job opportunities(career) due to failing schools in their communities whereas
kids in high-income neighborhoods are more likely to receive higher-paying jobs(career) as they
immediate neighborhood has significant impacts on life quality/outcomes. John Wallace Jr, a
professor at the University of Pittsburg, goes as far as to say, “If unemployment is high in a
community, then multi-generationally people will have trouble getting jobs. If communities are
over policed multi-generationally, then people from those communities will end up being locked
up. If health care is denied multi-generationally in neighborhoods, then folks will be sick. If
there’s lead pipes for decades, then those children in those communities will disproportionately
have lead in their blood, which has implications for their thinking and their ability to learn.”[4]6
When the committee examined the educational system, these disparities were not taken into
inadequate funding in connection with lack of diversity among career professions which APL
does not take into account. As mentioned previously, social-economic status relates to how an
individual performs in school. If born into a wealthier family, the higher probability of you
succeeding and, unfortunately, if born into a less wealthy family then the loss probability of you
succeeding. In addition, this factor of wealth can also be connected to the funding of schools. In
an article by Linda Darling-Hammond, a professor at Stanford, she states, “... the wealthiest 10%
of school districts in the United States spend nearly 10 times more than the poorest 10%, and
spending ratios of 3 to 1 are common within states. Poor and minority students are concentrated
in the least well-funded schools, most of which are located in central cities or rural areas and
funded at levels substantially below those of neighboring suburban districts.[5]8 - This inequality
needs to be handled before integrating advanced technology into a failing education system.
Affluent neighborhoods and schools continue to experience more opportunities as they have
greater funding and resources. Advanced personalized learning would only continue to widen
this inequality as it would be more beneficial and hands-on in well-funded schools than in the
least well-funded schools. These factors of funding can contribute to how a school performs
safer and/or renovated creating a more suitable teaching environment. Below in figure 1, you can
see a chart contrasting funding between wealthy-funded schools and least funded schools. This
lack of funding may be overlooked as the members of the committee may never experience that
sense of inequality. As mentioned by Cech, all members of the committee consisted of scientists
and engineers and only 3 women. With that being said, the fields of engineering and science lack
diversity as nearly 70 percent of the scientists and engineers employed in the US are white.[6]
perspectives are limited. With the inclusion of more diverse individuals, you receive a wider
Figure 1. As clearly visible, the gap for adequate funding is slightly 2 times greater per pupil in
poorer schools that contain mainly minority groups. And because of long-standing neighborhood
segregation and systemic racism, these high-poverty schools serve primarily Black and Latinx
engineering better medicines is similarly flawed. Although this sounds like the right step in
direction within the healthcare system, it ultimately excludes color communities of its benefits
and innovations.11 If these “better” medicines were engineered, they would mostly be at the
hands of wealthier individuals that can either afford it and/or have health insurance. For instance,
an article examining the healthcare system in New Zealand, states, “These ethnic minorities
often have reduced entitlements in receiving societies. Not only do they have reduced access to
health care for several political, administrative, and cultural reasons which are not necessarily
present for the native population, they are exposed to poor working and living conditions and or
resource-poor neighborhoods, which leads to poor health outcomes.”[8] This case of inequality is
also common in other parts of the world including the U.S. Disadvantaged communities
circumstances limiting their access to a proper health care system.12 Their communities can be
accounted for, making surrounding citizens more susceptible to health concerns13. At that, they
still are not provided with proper and/or affordable healthcare to ensure their well-being
continuing this cycle of inequality and health burdening communities. These factors of
inaccessibility need to be solved before creating these “better” medicines as they will not benefit
load that should not quite yet be taken on. As quoted from NAE Grand Challenges themselves,
“One engineering challenge is developing better systems to rapidly assess a patient’s genetic
profile; another is collecting and managing massive amounts of data on individual patients; and
yet another is the need to create inexpensive and rapid diagnostic devices such as gene chips and
sensors able to detect minute amounts of chemicals in the blood.”[1] These challenges that have
been listed to create personalized medicine are all new and do not necessarily need to be solved
just quite yet. In fact, these are problems that will only be created if “better” medicine is
seriously funded and committed to. There are numerous disparities within the healthcare system
that need to be addressed before adding to the list of problems.14 Such as, providing an adequate
system that can properly support all demographics and socio-status especially in underserved and
On the other hand, within the healthcare system, there is also a lack of diversity that
contributes to the factors of inequality for colored communities. For instance, if we refer back to
In New Zealand, we will find a paucity of health workers from African ethnic minority groups or
those with a background understanding of the African community within the New Zealand health
system.[8] This is also true and common in different places around the world. A breakdown of
this lack of diversity can be seen below in figure 2. Not to say a fully diverse health care system
will purely solve this disparity but it certainly is key. Without the inclusion of minority workers,
a connection to the African community is lost. As a result, offered assistance most likely will not
reach these groups. Also, with the lack of inclusion of minority workers, the less they will be
heard and understood only furthering the inequality they’re currently facing.
