The Costs of Institutional Racism and its Ethical Implications for Healthcare.

The Costs of Institutional Racism and its Ethical Implications for Healthcare.
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DOI:
10.1007/s11673-020-10073-0
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发表时间:
2021-03
影响因子:
2.4
通讯作者:
Paradies Y
Paradies Y
中科院分区:
人文科学4区
文献类型:
--
作者:
Elias A;Paradies Y

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本文讨论了种族主义的伦理含义,以及在制度层面上与种族主义相关的一些各种成本。我们认为,在许多方面,西方社会的法律、社会结构和制度都是为了延续种族不平等的历史遗产而运作的,不管有没有社会中的个人和群体的意图。仅仅通过维持现有的结构、法律和社会规范,社会就可以让少数族裔付出社会、经济和健康代价,损害他们的福祉和人类尊严。基于对种族主义多学科研究的回顾,特别是对医疗保健的关注,我们展示了制度性种族主义如何导致社会中的社会和经济不平等。通过假设制度种族主义是医疗保健中可避免的差异的内在原因,本文提请注意种族主义的伦理意义,这仍然是生物伦理学研究中相对被忽视的问题。
This paper discusses the ethical implications of racism and some of the various costs associated with racism occurring at the institutional level. We argue that, in many ways, the laws, social structures, and institutions in Western society have operated to perpetuate the continuation of historical legacies of racial inequities with or without the intention of individuals and groups in society. By merely maintaining existing structures, laws, and social norms, society can impose social, economic, and health costs on racial minorities that impinge on their well-being and human dignity. Based on a review of multidisciplinary research on racism, particularly focusing on healthcare, we demonstrate how institutional racism leads to social and economic inequalities in society. By positing institutional racism as the inherent cause of avoidable disparities in healthcare, this paper draws attention to the ethical significance of racism, which remains a relatively neglected issue in bioethics research.
DOI: 10.1186/s12889-016-3868-1
发表时间: 2016-11-29
期刊: BMC public health
影响因子: 4.5
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