Simmonds Bethany
Department of Geography and Earth Sciences, Aberystwyth University, Aberystwyth, United Kingdom.
Front Sociol. 2024 Mar 7;9:1372926. doi: 10.3389/fsoc.2024.1372926. eCollection 2024.
This perspective paper begins with discussing how COVID-19 magnified the pre-pandemic 'bare life' conditions which exposed older people's lives to risks and indignities in the health and social care system. Then, by using the concept of Necropolitics, the life and death decisions, based on age as a proxy measure for population health during the pandemic, are discussed. This discussion includes examples of 'exceptional' practices that were implemented in the UK during the first wave, including 'Do Not Resuscitate' orders, unsafe hospital discharges, not transferring to hospitals, and denying access to treatment for older people. It then goes on to renew the call for a feminist care ethic to be central to the ways in which our future health and social care systems are configured. Arguing for the need to politically reframe ageing, health and social care provision towards a radical alternative system that rethinks care relations and addresses inequality.
这篇观点论文首先讨论了新冠疫情如何加剧了疫情前的“悲惨生活”状况,这些状况使老年人的生命在卫生和社会护理系统中面临风险和屈辱。然后,通过运用“死亡政治”的概念,讨论了在疫情期间基于年龄作为衡量人口健康的替代指标而做出的生死抉择。这种讨论包括英国在第一波疫情期间实施的“特殊”做法的例子,包括“不要复苏”指令、不安全的医院出院、不转院以及拒绝老年人获得治疗。接着,论文继续呼吁将女性主义关怀伦理作为构建未来卫生和社会护理系统方式的核心。主张有必要从政治上重新构建老龄化、卫生和社会护理服务,转向一个激进的替代系统,该系统重新思考护理关系并解决不平等问题。