Indigenous people in Australia suffer from significant disparities in health compared to their non-Indigenous peers. Policies to address it have had little success. Using Michel Foucault’s concept of ‘enunciative modalities’ and Wiradjuri historian Lawrence Bamblett’s theory of deficit discourses and ‘straightline stories,’ which builds on Foucauldian theory, this essay explores the reasons for the failures, the complicity of architecture, and responses by the discipline. This article (coauthored with an Aboriginal doctor and academic, and an Elder in the community) argues hospitals, in particular, are alienating environments. It proposes a new Indigenous-led typology to mediate hospital care that is spatio-temporally and materially different.

与非原住民同龄人相比，澳大利亚原住民的健康状况存在显着差异。解决这个问题的政策收效甚微。本文利用米歇尔·福柯的“表述方式”概念和 Wiradjuri 历史学家劳伦斯·班布利特的赤字话语理论和建立在福柯理论基础上的“直线故事”，探讨了失败的原因、建筑的共谋以及学科的反应。这篇文章（与一位土著医生和学者以及社区中的一位长者合着）认为医院尤其是疏离环境。它提出了一种新的以原住民为主导的类型学来调解时空和物质上不同的医院护理。