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The West and the Rest: Eurocentrism, Colonialism, and Global Social Problems

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This commentary presents the position that modern medicine is a colonial artefact in the sense that the type of scientific thinking that underpins modern medicine emerged from western knowledge structures based on a history of colonialism. The author suggests the colonial roots of Western-based modern medicine must be re-examined. While there are various critical theories that may be applied in this reexamination, most do not adequately account for intersectional, intergenerational, and sociohistorical inequities encountered in the multiplicity of global contexts in practice teaching and research within medicine. The author presents decoloniality as a theoretical perspective from which to interrogate sociohistorical, geopolitical, and economic perspectives on gender, race, and heteropaternalistic influences in medicine emanating from a basis in colonially developed systems of knowledge production. The author offers definitions of relevant theoretical terms and suggests that decolonial praxis begins with an initial realization or awareness of one's position within the colonial matrix of power followed by the reflecting or deliberation, or a grappling with real-life struggles that are encountered in confronting the oppressive operations of the colonial matrix of power. Decolonial praxis involves action through challenging mainstream foundational theories-the questions they generate, the research methods they support, and the writing styles they employ. In medical education this may involve changing powerful actors, such as medical journal editors and researchers, with historical privilege; shifting the balance of power in research spaces; and dismantling physical and intellectual structures and institutions established on colonial epistemologies.
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Settler colonialism is an ongoing system of power that perpetuates the genocide and repression of indigenous peoples and cultures. Essentially hegemonic in scope, settler colonialism normalizes the continuous settler occupation, exploiting lands and resources to which indigenous peoples have genealogical relationships. Settler colonialism includes interlocking forms of oppression, including racism, white supremacy, heteropatriarchy, and capitalism. This is because settler colonizers are Eurocentric and assume that European values with respect to ethnic, and therefore moral, superiority are inevitable and natural. However, these intersecting dimensions of settler colonialism coalesce around the dispossession of indigenous peoples’ lands, resources, and cultures. The evolving field of settler colonialism studies arose from scholarship in Native American and indigenous studies that engages with postcolonial studies and critiques the post- in “postcolonial” as inappropriate for understanding ongoing systems of domination in such places as the United States, Canada, Australia, and New Zealand, where colonialism is not a thing of the past because the settlers have come to stay, displacing the indigenous peoples and perpetuating systems that continue to erase native lives, cultures, and histories. Foundational theories in settler colonialism studies distinguish settler colonialism from classical colonialism through work that demonstrates that settler colonizers destroy indigenous peoples and cultures in order to replace them and establish themselves as the new rightful inhabitants. In other words, settler colonizers do not merely exploit indigenous peoples and lands for labor and economic interests; they displace them through settlements. In his groundbreaking theory of the “logic of elimination,” Patrick Wolfe shows that settler colonialism is a system, not a historical event, and that as such it perpetuates the erasure of native peoples as a precondition for settler expropriation of lands and resources, providing the necessary conditions for establishing the present-day ideology of multicultural neoliberalism.
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The phrase “traditional medicine” is commonly used to refer to medical traditions originating outside the West, and still practiced either as alternatives to or alongside Mainstream Medicine. Hard and dismissive attitudes to traditions with non-Western origins are obviously insensitive. It is clear that power and knowledge are intertwined. What counts as knowledge is partly determined by who has power. Moreover, medicine is clearly imbued with cultural influence. Yet if we reject medical relativism, we cannot accept that medicine is simply a cultural expression. We must consider which of two conflicting traditions, or two incompatible prescriptions, is correct (if either is). Medical Cosmopolitanism is a tool for negotiating the opposing temptations of excessive tolerance and dogmatism, and for understanding how one might “decolonize” medical knowledge. The chapter suggests that developments of the notion of decolonization can prevent a collapse into medical relativism, espousing “critical decolonization.”
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On a cold, rainy dawn in late November 1872, Lieutenant Frazier Boutelle and a Modoc Indian nicknamed Scarface Charley leveled firearms at each other. Their duel triggered a war that capped a decades-long genocidal attack that was emblematic of the United States' conquest of Native America's peoples and lands. Robert Aquinas McNally tells the wrenching story of the Modoc War of 1872-73, one of the nation's costliest campaigns against North American Indigenous peoples, in which the army placed nearly one thousand soldiers in the field against some fifty-five Modoc fighters. Although little known today, the Modoc War dominated national headlines for an entire year. Fought in south-central Oregon and northeastern California, the war settled into a siege in the desolate Lava Beds and climaxed the decades-long effort to dispossess and destroy the Modocs. The war did not end with the last shot fired, however. For the first and only time in U.S. history, Native fighters were tried and hanged for war crimes. The surviving Modocs were packed into cattle cars and shipped from Fort Klamath to the corrupt, disease-ridden Quapaw reservation in Oklahoma, where they found peace even more lethal than war. The Modoc War tells the forgotten story of a violent and bloody Gilded Age campaign at a time when the federal government boasted officially of a "peace policy" toward Indigenous nations. This compelling history illuminates a dark corner in our country's past.
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From the sixteenth through the nineteenth centuries, millions of Africans and Native Americans were enslaved and traded by European settlers in the Americas. This story of slavery, colonialism, and emerging capitalism—and their handmaiden, white supremacy—is integral to that of modernity itself.Click here to purchase a PDF version of this article at the Monthly Review website.
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In The Invention of Race in the European Middle Ages, Geraldine Heng questions the common assumption that the concepts of race and racisms only began in the modern era. Examining Europe's encounters with Jews, Muslims, Africans, Native Americans, Mongols, and the Romani ('Gypsies'), from the 12th through 15th centuries, she shows how racial thinking, racial law, racial practices, and racial phenomena existed in medieval Europe before a recognizable vocabulary of race emerged in the West. Analysing sources in a variety of media, including stories, maps, statuary, illustrations, architectural features, history, saints' lives, religious commentary, laws, political and social institutions, and literature, she argues that religion - so much in play again today - enabled the positing of fundamental differences among humans that created strategic essentialisms to mark off human groups and populations for racialized treatment. Her ground-breaking study also shows how race figured in the emergence of homo europaeus and the identity of Western Europe in this time.
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Allan Greer examines the processes by which forms of land tenure emerged and natives were dispossessed from the sixteenth to the eighteenth centuries in New France (Canada), New Spain (Mexico), and New England. By focusing on land, territory, and property, he deploys the concept of 'property formation' to consider the ways in which Europeans and their Euro-American descendants remade New World space as they laid claim to the continent's resources, extended the reach of empire, and established states and jurisdictions for themselves. Challenging long-held, binary assumptions of property as a single entity, which various groups did or did not possess, Greer highlights the diversity of indigenous and Euro-American property systems in the early modern period. The book's geographic scope, comparative dimension, and placement of indigenous people on an equal plane with Europeans makes it unlike any previous study of early colonization and contact in the Americas.