Faculty of Health and Environment Sciences, Auckland University of Technology, Private Bag, Auckland, 92006, New Zealand.
Te Rau Ora, PO Box 5731, Wellington, 6140, New Zealand.
J Bioeth Inq. 2021 Mar;18(1):59-70. doi: 10.1007/s11673-020-10077-w. Epub 2021 Jan 11.
In colonial states and settings, constitutional arrangements are often forged within contexts that serve to maintain structural racism against Indigenous people. In 2013 the New Zealand government initiated national conversations about the constitutional arrangements in Aotearoa. Māori (Indigenous) leadership preceded this, initiating a comprehensive engagement process among Māori in 2010, which resulted in a report by Matike Mai Aotearoa which articulated a collective Māori vision of a written constitution congruent with te Tiriti o Waitangi (the founding document of the colonial state of New Zealand) by 2040.This conceptual article explores the Matike Mai Aotearoa report on constitutional transformation as a novel means to address structural racism within the health system as a key domain within the constitutional sphere. Matike Mai suggests alternative conceptual structural formations through its focus on the kāwanatanga (governance), the relational and the tino rangatiratanga (sovereignty) sphere. This framework is informed by a range of Indigenous ethical values such as tikanga (protocol), belonging, and balance that can usefully inform the redesign of the health sector.We assert that constitutional transformation and decolonization are potentially powerful ethical sources of disruption to whiteness and structural racism. We argue that, to eliminate entrenched health disparities, change processes need to be informed by the Indigenous inspirations expressed in the Matike Mai report.
在殖民地国家和环境中，宪法安排往往是在维护针对土著人民的结构性种族主义的背景下制定的。2013 年，新西兰政府启动了关于奥特亚罗瓦宪法安排的全国对话。在此之前，毛利（土著）领导层于 2010 年启动了一项全面的毛利参与进程，这导致了《奥特亚罗瓦的未来》报告的出台，该报告阐述了到 2040 年与《怀唐伊条约》（新西兰殖民国家的创始文件）一致的书面宪法的集体毛利愿景。本文通过关注治理、关系和主权领域，探讨了《奥特亚罗瓦的未来》报告在宪法转型方面的新颖性，将其作为解决卫生系统内结构性种族主义这一宪法领域内关键领域的一种新方法。该框架受到一系列土著伦理价值观的启发，如礼仪、归属感和平衡，这些价值观可以为卫生部门的重新设计提供有用的信息。我们断言，宪法转型和非殖民化是对白人至上和结构性种族主义的潜在强大伦理颠覆来源。我们认为，为了消除根深蒂固的健康差距，变革进程需要以《奥特亚罗瓦的未来》报告中表达的土著灵感为指导。
