Rangel J Cristian, Holmes Dave, Perron Amélie, Miller Granville E
DIME, University of Ottawa Faculty of Medicine, Ottawa, Ontario, Canada
School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Med Humanit. 2022 Dec;48(4):471-479. doi: 10.1136/medhum-2021-012255. Epub 2022 Apr 25.
During the COVID-19 pandemic, restrictions for visitors and caregivers in healthcare settings and long-term care (LTC) facilities were enacted in the larger context of public health policies that included physical distancing and shelter-in-place orders. Older persons residing in LTC facilities constituted over half of the mortality statistics across Canada during the first wave of the COVID-19 pandemic. Using the poststructuralist work of Agamben, Foucault and Mbembe we conducted a thematic analysis on news reports. The extracts of media stories presented in our paper suggest that the scholarship on (bio)power and necropolitics is central for understanding the ways the COVID-19 crisis reveals the pragmatic priorities-and the 'health' and political values-that undergird the moral imagination of the public, including the educated classes of advanced Western democracies. Our critical analysis shows that by isolating individuals who were sick, fragile, and biologically and socially vulnerable, undifferentiated population management policies like social distancing, when piled on the structural weakness of health systems, reproduced inequities and risk for those in need of medical care, advocacy, and social companionship in acute moments of illness, death and grief. Considering the unprecedented deployment of governmental power via public health interventions based on social regulation to protect the population during the crisis-how can we understand so much death and suffering among the most vulnerable?
在新冠疫情期间,医疗机构和长期护理(LTC)机构对访客和护理人员的限制措施,是在包括保持社交距离和就地避难令等公共卫生政策的大背景下实施的。在新冠疫情第一波期间,居住在长期护理机构的老年人占加拿大死亡统计人数的一半以上。我们运用阿甘本、福柯和姆贝姆贝的后结构主义著作,对新闻报道进行了主题分析。我们论文中呈现的媒体报道摘录表明,关于(生物)权力和死亡政治的学术研究,对于理解新冠危机揭示实用主义优先事项以及支撑公众(包括西方发达民主国家的受过教育阶层)道德想象的“健康”和政治价值观的方式至关重要。我们的批判性分析表明,通过隔离患病、脆弱以及在生理和社会上易受伤害的个体,诸如社交距离这样的无差别人口管理政策,加之卫生系统的结构性弱点,在疾病、死亡和悲痛的紧急时刻,加剧了那些需要医疗护理、倡导和社会陪伴之人的不公平待遇和风险。鉴于危机期间政府基于社会监管通过公共卫生干预措施前所未有的权力部署,我们如何理解最弱势群体中如此多的死亡和苦难呢?