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Recently I have begun watching ABC’s The Good Doctor, which is a medical drama based in the fictional, yet prestigious, San Jose St Bonaventure Hospital and follows the professional and personal journeys of a number of characters. The show is based on a South Korean tv medical drama called Good Doctor and is produced by Daniel Dae Kim and developed by David Shore (creator of House). The main character is Dr Shaun Murphy who has Autism. He is a surgical resident in the early seasons and the show focuses on how Dr Murphy navigates his professional and personal life, as well as how the hospital and other doctors, surgeons, nurses and patients navigate Dr Murphy’s style of communication and respond to him. As a medical drama, in my humble opinion, it is highly entertaining with the usual mix of interesting medical cases and personal drama required. The characters are also relatable in a number of different areas. As a springboard for a platform to talk about equality, equity and fairness, it is accessible and thought-provoking.
A key focus of the programme is the difficulty Dr Murphy has with communication. Well, I say difficulty in communicating, but in actuality I would say he communicates differently to what is recognised as an ‘accepted’ or ‘normal’ form of communication. Dr Murphy struggles to express emotions and becomes overwhelmed when things change and are not within his controlled environment. A number of his colleagues adapt their responses and ways of interacting with him in order to support and include him, whereas others do not and argue that despite his medical brilliance, and first-rate surgical skills, he should not be treated differently to the other surgical residents, as this is deemed unfair.
Whilst watching, the claims of treating all surgical residents equally, and ensuring the hospital higher-ups are being fair; notions of John Rawls’ writing scream out at me. Students who have studied Crime and Justice should be familiar with Rawls’ veil of ignorance, liberty principles and difference principle, in particular with its reference to ‘justice’. But the difference principle weighs heavily when looking at how Dr Murphy functions within the hospital institution with its rules, procedures and power dynamics which clearly benefit and align with some people more so than others. Under the veil of ignorance, maybe an empathetic doctor or surgeon is not required, but a competent and successful one is? Maybe being empathetic is a personal circumstance rather than an objective trait? For Rawls, it is important that the opportunity to prosper is equal for all: and this might mean the way this opportunity is presented is different for different individuals. Rawls asks us to consider a parallel universe and what could be (a popular stance to take within the philosophical realm): why can’t people with autism be given the chance to save lives and perform surgeries just because they cannot communicate in a way deemed ‘the norm’ when dealing with patients.
It is possible that I am over-thinking this. And when I ask my partner about it, they raise questions about why Dr Murphy should be given different opportunities to the other residents and the harm Dr Murphy’s communication barriers could and do cause within the series. But I feel they are missing the point: it is not about different opportunities, its about different methods to ensure they all have the same opportunity to succeed as surgeons. It is not about treating everyone the same, which might on the surface appear to be fair, it is about recognising that equal treatment involves taking account for the differences. Why should Dr Murphy be measured against norms and values from an institution which is historically white, non-disabled, male, and cis-gendered? This might appear to be a lot of thought for a fictional medical drama, but to reiterate it’s an excellent programme with plenty to think about…
Rawls, J. (1971) A Theory of Justice. Oxford: Oxford University Press.
Ryan, A. (1993) Justice. Oxford: Oxford University Press.
Next week (20th-26th June) is Refugee Week, coming at a moment in time days after the first deportation flight of asylum seekers to Rwanda was scheduled. Luckily the government’s best efforts were thwarted by the ECHR this time. Each year Refugee Week has a theme and this year’s focus is healing. People fleeing conflict and persecution have a lot to heal from and I am pessimistic about whether healing is possible in the UK. My own research examines the trajectories of victimisation among people seeking safety. I trace experiences of victimisation starting from the context from which people fled, during their journeys and after arrival in the UK. It is particularly disturbing as someone who researches people seeking safety that once they arrive in a place they perceived to be safe, they continue to be victimised in a number of ways. People seeking safety in the UK encounter the structurally violent asylum ‘system’ and discriminatory attitudes of swathes of the public, sections of the media and last not certainly not least, political discourse. Even after being granted leave to remain, refugees face a struggle to find accommodation, employment, convert education certificates and discrimination and hate crime is ongoing.
Over the years I have supported refugees who suffered breakdowns after having their asylum claim awarded. They are faced with the understanding of the trauma they suffered pre-migration, compounded by the asylum system and the move-on period following claims being awarded. Yet this is no time to heal. In the wake of the Nationality and Borders Act 2022, no migrant nor British citizen with a claim to citizenship elsewhere is safe. There is no safety here and therefore there can be no healing, not meaningful healing anyway.
Despite my negative outlook on the state of immigration policy in the UK, there are some positive signs of healing for some people seeking safety. These experiences are often facilitated by peer support, grassroots organisations and charities. I recall one woman who had fled Iraq coming into a charity I was undertaking research in. When we met for the first time, she was tiny and looked much older than she was. She would pull her veil tightly around her head, almost like it was protecting her. This woman did not speak a word of English and the only volunteer Kurdish Sorani interpreter did not attend the group every week. The womens’ group I attended conducted activities which overcame language barriers and at the time we were working with tiles and mosaics on a project which lasted a few weeks. During this time I could visibly see this woman start to heal. She started to stand up straight, making her appear taller. Her face softened and she appeared younger. She started smiling and her veil loosened. She was relaxing among us. In my experience, I’ve noticed that the healing comes in ebbs and flows. Relief of being ‘safe’, compounding stress of asylum, making friends, waiting, waiting, waiting for a negative decision, being supported by NGOs, letters threatening deportation, having a ‘safe’ place to live, having a firework posted through your letterbox.
