Resumo

CHAVEZ VICTORINO, Omar  e  CARPIO RAMIREZ, Claudio Antonio. Recognizing the Indigenous Healthcare System. Implications of Government Healthcare Coverage in Mexico. rev.latinoam.bioet. [online]. 2018, vol.18, n.2, pp.195-209. ISSN 1657-4702.  https://doi.org/10.18359/rlbi.3422.

This article aims to analyze the situation of healthcare of indigenous peoples in Mexico, considering social and theoretical aspects and bioethical implications. Indigenous peoples have the worst health indicators, so the government has set the goal of building medical institutions that provide services to these social groups. However, it has not considered that indigenous cultures have different medical systems, which entails low frequency of use, desertion and poor adherence to therapy. In addition, the preservation of indigenous traditional knowledge, specifically their medicine, is ignored. The health team's failure to recognize differences in social realities with respect to indigenous patients is a bioethical problem since government programs have not contemplated cultural diversity. Although social inequality favors injustice in this area, we propose to focus analyses on the medical team-indigenous patient linguistic interaction because of the significance of promoting a discourse to understand the other's medical system, rather than one that reflects negative opinions. This stand could provide knowledge and solutions to bioethics.

Palavras-chave : bioethics; healthcare systems; indigenous peoples; social justice; therapeutic adherence.

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