ABSTRACT The institutionalisation of racism in healthcare has had a detrimental effect on the treatment and health outcomes of Aboriginal and Torres Strait Islander populations. Institutional racism describes the ways that race has been encoded into medical education, funding regimes, health policy and clinical settings. Proposals seeking to address this situation tend to ignore the historical formation of racialised institutions and instead focus on the attitudes of individuals working in those institutions. Drawing on critical theory of race and whiteness studies, this article argues that colonial medicine and political liberalism co-produced a social ontology and epistemology that centres whiteness as the norm to the exclusion of racialised others. It contends that it is necessary to understand this history to adequately address its continuing effects in Australian healthcare system today. The article argues that bioethics, a field that ordinarily functions as a source of regulation and critique of medicine, has been unable to respond to institutional racism because it too is shaped by this history of whiteness. The article concludes by questioning whether a bioethics centred on racial justice and Indigenous sovereignty could provide a way forward.

中文翻译：

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白人医学、白人伦理：论澳大利亚医疗保健中种族主义的历史形成

摘要 医疗保健中种族主义的制度化对土著和托雷斯海峡岛民的治疗和健康结果产生了不利影响。制度种族主义描述了种族被编码到医学教育、资助制度、卫生政策和临床环境中的方式。寻求解决这种情况的提案往往忽视种族化机构的历史形成，而是关注在这些机构中工作的个人的态度。本文借鉴种族和白人研究的批判理论，认为殖民医学和政治自由主义共同产生了一种社会本体论和认识论，将白人作为排除种族化他人的规范。它认为，有必要了解这段历史，以充分解决其对当今澳大利亚医疗保健系统的持续影响。这篇文章认为，生物伦理学是一个通常作为医学监管和批评来源的领域，一直无法对制度性种族主义做出回应，因为它也受到这段白人历史的影响。文章最后质疑以种族正义和土著主权为中心的生物伦理是否可以提供前进的道路。