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Uprooting Medical Violence:

Building an Anti-Oppression Framework and Growing Health Equity

Saturday November 11, 2017

Nanky Rai

nankyrai@gmail.com

Tw: @NankyRai

Introduction

https://queermikey.wordpress.com/toronto-acknowledgement-of-country-resource/

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

Lived Experiences

Lived Experiences

https://www.theglobeandmail.com/opinion/as-us-pulls-back-canada-continues-the-war-on-drugs/article17825870/?arc404=true

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

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

https://www.thestar.com/news/gta/2013/02/21/cisanctuarycity21.html

Objective:

What is the relationship between oppression and health care?

Methods:

- Literature review of academic journals, media publications, “lay literature”

- Narrative synthesis approach, common themes emerging around oppression and healthcare

Oppression and Healthcare

An Incomplete History of Medical Violence...

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

Oppression and Healthcare

http://www.cnn.com/2017/07/20/us/white-county-inmate-vasectomy-trnd/index.html

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4081235/

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

Kelly M. Hoffman, Sophie Trawalter, Jordan R. Axt, and M. Norman Oliver. Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites PNAS 2016 113 (16) 4296-4301

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.

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

https://dash.harvard.edu/bitstream/handle/1/3372911/Brandt_Racism.pdf?sequence=1

Medical Violence

Medical Violence

Dig deeper to the roots of social and environmental injustices and the many ways they exist within Western medicine - otherwise individuals with privilege and institutions with power in healthcare have and therefore can continue to inflict violence against individuals, communities, and entire nations

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

Growing Health Equity

Internal

Self-Reflexivity

Interpersonal

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

Practicing Allyship as Health Practitioners

https://briarpatchmagazine.com/settlertreatycard

http://www.trc.ca/websites/trcinstitution/File/2015/Findings/Calls_to_Action_English2.pdf

The Bob Fitch Photography Archive at Stanford

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

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

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

- Paulo Freire

Growing Health Equity

OUR HISTORY DOES NOT HAVE TO BE OUR LEGACY: UPROOTING MEDICAL VIOLENCE

SUPPORT GRASSROOTS SOCIAL AND ENVIRONMENTAL JUSTICE MOVEMENTS

Institutional

Critical Reflection + Informed Action =

Positive Social Change to Improve Health Equity

CENTRE on the

MARGINS

Global

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