Was lockdown racist? Lecture in Princeton Center for Human Values, Boston SPH

Delighted to be giving a talk called “Was lockdown racist?” at the Princeton Centre for Human Values (2 Nov) and the Boston School of Public Health’s Department of Global Health (7 Nov).

Princeton: 2 Nov @ 4.30pm, Center for Human Values

Boston SPH: 7 Nov @ 1pm, Dept of Global Health

Abstract

In 2016, South African learner Zulaikha Patel argued that a school rule requiring hair to be neat was racist, despite applying equally to pupils of all races. This paper argues that suppression strategies deployed against Covid-19, especially in the early stages of the pandemic, were racist in the same way. The suppression strategy was motivated by science done in traditional seats of colonial power. Local factors shaped (as they normally do) both the methods used and the recommendations arrived at. These did not adequately consider the situation of many people globally living in various contexts of poverty: including on those in Africa. Notwithstanding, the recommendations were promulgated by the World Health Organisation and others, with no regard for local context. Feasibility of implementing “lockdowns” in breadline conditions, effectiveness in overcrowded conditions, local priorities, and the age of the population (in Africa, median 19.7) were not contemplated. Local political and financial interests were aligned with this neglect, and local scientific capacity was in any case lacking. When a regulatory package is implemented in an African country with high costs and low benefits, and originates in a strategy conceived in Europe and promulgated by European-based international organisations, it is impossible to ignore racial dynamics. I show that the trope of “lockdown” as enacted for Covid is a central difference between the responses to Covid and other epidemics in Africa, and I show that one cannot adequately explain this contrast without reference to race. Therefore lockdown was racist.

Philosophy of Medicine publication date

My forthcoming book Philosophy of Medicine will be available 2 Jan 2019.

https://global.oup.com/academic/product/philosophy-of-medicine-9780190612139

Praise

“The first thing to love about this book is what you can learn from it: what medicine can do even if it can’t cure much, what evidence-based medicine may have achieved and what it may not have, the role of common law and the importance of cosmopolitanism, the dangers of epistemic medical relativism, a value-free definition of ‘health’ and much more. The second is that it practices what it preaches. The epistemic humility and practice-centered cosmopolitanism that Broadbent advocates for medicine characterize his own arguments and explanations. The book is thoughtful, humane, informed, a serious study, both philosophically and practically.” – Nancy Cartwright, Professor of Philosophy at Durham University and Distinguished Professor at University of California, San Diego

“Alex Broadbent’s Philosophy of Medicine addresses important topics that have been largely eclipsed by debates on bioethics and the nature of health and disease. In particular, Broadbent focuses on the core issues of what medicine is essentially and how to make medical decisions. His book makes significant contributions to the field not only by addressing neglected topics with historical and cultural sensitivity, but also through some ground-breaking claims, for instance that the business of medicine is not to cure.” – Thaddeus Metz, Distinguished Professor of Philosophy, University of Johannesburg

Summary

Philosophy of Medicine asks two central questions about medicine: what is it, and what should we think of it? Philosophy of medicine itself has evolved in response to developments in the philosophy of science, especially with regard to epistemology, positioning it to make contributions that are medically useful. This book locates these developments within a larger framework, suggesting that much philosophical thinking about medicine contributes to answering one or both of these two guiding questions.

Taking stock of philosophy of medicine’s present place in the landscape and its potential to illuminate a wide range of areas, from public health to policy, Alex Broadbent introduces various key topics in the philosophy of medicine. The first part of the book argues for a novel view of the nature of medicine, arguing that medicine should be understood as an inquiry into the nature and causes of health and disease. Medicine excels at achieving understanding, but not at translating this understanding into cure, a frustration that has dogged the history of medicine and continues to the present day.

The second part of the book explores how we ought to consider medicine. Contemporary responses, such as evidence-based medicine and medical nihilism, tend to respond by fixing high standards of evidence. Broadbent rejects these approaches in favor of Medical Cosmopolitanism, or a rejection of epistemic relativism and pluralism about medicine that encourages conversations between medical traditions. From this standpoint, Broadbent opens the way to embracing alternative medicine.

An accessible and user-friendly guide, Philosophy of Medicine puts these different debates into perspective and identifies areas that demand further exploration.

Table of Contents

Introduction
Part A. What Is Medicine?
1. Varieties of Medicine
2. The Goal of Medicine
3. The Business of Medicine
4. Health and Disease

Part B. What Should We Think of Medicine?
5. Evidence-Based Medicine
6. Medical Nihilism
7. Medical Cosmopolitanism
8. Alternatives and Medical Dissidence
9. Decolonizing Medicine

See more and pre-order at https://global.oup.com/academic/product/philosophy-of-medicine-9780190612139