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A moral economy of care

How clinical discourses perpetuate Indigenous-specific discrimination and racism in western Canadian emergency departments

Bibliographic Data

ID2289258
AuthorsMegan Muller Da Silva (0000-0001-8561-3364, Department of Anthropology University of British Columbia Vancouver Canada, corresponding author)
Year2024
Volume38
Issue3
Pages328-341
Publication date2024-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMedical Anthropology Quarterly (JOURNAL)
Journal identifiersISSN: 0745-5194 • E-ISSN: 1548-1387
PublisherWiley (PUBLISHER • GB)
DOI10.1111/maq.12867
PMID38773774
OpenAlexW4398217160
LanguageEN
References cited42

Recent research has unveiled the pervasiveness with which Indigenous patients are subjected to racialized stereotypes within the Canadian health system. Because discrimination in health care is associated with poor health outcomes and undertreated illness, there is a need to better understand how racism is perpetuated systemically in order to rectify the policies, practices, and attitudes that enable it. This article outlines a moral economy of care in emergency departments in western Canada by exploring the discourses that medical professionals employ when discussing cases of medical racism. While these discourses respond to the everyday realities of working in hospitals, they are also rooted in the colonial genealogy of health care in Canada and perpetuated by neoliberal shifts in health care services. By exploring the moral economy of care, this article sheds light on the way pervasive discourses contribute to reproducing and circulating Indigenous-specific racism and its role in decision-making

Colonialism · Criminology · Health care · Indigenous · Institutional racism · Moral economy · Political science · Politics · Racism · Sociology · Cultural Competency in Health Care · Gender Studies · Indigenous Health, Education, and Rights · Law · Racial and Ethnic Identity Research

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Highly citedNo

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