U.S Demographics breakdown of Health Occupations
Figure 2. Demographic breakdown of the workers' race/ethnicity reveals a lack of diversity. All
minority groups, except Asians, are underrepresented in Health Diagnosis and Treating
occupations. Hispanics, Asians, and Native Hawaiian/Pacific Islanders are underrepresented
among Counselors and Social Workers (Community and Social Service occupation)[9]
Counter Argument:
Although many scientists, engineers, and even teachers, might support APL claiming it is
key to creating a more efficient and equitable education system, it truly is not. APL allows
teaching to be curated to a single individual creating a more connected and effective teaching
style. Individuals' learning strategies/preferences can be broken down into several categories
such as visual learning, auditory learning, and/or hands-on learning.15 Now within a classroom
setting, that certainly contains diverse learning preferences, it may be challenging for a single
teacher to incorporate all these different styles in all curriculums. This disadvantage may
certainly be a contributing factor to kids falling behind and struggling in school. If the students
can not be intrigued and connected to the course work, the probability of struggling and falling
behind increases. The need for a personal/authentic connection between the learner and teacher
to achieve the goal of truly educating and learning as resulted in APL being greatly encouraged
and pushed for.16 APL allows for personal customization that encompasses the learner’s unique
learning style, strengths, and weaknesses. Although this is true and beneficial, the root cause for
a needed improved education system lies further beyond the dynamics of teaching and learning.
APL is an innovation for the school systems already experiencing success but wanting to make
students that already experience an adequate and fair education setting; however, students
as much. Instead, these factors of inequality through funding, resourcing, and diversity need to
be addressed and fixed. If not, ultimately, it will leave the education system in the same situation
and struggle.
Conclusion:
To conclude, within the context of integrating Advanced Personalized learning into the
education system and engineering better medicines for a better healthcare system, there needs to
be a closer examination into the ones selecting these challenges. Not to discredit APL or
personalized medicine but there are more relevant and crucial circumstances that need to be
solved within both systems beforehand. The lack of diversity within both systems needs to be
addressed and fixed before attempting to introduce new technological innovations. Authorial
Particularism is true and present within the scope of The NAE Grand Challenges of Engineering
Bibliography
[1]O. Izraeli and K. Murphy, “An Analysis of Michigan Charter Schools: Enrollment,
Revenues, and Expenditures,” Journal of education finance, vol. 37, no. 3, pp. 234–266, 2012,
doi: 10.1353/jef.2012.0001.
[2]“14 Grand Challenges for Engineering in the 21st Century,” Grand Challenges - 14 grand
challenges for engineering. [Online]. Available:
http://www.engineeringchallenges.org/challenges.aspx.
[3]M. Osterman, “Varieties of education and inequality: how the institutions of education and
political economy condition inequality,” Socio-economic review, vol. 16, no. 1, pp. 113–135,
2018, doi: 10.1093/ser/mwx007.
[4]M. Kramer, “How the neighborhood you grow up in affects your future,” PublicSource.
[Online]. Available: https://projects.publicsource.org/pittsburgh-neighborhood-success/.
[5]B. D. Smedley, “Inequality in teaching and schooling: How opportunity is rationed to
students of color in America,” The Right Thing to Do, The Smart Thing to Do: Enhancing
Diversity in the Health Professions: Summary of the Symposium on Diversity in Health
Professions in Honor of Herbert W.Nickens, M.D.., 01-Jan-1970. [Online]. Available:
https://www.ncbi.nlm.nih.gov/books/NBK223640/.
[7]“Pace - California's education funding crisis explained in 12 charts,” Policy Analysis for
California Education. [Online]. Available: https://edpolicyinca.org/publications/californias-
education-funding-crisis-explained-12-charts.
