澳大利亚移民拘留中心的抵抗和医疗服务。

IF 1.6 Q2 ETHICS Monash Bioethics Review Pub Date : 2023-12-01 Epub Date: 2023-10-09 DOI:10.1007/s40592-023-00182-y
Ryan Essex, Michael Dudley
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引用次数: 0

摘要

对于澳大利亚医疗保健界来说,很少有什么问题像澳大利亚政府的强制性、无限期移民拘留政策那样令人烦恼。虽然许多概念已经被用来描述医疗专业人员面临的许多困境及其解决方案,但它们是有限的,也许最根本的原因是移民拘留与健康和福祉背道而驰。此外,尽管大多数建议都承认,废除拘留是克服这些问题的唯一选择,但它几乎没有就拘留内的行动如何促进这一点提供指导。根据政治理论家的工作和更广泛的社会学文献,我们将介绍并应用一种尚未被考虑用于拘留、抵抗中的医护人员的行动形式。我们将借鉴文献中的几个例子,展示如何在医疗保健和移民拘留环境中实施日常抵抗。我们认为,与这些环境中针对医护人员的许多现有指导相比,抵抗的概念在概念和实践上有几个优势,即它将护理政治化,并与其他旨在废除拘留的努力协同作用。我们还对这种行动的正当性进行了一些思考,认为这在很大程度上与澳大利亚所有主要医疗机构制定的现有指导意见一致。
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Resistance and the delivery of healthcare in Australian immigration detention centres.

There are few issues that have been as vexing for the Australian healthcare community as the Australian governments policy of mandatory, indefinite, immigration detention. While many concepts have been used to begin to describe the many dilemmas faced by healthcare professionals and their resolution, they are limited, perhaps most fundamentally by the fact that immigration detention is antithetical to health and wellbeing. Furthermore, and while most advice recognises that the abolition of detention is the only option in overcoming these issues, it provides little guidance on how action within detention could contribute to this. Drawing on the work of political theorists and the broader sociological literature, we will introduce and apply a form of action that has not yet been considered for healthcare workers within detention, resistance. We will draw on several examples from the literature to show how everyday resistance could be enacted in healthcare and immigration detention settings. We argue that the concept of resistance has several conceptual and practical advantages over much existing guidance for healthcare workers in these environments, namely that it politicises care and has synergies with other efforts aimed at the abolition of detention. We also offer some reflections on the justifiability of such action, arguing that it is largely consistent with the existing guidance produced by all major healthcare bodies in Australia.

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来源期刊
CiteScore
2.70
自引率
6.20%
发文量
16
期刊介绍: Monash Bioethics Review provides comprehensive coverage of traditional topics and emerging issues in bioethics. The Journal is especially concerned with empirically-informed philosophical bioethical analysis with policy relevance. Monash Bioethics Review also regularly publishes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. Produced by the Monash University Centre for Human Bioethics since 1981 (originally as Bioethics News), Monash Bioethics Review is the oldest peer reviewed bioethics journal based in Australia–and one of the oldest bioethics journals in the world. An international forum for empirically-informed philosophical bioethical analysis with policy relevance. Includes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. One of the oldest bioethics journals, produced by a world-leading bioethics centre. Publishes papers up to 13,000 words in length. Unique New Feature: All Articles Open for Commentary
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