Charmila's Reflections
Charmila Ajmera, LT'22, Washington State Department of Health
The centerpiece of our Health & Wellness Challenge Day was a conversation between Dr. Ben Danielson and Sean Goode, facilitated by LT’21 alumni Felicia Ishino.
As a new employee at the Washington State Department of Health, I had been looking forward to this conversation between two people who have thought deeply about public health and its operation within a racist system. Right away, Sean helped me completely shift my perspective when he questioned King County’s June 2020 declaration of Racism as a Public Health Crisis, pointing out that the reframing of racism as a public health issue served as an off-ramp for accountability. Such a declaration, aside from stating what POC have known for 400 years, was a way for those in the dominant culture to abdicate their responsibility to address racism in all of its wide and varied forms. Defining racism as a public health crisis implies that it needs public health solutions, in the narrow confines of how we define ‘public health,’ instead of a crisis in all of the many, varied, pernicious ways racism shows up in every aspect of American life - from housing, to the criminal legal system, to environmental harms. As Felicia pointed out, what is actually needed is a broadening of the problem so we can broaden the solutions.
So often in the healthcare and wider public health system, white dominant culture views health in terms of pathology - another narrowing. We clinicalize health. We diagnose, then treat the diagnosis. But as Dr. Danielson pointed out to us, we have an opportunity to scrutinize this narrative. And as Sean said, we also have an opportunity to radically expand and reframe wellness. He invited us to ask ourselves what it would look like to view wellness as a holistic journey, rather than a series of visits to the doctor and the pharmacy.
What would a healthcare system, a public health system, a society, look like if we centered, amplified, and elevated dignity, wellness, and healing? What would our experience of the world be if we honored each other’s dignity; created systems that allowed each of us to prioritize and support our wellness; if we were all fully compelled to be well, to focus on healing instead of punishment, and believed that everyone deserved to be on a healing journey?
As I ponder these questions daily in my role at the Department of Health, I am also compelled to work with my colleagues and partners to broaden our understanding of public health and to consider the ways in which we live our whole lives: the accessibility of housing, the ability to nourish ourselves with healthy foods, our options for traveling safely and in ways that don’t pollute our air and water, and our opportunities to connect with one another. All of these factors intersect and impact our physical, mental, and communal health.
The last observation Dr. Danielson and Sean left us with is the fact that we currently live in a world of ‘anti-’ language. Anti-racism, anti-blackness, anti-bias - these are all words I hear daily in public health. We certainly have the language of anti- and disparity, but do we have the language of hope? Of possibility? Since our Challenge Day, I’ve made it a daily practice to mitigate my ‘anti’ language and instead focus on using a language of possibility. To keep asking myself, ‘How can I work towards a broadening of public health and center dignity, wellness, and healing for the people we serve?’
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