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In this paper, I consider practical strategies for resolving the epistemic injustice that ill persons face when seeking medical treatment. My arguments will expand upon those initially made by Havi Carel and Ian James Kidd in “Epistemic Injustice in Healthcare: A Philosophical Analysis.” My approach to this problem is twofold. First, I will demonstrate how the phenomenological toolkit, as it currently stands, emphasizes the patient’s experience and leaves the doctor’s experience unadjusted. After this, I will explain how the toolkit can be improved to include the doctor’s perspective.

At a fraction of the total cost of an equivalent orbital mission, scientific balloon-borne platforms, operating above 99.7% of the Earth’s atmosphere, offer attractive, competitive, and effective observational capabilities—namely, space-like seeing, transmission, and backgrounds—which are well suited for modern astronomy and cosmology. The Super-pressure Balloon-borne Imaging Telescope (SUPERBIT) is a diffraction-limited, wide-field, 0.5 m telescope capable of exploiting these observing conditions in order to provide exquisite imaging throughout the near-infrared to near-ultraviolet. It utilizes a robust active stabilization system that has consistently demonstrated a 48 mas 1σ sky-fixed pointing stability over multiple 1 h observations at float. This is achieved by actively tracking compound pendulations via a three-axis gimballed platform, which provides sky-fixed telescope stability at < 500 mas and corrects for field rotation, while employing high-bandwidth tip/tilt optics to remove residual disturbances across the science imaging focal plane. SUPERBIT’s performance during the 2019 commissioning flight benefited from a customized high-fidelity science-capable telescope designed with an exceptional thermo- and opto-mechanical stability as well as a tightly constrained static and dynamic coupling between high-rate sensors and telescope optics. At the currently demonstrated level of flight performance, SUPERBIT capabilities now surpass the science requirements for a wide variety of experiments in cosmology, astrophysics, and stellar dynamics.

This paper presents optical night sky brightness measurements from the stratosphere using CCD images taken with the Super-pressure Balloon-borne Imaging Telescope (SuperBIT). The data used for estimating the backgrounds were obtained during three commissioning flights in 2016, 2018, and 2019 at altitudes ranging from 28 km to 34 km above sea level. For a valid comparison of the brightness measurements from the stratosphere with measurements from mountain-top ground-based observatories (taken at zenith on the darkest moonless night at high Galactic and high ecliptic latitudes), the stratospheric brightness levels were zodiacal light and diffuse Galactic light subtracted, and the airglow brightness was projected to zenith. The stratospheric brightness was measured around 5.5 hours, 3 hours, and 2 hours before the local sunrise time in 2016, 2018, and 2019 respectively. The $B$, $V$, $R$, and $I$ brightness levels in 2016 were 2.7, 1.0, 1.1, and 0.6 mag arcsec$^{-2}$ darker than the darkest ground-based measurements. The $B$, $V$, and $R$ brightness levels in 2018 were 1.3, 1.0, and 1.3 mag arcsec$^{-2}$ darker than the darkest ground-based measurements. The $U$ and $I$ brightness levels in 2019 were 0.1 mag arcsec$^{-2}$ brighter than the darkest ground-based measurements, whereas the $B$ and $V$ brightness levels were 0.8 and 0.6 mag arcsec$^{-2}$ darker than the darkest ground-based measurements. The lower sky brightness levels, stable photometry, and lower atmospheric absorption make stratospheric observations from a balloon-borne platform a unique tool for astronomy. We plan to continue this work in a future mid-latitude long duration balloon flight with SuperBIT., Comment: 17 pages, 7 figures. Accepted for publication in the Astronomical Journal

We present a publicly-available toolkit of flight-proven hardware and software to retrieve 5 TB of data or small physical samples from a stratospheric balloon platform. Before launch, a capsule is attached to the balloon, and rises with it. Upon remote command, the capsule is released and descends via parachute, continuously transmitting its location. Software to predict the trajectory can be used to select a safe but accessible landing site. We dropped two such capsules from the SUPERBIT telescope, in September 2019. The capsules took ~37 minutes to descend from ~30 km altitude. They drifted 32 km and 19 km horizontally, but landed within 300 m and 600 m of their predicted landing sites. We found them easily, and successfully recovered the data. We welcome interest from other balloon teams for whom the technology would be useful.