Narrat Inq Bioeth. 2021;11(3):259-264. doi: 10.1353/nib.2021.0081.
The treatment of essential health care providers belonging to racial and ethnic minority groups is a bioethical issue. Minority providers hold valuable knowledge of the racism they experience. However, they are continuously doubted, discredited, and disempowered as epistemic interlocutors. Such epistemic injustice has ethical repercussions for the treatment of patients. The unwillingness of colleagues to receive the authors' experiential knowledge of racism, their testimonies on its impacts, and their efforts to correct inaccurate judgments amount to a morally problematic epistemological stance. Additional moral considerations include the lack of guidance on dealing with racism in health care institutions, the marginalization of minority providers, an inflexible medical culture, the need for anti-racist frameworks, and the unique vulnerability of students and trainees. These narratives call for a sustained effort in balancing the pursuit of individual virtues and the creation of systemic conditions necessary to eliminate racial injustice.
少数民族卫生保健提供者的治疗是一个生命伦理问题。少数族裔的提供者掌握了他们所经历的种族主义的宝贵知识。然而,作为认知对话者,他们不断受到怀疑、诋毁和削弱。这种认知不公正对患者的治疗产生了伦理影响。同事不愿意接受作者对种族主义的经验知识、他们对种族主义影响的证词,以及他们纠正不准确判断的努力,这构成了一种在认识论立场上有问题的道德行为。其他道德考虑因素包括缺乏处理医疗机构中的种族主义问题的指导、少数族裔提供者的边缘化、僵化的医疗文化、对反种族主义框架的需求以及学生和受训者的独特脆弱性。这些叙述呼吁做出持续努力,在追求个人美德和创造消除种族不公正所必需的制度条件之间取得平衡。