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      Centering Local Knowledge to Address the Imbrication of Settler Colonialism and Global Health : Comment on "The Rhetoric of Decolonizing Global Health Fails to Address the Reality of Settler Colonialism: Gaza as a Case in Point"

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          Abstract

          In the article "The Rhetoric of Decolonizing Global Health Fails to Address the Reality of Settler Colonialism: Gaza as a Case in Point," Engebretsen and Baker call on researchers to re-examine the ways we employ the rhetoric of decolonization in global health. They critique the "reformist" strand of decolonization which fails to mitigate structural inequities resulting from settler colonialism. I extend the authors’ work by considering how researchers might harness decolonial approaches to identify and nuance the ways power relations, on a regional, national, or global level, lead to unnecessary suffering. I assert that this requires centering Indigenous voices and local knowledge and de-centering Eurocentric frameworks and presumed universality. My hope is that by being precise with the language we use to denounce atrocities, this will engender commitments and accountabilities that determine whether the response coming from global health leaders moves us towards increased health equity rather than empty rhetoric.

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          Settler colonialism and the elimination of the native

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            Being Indigenous: Resurgences against Contemporary Colonialism

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              'Race' matters: racialization and egalitarian discourses involving Aboriginal people in the Canadian health care context.

              The major purpose of this paper is to examine how 'race' and racialization operate in health care. To do so, we draw upon data from an ethnographic study that examines the complex issues surrounding health care access for Aboriginal people in an urban center in Canada. In our analysis, we strategically locate our critical examination of racialization in the 'tension of difference' between two emerging themes, namely the health care rhetoric of 'treating everyone the same,' and the perception among many Aboriginal patients that they were 'being treated differently' by health care providers because of their identity as Aboriginal people, and because of their low socio-economic status. Contrary to the prevailing discourse of egalitarianism that paints health care and other major institutions as discrimination-free, we argue that 'race' matters in health care as it intersects with other social categories including class, substance use, and history to organize inequitable access to health and health care for marginalized populations. Specifically, we illustrate how the ideological process of racialization can shape the ways that health care providers 'read' and interact with Aboriginal patients, and how some Aboriginal patients avoid seeking health care based on their expectation of being treated differently. We conclude by urging those of us in positions of influence in health care, including doctors and nurses, to critically reflect upon our own positionality and how we might be complicit in perpetuating social inequities by avoiding a critical discussion of racialization.
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                Author and article information

                Journal
                Int J Health Policy Manag
                Int J Health Policy Manag
                Int J Health Policy Manag
                Kerman University of Medical Sciences
                International Journal of Health Policy and Management
                Kerman University of Medical Sciences
                2322-5939
                2024
                15 December 2024
                : 13
                : 8698
                Affiliations
                Department of Anthropology, University of British Columbia, Vancouver, BC, Canada.
                Author notes
                [* ] Correspondence to: Megan K. Muller Email: megan.muller@ 123456ubc.ca
                Author information
                https://orcid.org/0000-0001-8561-3364
                Article
                10.34172/ijhpm.8698
                11806219
                bbfa4eac-7b80-43bc-9315-66960226aa51
                © 2024 The Author(s); Published by Kerman University of Medical Sciences

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 13 July 2024
                : 04 December 2024
                Categories
                Commentary

                settler colonialism,decolonization,global health,gaza,indigenous health

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