[8]B. Kanengoni, S. Andajani-Sutjahjo, and E. Holroyd, “Improving health equity among the
African ethnic minority through health system strengthening: a narrative review of the New
Zealand healthcare system,” International journal for equity in health, vol. 19, no. 1, pp. 21–21,
2020, doi: 10.1186/s12939-020-1125-9.
[9]“Sex, race, and ethnic diversity of U.S. health occupations ...,” HRSA, 2017. [Online].
Available:https://rush.house.gov/sites/evo-subsites/rush.house.gov/files/2017%20HRSA
%20Demographic%20Information%20-%20Highlighted.pdf.
Endnotes:
1
Mentioned by Peer and Instructor- My title of the essay was simply “Ethics Paper” which is not attention-grabbing.
So I came up with a more intriguing title.
2
Mentioned by Instructor- The opening sentence was too “wordy” and had to be more concise. I removed
unnecessary words and replaced words with simpler terms.
3
Mentioned by Instructor- This sentence was unclear and needed to be reworded in order to make it clear and
understandable I removed words that were abundant and replaced them with synonyms to make it more concise.
Also, I elaborated and added more information to a sentence lacking context.
4
Mentioned by Peer and Instructor- My position statement was weak and lack rationale and qualification. I inserted
my rationale that was presented throughout my essay but never stated in the introduction.
5
Mentioned by Peer and Instructor- The quote I used in the original paper was too long so I switched it by simply
paraphrasing instead of restating
6
Mentioned by Instructor- The usage of evidence/data could be provided in order to back up the claim made
previously.
7
Mentioned by Peer- The word choice in the last sentence could have been better so I changed “trajcted” into
“curated”. This creates a smoother sentence and interpretation of the text.
8
Mentioned by Peer- Quote used was too long. I decided to paraphrase instead.
9
Mentioned by Instructor and Peer- Made an error of not including the URL so I inserted it in the image context box.
10
Mentioned by Instructor- Made a capitalization and spacing error in the header so I went ahead and fixed that.
11
Mentioned by Peer and Instructor- The topic sentence of the 2nd body paragraph was weak so I crafted a stronger
topic sentence
12
Mentioned by Me, peer, and instructor- Unclear sentence that required rewording.
13
Mentioned by Peer and Me- Grammar mistake where I incorrectly used “effect” instead of “affect” and sentence
was hard to understand. I structured a clearer and concise sentence by using simpler terms.
14
Mentioned by Me- The beginning of the counterargument did not flow well. I attempted to include transition words
that ultimately did not need to be there. I also rephrased the sentences to make them connect/flow better
15
Mentioned by Instructor- The connection between the two sentences was unclear requiring me to reword and
combine the sentences.
16
Mentioned by Peer- similar to my introduction, it lacks a strong clearly stated position statement that should be
easily identifiable. I added the position statement from my introduction but slightly modified it in order to properly
fit the conclusion
Process Report
First off, I started my revision process by simply re-reading my Ethics Papers
OUTLOUD three times. Each time I read my paper I would catch minor grammatical errors that
should’ve been fixed long ago. It was my technique of reading out loud that helped me catch
these mistakes as it made it harder to ignore the mistakes compared to when reading in your read.
After correcting my mistakes(not all were mentioned in the endnotes as I didn’t think all were
necessary), I went on to review the comments on my Ethics Paper. As I looked at the comments I
noticed that my introduction was weak as it lacked a strong and clear position statement that was
easily identifiable. I automatically agreed with this comment as I came to realize it lacked my
rationale/reasoning for choosing the two challenges I chose. Luckily, throughout my essay I was
able to identify my reasoning as although both challenges seem like solutions, they are still
ignorant to the actual “struggles” colored communities face within the education and healthcare
system. This ignorance comes through the lack of diversity which can be connected to Authorial
Particularism. This was a key element in the revision process as it strengthens my essay. Another
element my revision process focused on was being more concise as I had a lot of wordy, hard-to-
read sentences. I would either be using an excessive amount of terms or just bad word choice.
These fixes made my essay flow better and easier to comprehend. This can also be said with my
extensive quotes that ended up getting paraphrased in the end. Another major element was to
find evidence to support my claim in my last body paragraph of APL. Lastly, I broke down the
long, single paragraph of Engineering Better Medicines into 2 different paragraphs. Two
different ideas can be pulled from a single paragraph allowing for a better
understanding/distinguishment of the two.