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"Holistic Health ethics"
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Aboriginal Community Controlled Health Services: An Act of Resistance against Australia’s Neoliberal Ideologies
The individualistic and colonial foundations of neoliberal socio-political ideologies are embedded throughout Australian health systems, services, and discourses. Not only does neoliberalism undermine Aboriginal and Torres Strait Islander collectivist values by emphasizing personal autonomy, but it has significant implications for Aboriginal and Torres Strait Islander health. Aboriginal Community Controlled Health Services (ACCHS) operate within Community-oriented holistic understandings of well-being that contradict neoliberal values that Western health services operate within. Therefore, this paper aims to explore the role of ACCHS in resisting the pervasive nature of neoliberalism through the prioritization of self-determination for Aboriginal and Torres Strait Islander Peoples. Utilizing a critical evaluative commentary, we reflect on Aboriginal political leadership and advocacy during the 1970s and 1980s and the development of neoliberalism in Australia in the context of ACCHS. Community controlled primary health services across Australia are the only remaining government-funded and Aboriginal-controlled organizations. Not only do ACCHS models resist neoliberal ideologies of reduced public expenditure and dominant individualistic models of care, but they also incontrovertibly strengthen individual and Community health. ACCHS remain the gold standard model by ensuring Aboriginal and Torres Strait Islander rights to the self-determination of health in accordance with the United Nations Declaration of the Rights of Indigenous Peoples.
Journal Article
Innovative Holistic Teaching in a Canadian Neonatal Perinatal Residency Program
Ethically complex and challenging cases confront health care professionals in neonatal‐perinatal medicine more often than in most other subspecialties in medicine. Neonatologists regularly encounter situations where crucial life‐or‐death decisions need to be made in the best interest of an infant and its family. While physicians and their professional societies seem to dictate this best interest standard by weighing the risk of mortality and morbidities, parents may have other perspectives to be considered. Our review of programs for teaching ethics in Canadian neonatal‐perinatal residency programs has revealed that 90 percent of them incorporated formal and informal medical ethics education, meeting the Royal College of Physician and Surgeons of Canada requirements, but that the teaching strategies, topics covered, and time devoted to teaching ethics are not standardized. Lectures and case presentations—the pedagogic strategy used by most programs—are not ideal for teaching communication skills. We propose, therefore, a holistic approach to teaching and training that imparts (1) a traditional understanding of ethical theory and reasoning, (2) advanced skills in communication and counseling, and (3) a disposition to engage in self‐reflection and to be aware of the emotional and spiritual dimensions of neonatal‐perinatal medicine.
Journal Article
South Asian hospitals that lack DNAR orders deny patients holistic care
“Do not attempt resuscitation” orders are not a policy for euthanasia but recognise that futile treatment pursued in fear of the law is not based on need and is bad for patients, writes Sunil Bhandari
Journal Article
The Edinburgh Companion to the Critical Medical Humanities
This is the first volume to comprehensively introduce the ways in which interdisciplinary thinking across the humanities and social sciences might contribute to, critique and develop medical understanding of the human individually and collectively.
eBook
Vietnam’s medical ethics framework: aspirations, challenges and the risk of physician burnout
Medical ethics play a fundamental role in global healthcare, ensuring that patients receive care marked by dignity, compassion and fairness. Vietnam’s 12 ethical principles, codified in 1996, integrate universal ethical standards with local sociocultural and ideological traditions, particularly emphasising emotional sacrifice, holistic care and social responsibility. While these principles promote professional excellence and community service, this essay argues that their application within Vietnam’s under-resourced healthcare system has unintended consequences for physician well-being. An analysis of key domains—including emotional burden from holistic care expectations, administrative and educational overload, emergency care pressures and end-of-life responsibilities—reveals how systemic shortcomings intensify professional strain. Evidence from Vietnam and international comparisons shows that without structured delegation of non-clinical duties, protected working conditions and integrated palliative care systems, physicians face escalating risks of emotional exhaustion, moral injury and career attrition. Unlike healthcare models in developed countries, where ethical standards are balanced by institutional safeguards, Vietnam’s framework demands near-unlimited commitment without corresponding systemic support. Unless ethical expectations are recalibrated and support structures are modernised, Vietnam’s medical ethics, though noble in aspiration, risk undermining the very sustainability of its healthcare workforce. This essay highlights the need for urgent reform to align Vietnam’s ethical ideals with contemporary clinical realities, ensuring that both patient-centred care and physician resilience are protected.
Journal Article
Manufacturing Tibetan Medicine
Within a mere decade, hospital pharmacies throughout the Tibetan areas of the People's Republic of China have been converted into pharmaceutical companies. Confronted with the logic of capital and profit, these companies now produce commodities for a nationwide market. While these developments are depicted as a big success in China, they have also been met with harsh criticism in Tibet. At stake is a fundamental (re-)manufacturing of Tibetan medicine as a system of knowledge and practice. Being important both to the agenda of the Party State's policies on Tibet and to Tibetan self-understanding, the Tibetan medicine industry has become an arena in which different visions of Tibet's future clash.
eBook
Against Health
You see someone smoking a cigarette and say,Smoking is bad for your health, when what you mean is, You are a bad person because you smoke. You encounter someone whose body size you deem excessive, and say, Obesity is bad for your health, when what you mean is, You are lazy, unsightly, or weak of will. You see a woman bottle-feeding an infant and say,Breastfeeding is better for that child's health, when what you mean is that the woman must be a bad parent. You see the smokers, the overeaters, the bottle-feeders, and affirm your own health in the process. In these and countless other instances, the perception of your own health depends in part on your value judgments about others, and appealing to health allows for a set of moral assumptions to fly stealthily under the radar.Against Health argues that health is a concept, a norm, and a set of bodily practices whose ideological work is often rendered invisible by the assumption that it is a monolithic, universal good. And, that disparities in the incidence and prevalence of disease are closely linked to disparities in income and social support. To be clear, the book's stand against health is not a stand against the authenticity of people's attempts to ward off suffering. Against Health instead claims that individual strivings for health are, in some instances, rendered more difficult by the ways in which health is culturally configured and socially sustained.The book intervenes into current political debates about health in two ways. First, Against Health compellingly unpacks the divergent cultural meanings of health and explores the ideologies involved in its construction. Second, the authors present strategies for moving forward. They ask, what new possibilities and alliances arise? What new forms of activism or coalition can we create? What are our prospects for well-being? In short, what have we got if we ain't got health? Against Health ultimately argues that the conversations doctors, patients, politicians, activists, consumers, and policymakers have about health are enriched by recognizing that, when talking about health, they are not all talking about the same thing. And, that articulating the disparate valences of health can lead to deeper, more productive, and indeed more healthy interactions about our bodies.
eBook