■本文将一些专业护理协会提出的报销模式政治化,该模式旨在使护理劳动力的价格(护士的工资)与护理的价值更好地保持一致,并使护士的贡献更加明显。
■使用“缺失护理”的概念,“批评揭示了专业化如何将注意力转移到寻求护理者和从业者之间的个人层面的互动上,同时掩盖了资本主义政治经济学和相关的教会国家的社会制度和结构所造成的伤害。
■直接报销模式使从业者参与医疗保健工业综合体所造成和延续的危害,同时部署专业化流程以减少由于将危害与护理的规范原则相结合而产生的认知失调(和道德伤害)。
■我们通过医疗保健工业综合体来描述和追踪以提取为基础的利润最大化和效率的互补资本主义要务,以证明这些要务是如何形成医疗保健系统的,寻求护理者的结果,护士的经验,非自愿数据收集模式,和监视。
种族资本主义的归化及其所带来的不稳定和暴力阻碍了道德替代方案的创造,这些替代方案优先考虑福祉,而不是追求利润,这可以使护理的提供和支付更接近从业者持有的规范原则。
UNASSIGNED: This article politicizes a reimbursement model proposed by some professional nursing associations that aim to better align the price of nursing labor (nurses\' pay) to the value of nursing and make nurses\' contributions more visible.
UNASSIGNED: Using the concept of \"missing care,\" the critique reveals how professionalization directs attention to individual-level interactions between care seekers and practitioners while obscuring from view the harm inflicted by social institutions and structures constitutive of a capitalist political economy and the related carceral state.
UNASSIGNED: Direct reimbursement models render practitioners complicit in the harms perpetrated and perpetuated by the health care industrial complex while professionalization processes are deployed to reduce cognitive dissonance (and moral injury) produced by combining harm with nursing\'s normative principles.
UNASSIGNED: We describe and trace the complementary capitalist imperatives of extraction-based profit maximization and efficiency through the health care industrial complex to demonstrate how formative those imperatives are of the health care system, care-seekers\' outcomes, nurses\' experiences, nonconsensual modes of data collection, and surveillance.
UNASSIGNED: The naturalization of racial
capitalism and the precarity and violence it entails foreclose the creation of ethical alternatives that prioritize well-being instead of the pursuit of profit that could bring the provision of and payment for care closer to the normative principles held by practitioners.