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The topic of Black mistrust of medical institutions and health care has received a great deal of attention over the course of the Covid‐19 pandemic, especially with the arrival of vaccines and the emergence of a gap in vaccination rates by race. This article examines current discourses and debates over medical mistrust, and describes the limitations of the mistrust framework for identifying and addressing...
Empathy is generally considered important because it is linked to prosocial helping behaviors. To the extent that humans are thought to be social creatures, empathy is regarded as an important component of our general well‐being. Meanwhile, empathy skeptics argue that empathy is not as important as its proponents believe. While there is philosophical debate about the appropriate place for empathy...
What responsibilities do individuals have when it comes to combating large‐scale public health crises such as racism? A seductive argument borrowed from the climate ethics literature suggests that focusing on individual morality for a structural problem such as racism is at best unhelpful and at worst actively harmful. In response, we argue that individuals have good moral reasons to modify their...
The UK government's ‘Prevent’ counter‐extremism policy was placed on a statutory footing in 2015, requiring specified authorities including NHS providers by law to work to ‘prevent people being drawn into terrorism’, leading to calls for a boycott on ethical grounds. Since 2016, mental health professionals have been embedded within counterterrorism police units in ‘Vulnerability Support Hubs’, to...
Consequentialist life‐maximizing approaches to triaging prescribe that everyone ought to have an equal chance of living a typical lifespan, through the saving more life‐years (or saving most lives) principle, which emphasizes the youngest‐first principle and in some cases a lottery approach, often at the expense of the old and the sick. Although this approach has already been criticized by several...
The Nordic welfare state aims to offer universal healthcare and achieve good health, bar none. We discuss past and present moral blind spots in welfare state bioethics through reproductive justice and queer bioethics, particularly focusing on race and racism, based on ethnographic data from Finland. Globally portrayed as aspirational and mostly uninterrogated, it is crucial to have a thorough bioethical...
Racism has resulted in significant disproportionality and disparity in the US child welfare system. Being Black is not an inherent risk factor for child abuse and neglect yet Black children are almost twice as likely to be victims of substantiated abuse and neglect claims compared to other racial groups. Addressing the disproportionality within the child welfare system due to systemic racism falls...
Our paper interrogates the ethics of digital pandemic surveillance from Indigenous perspectives. The COVID‐19 pandemic has shown that Indigenous peoples are among the communities most negatively affected by pandemic infectious disease spread. Similarly to other racialized subpopulations, Indigenous people have faced strikingly high mortality rates from COVID‐19 owing to structural marginalization...
The COVID‐19 pandemic has had a disproportionate impact on the health of Black Americans, Latinx or Hispanic Americans, and American Indians. These disparities are deeply unjust, in part, because they are the causal result of racism at both the interpersonal and structural levels. This paper argues, however, that establishing a causal connection between racism and health disparities is not the only...
The differential impact of the COVID‐19 pandemic on communities of color in the United States along with the civil unrest taking place in 2020 in response to the killing of unarmed Black men and women by the police have increased awareness of the structural racism pervading US society. These developments have reraised the issue of reparations for Black Americans, usually proposed in the context of...
Justice is a core principle in bioethics, and a fair opportunity to achieve health is central to this principle. Racism and other forms of prejudice, discrimination, or bias directed against people on the basis of their membership in a particular racial or ethnic group are known contributors to health inequity, defined as unjust differences in health or access to care. Though hospital‐based ethics...
It is well established that racial health disparities are impacted by structural racism, but the imbrication of racialization processes with processes of disablement remains underdeveloped. This essay advocates for a conceptual lens that looks historically and politically at the co‐constitution of “race” and “disability.” Racism and ableism intersect in ways that manifest what I call racialized disablement,...
In this paper, we take up the call to further examine structural injustice in health, and racial inequalities in particular. We examine the many facets of racism: structural, interpersonal and institutional as they appeared in the COVID‐19 pandemic in the UK, and emphasize the relevance of their systemic character. We suggest that such inequalities were entirely foreseeable, for their causal mechanisms...
In this article, I offer historical, jurisprudential, and moral analyses of racial eugenics campaigns against African American, Native American, and Hispanic American women. I argue that African American, Native American, and Hispanic American women were sterilized at a time in US history when doctors working for/with the Department of Health, Education, and Welfare, the Indian Health Service, and...
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