Harvard Medical School, Boston, MA, United States.
Harvard Business School, Boston, MA, United States.
Front Public Health. 2021 Jul 8;9:664783. doi: 10.3389/fpubh.2021.664783. eCollection 2021.
The disproportionate impact of COVID-19 on racially marginalized communities has again raised the issue of what justice in healthcare looks like. Indeed, it is impossible to analyze the meaning of the word justice in the medical context without first discussing the central role of racism in the American scientific and healthcare systems. In summary, we argue that physicians and scientists were the architects and imagination of the racial taxonomy and oppressive machinations upon which this country was founded. This oppressive racial taxonomy reinforced and outlined the myth of biological superiority, which laid the foundation for the political, economic, and systemic power of Whiteness. Therefore, in order to achieve universal racial justice, the nation must first address science and medicine's historical role in scaffolding the structure of racism we bear witness of today. To achieve this objective, one of the first steps, we believe, is for there to be health reparations. More specifically, health reparations should be a central part of establishing racial justice in the United States and not relegated to a secondary status. While other scholars have focused on ways to alleviate healthcare inequities, few have addressed the need for health reparations and the forms they might take. This piece offers the ethical grounds for health reparations and various justice-focused solutions.
新冠疫情对边缘化少数族裔社区的不成比例影响再次引发了医疗保健正义的含义是什么的问题。 实际上，如果不首先讨论种族主义在美国科学和医疗保健系统中的核心作用，就不可能在医学背景下分析正义一词的含义。总之，我们认为，医生和科学家是种族分类法和压迫性阴谋的建筑师和想象者，而正是这些构成了这个国家的基础。这种压迫性的种族分类法加强并勾勒出了生物优越性的神话，为白人的政治、经济和系统权力奠定了基础。因此，为了实现普遍的种族正义，国家必须首先解决科学和医学在构建我们今天所见证的种族结构方面的历史作用。为了实现这一目标，我们认为，第一步是进行健康赔偿。更具体地说，健康赔偿应该成为在美国建立种族正义的核心部分，而不是将其降级为次要地位。虽然其他学者专注于减轻医疗保健不平等的方法，但很少有人关注健康赔偿的必要性以及它们可能采取的形式。本文为健康赔偿提供了伦理依据和各种以正义为重点的解决方案。
