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Uprooting Structural Violence in Healthcare

Can Diversity and Inclusion be the Solution?

January 30, 2019

Nanky Rai

Parkdale Queen West CHC

nankyrai@gmail.com

Tw: @NankyRai

Land Acknowledgement

Introduction

Traditional Indigenous territory of the Wendat, the Haudenosaunee, the Anishinabek, and the Mississaugas of the New Credit

The territory of Toronto is subject to the Dish With One Spoon treaty

Background

How I arrived at this work

https://goo.gl/XkZztY

http://www.telegraph.co.uk/news/worldnews/us-politics/11284621/Black-Americans-dont-need-a-messiah-we-need-justice.html

http://toronto.ctvnews.ca/over-90-per-cent-of-grassy-narrows-residents-show-signs-of-mercury-poisoning-researchers-1.3080414

Digging at the Roots, Not Just Low Hanging Fruit

Power?

Ahistorical

Reproduction of the Social Determinants of Health When The Structural Determinants’

Are Left

Untouched

https://goo.gl/qXWmf1

Oppression:

  • one social group dominates, disempowers, marginalizes, silences or subordinates another group for its own benefit

  • unjust exercise of power; cultural, economic, physical, psychological, or social threats or force

  • dominating group often use explicit ideologies to justify oppression

  • micro to macro levels; individuals to systems

Oppression and Healthcare

An Incomplete History of Medical Violence...

Oppression and Healthcare

Stole, Karen. (2015). An Act of Genocide: Colonialism and the Sterilization of Aboriginal Women. Fernwood Publishing.

http://journalofethics.ama-assn.org/2012/06/imhl1-1206.html

http://hssh.journals.yorku.ca/index.php/hssh/article/viewFile/40239/36424

Cartwright, S. A. (1851) ‘Report on the diseases and physical peculiarities of the Negro race’, New Orleans Medical and Surgical Journal, May, 1851, 691-715.

Medical Violence

Medical Violence

Forced Implementation of Western Medicine and Violent Erasure of Indigenous Health Systems

Growing Health Equity

EMBRACE DISCOMFORT, DISSOLVE GUILT

Assumptions, attitudes and actions that marginalize, exclude or dehumanize others

PRACTICE HEALTHCARE AS ACT OF SOLIDARITY, NOT CHARITY

"Education does not change the world. Education changes people. People change the world. "

- Paulo Freire

Growing Health Justice

SUPPORT GRASSROOTS SOCIAL AND ENVIRONMENTAL JUSTICE MOVEMENTS

OUR HISTORY DOES NOT HAVE TO BE OUR LEGACY: PEOPLE POWER

http://atlantablackstar.com/2017/04/03/young-lords-health-care-reform-matters-today/

https://www.facebook.com/TorontoOPS/

The Bob Fitch Photography Archive at Stanford

https://www.mailman.columbia.edu/public-health-now/news/black-panther-party-stands-health

Critical Reflection + Informed Action =

Positive Social Change to Improve Health Equity

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5024403/

CENTRE the

MARGINS

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