Associate professor of medicine in the Johns Hopkins School of Medicine in Baltimore, Maryland.
Language ethicist specializing in the moral, social, and political philosophy of language, presently affiliated with McGill University, Universität Hamburg, and Université de Montréal.
AMA J Ethics. 2022 Apr 1;24(4):E313-318. doi: 10.1001/amajethics.2022.313.
Language is a social determinant of health, no less so in the case of Latinx persons, who make up the second largest ethnic group in the United States. In US health care, language and linguistic difference are often conceived in discrete, instrumental, and monolithic terms. This article characterizes this conception of language as administrative logic, which is in sharp contrast to language conceived as a richly complex, heterogeneous, communally lived human experience. This article emphasizes the importance of system-level language awareness and epistemic humility for promoting equity, as well as the need to avoid too-narrow focus on linguistic assessment.
语言是健康的社会决定因素之一,对于拉丁裔人群来说更是如此,他们构成了美国第二大族群。在美国的医疗保健中,语言和语言差异通常被视为离散的、工具性的和单一的。本文将这种语言概念描述为行政逻辑,这与将语言视为丰富复杂、异质的、社区共同生活的人类体验的概念形成鲜明对比。本文强调了在促进公平方面提高系统层面语言意识和认知谦逊的重要性,以及避免过于狭隘地关注语言评估的必要性。