Structural violence refers to a form of violence wherein social structures or institutions harm people by preventing them from meeting their basic needs. It is embedded in the uneven distribution of power and resources, which often results in stark health disparities among different populations. An example from the course readings is the impact of structural violence on health outcomes related to HIV/AIDS. Populations affected by poverty and racism, such as African Americans or indigenous communities, often have higher rates of HIV/AIDS. These disparities are not just due to individual behavior but are significantly influenced by historical and systemic inequities that limit access to healthcare, education, and preventive measures.
Medical pluralism acknowledges the coexistence of multiple therapeutic traditions within a single society, promoting a more holistic approach to health that includes alternative or complementary medical systems alongside biomedicine. Medical hegemony, on the other hand, refers to the dominance of one medical system over others, typically biomedicine, which marginalizes or suppresses alternative medical practices. An example of medical pluralism can be seen in societies where individuals consult both biomedical doctors and traditional healers. In contrast, medical hegemony is evident in regions where policies and funding heavily favor biomedical solutions, often overlooking traditional or holistic approaches to health and well-being.
Michel Foucault’s concept of biopower describes the governance of populations through an array of scientific and administrative measures aimed at managing life. Two examples include:
Feminist theory helps analyze how gender inequities impact health outcomes. For instance, feminist analysis highlights how women's health issues are often underresearched, leading to gaps in healthcare and policy. It emphasizes the social determinants of health, such as the roles women are expected to play, their economic status, and access to healthcare, which can all influence their health outcomes. Feminist theory thus advocates for a gender-sensitive approach in health policy and practice to address these disparities.