Is ‘whiteness’ still dominating Australia’s health services?

Kelly Menzel
An Aboriginal man in his 50s receives dialysis treatment at Purple House, Alice Springs in 2015. Photo: AAP

Due to the ongoing effects of colonisation, First Nations peoples often experience socio-economic disadvantage and health inequality. The pandemic has no doubt worsened these conditions for some.

In addition, the health of Australia’s First Nations peoples is framed in a deficit focus. This means representing First Nations people through a narrative of difference, disparity, disadvantage, dysfunction, and deprivation, what is sometimes referred to as the 5Ds.

Viewing First Nations peoples through a deficit or negative lens is a form of racial segregation. However, this practice of white privilege or “whiteness” in health services can only cause harm to marginalised communities.

For instance, COVID-19 is more common in disadvantaged areas, where people face a triple threat – low vaccination rates, greater likelihood of getting COVID-19, and greater risk of dying.