For me this week is about celebrating those fleeting moments of healing, since I spend so much of my time discussing and researching the negative. The University of Northampton is co-hosting a number of events to mark Refugee Week 2022, starting with a service being held to remember all those seeking sanctuary both past and present. The event will be held on Monday 20th June at 1pm at Memorial Garden, Nunn Mills Road, Northampton, NN1 5PA (parking available at Midsummer Meadow car park).
Monday will end with an ‘in conversation with’ event with University of Northampton doctoral candidate Amir Darwish. Amir is Kurdish-Syrian and arrived in the UK as an asylum seeker in 2003. He is now an internationally published poet and writer. This event will be run in conjunction woth Northampton Town of Sanctuary and will be hosted at Delapre Abbey at 7pm. You can find further details and book tickets here.
On Wednesday the University of Northampton and Northampton Town of Sanctuary will be hosting an online seminar at 3pm with Professor Peter Hopkins, whose recent research examined the exacerbation of existing inequlaities for asylum seekers during the pandemic. I’ve just written a book chapter on this for a forthcoming volume reflecting on the unequal pandemic and it was staggering – but unsurprising – to see the impact on asylum seekers. This seminar can be accessed online here.
The week’s events will conclude with a Refugee Support Showcase which does what it says on the tin. This event will be an opportunity for organisations working with refugees in the local area to show the community the valuable work they do. This event will take place on Thursday 23rd June 4-6pm at the Guildhall, St. Giles Square, Northampton.
This year the University has worked with a number of organisations to produce a well-rounded series of events. Starting with reflection and thought of those who have sought, and continue to seek sanctuary and celebrating the achievements of someone who has lived experiences of the asylum system. Wednesday contibutes to the understanding of inequalities for people seeking safety and we end Friday on a positive note with the work of those who facilitate healing.
Sometime last week, I was amid a group of friends when the argument about the Pandora papers suddenly came up. In brief, the key questions raised were how come no one is talking about the Pandora papers again? What has happened to the investigations, and how come the story has now been relegated to the back seat within the media space? Although, we didn’t have enough time to debate the issues, I promised that I would be sharing my thoughts on this blog. So, I hope they are reading.
We can all agree that for many years, the issues of financial delinquencies and malfeasants have remained one of the major problems facing many societies. We have seen situations where Kleptocratic rulers and their associates loot and siphon state resources, and then stack them up in secret havens. Some of these Kleptocrats prefer to collect luxury Italian wines and French arts with their ill-gotten wealth, while others prefer to purchase luxury properties and 5-star apartments in Dubai, London and elsewhere. We find military generals participating in financial black operations, and we hear about law makers manipulating the gaps in the same laws they have created. In fact, in some spheres, we find ‘business tycoons’ exploiting violence-torn regions to smuggle gold, while in other spheres, some appointed public officers refuse to declare their assets because of fear of the future. Two years ago, we read about the two socialist presidents of the southern Spanish region and how they were found guilty of misuse of public funds. Totaling about €680m, you can imagine the good that could have been achieved in that region. We should also not forget the case of Ferdinand Marcos and his wife, both of whom (we are told) amassed over $10 billion during their reign in the Philippines. As we can see below that from the offshore leak of 2013 to the Panama papers of 2016 and then the 2017 Paradise papers, data leaks have continued to skyrocket. This simply demonstrates the level to which politicians and other official state representatives are taking to invest in this booming industry.
These stories are nothing new, we have always read about them – but then they fade away quicker than we expect. It is important to note that while some countries are swift in conducting investigation when issues like these arise, very little is known about others. So, in this blog, I will simply be highlighting some of the reasons why I think news relating to these issues have a short life span.
To start with, the system of financial corruption is often controlled and executed by those holding on to power very firmly. The firepower of their legal defence team is usually unmatchable, and the way they utilise their wealth and connections often make it incredibly difficult to tackle. For example, when leaks like these appear, some journalists are usually mindful of making certain remarks about the situation for the avoidance of being sued for libel and defamation of character. Secondly, financial crimes are always complex to investigate, and prosecution often takes forever. The problem of plurality in jurisdiction is also important in this analysis as it sometimes slows down the processes of investigation and prosecution. In some countries, there is something called ‘the immunity clause’, where certain state representatives are protected from being arraigned while in office. This issue has continued to raise concerns about the position of truth, power, and political will of governments to fight corruption. Another issue to consider is the issue of confidentiality clause, or what many call corporate secrecy in offshore firms. These policies make it very difficult to know who owns what or who is purchasing what. So, for as long as these clauses remain, news relating to these issues may continue to fade out faster than we imagine. Perhaps Young (2012) was right in her analysis of illicit practices in banking & other offshore financial centres when she insisted that ‘offshore financial centers such as the Cayman Islands, often labelled secrecy jurisdictions, frustrate attempts to recover criminal wealth because they provide strong confidentiality in international finance to legitimate clients as well as to the crooks and criminals who wish to hide information – thereby attracting a large and varied client base with their own and varied reasons for wanting an offshore account’, (Young 2012, 136). This idea has also been raised by our leader, Nikos Passas who believe that effective transparency is an essential component of unscrambling the illicit partnerships in these structures.
While all these dirty behaviours have continued to damage our social systems, they yet again remind us how the network of greed remains at the core centre of human injustice. I found the animalist commandant of the pigs in the novel Animal Farm, by George Orwell to be quite relevant in this circumstance. The decree spells: all animals are equal, but some animals are more equal than others. This idea rightly describes the hypocrisy that we find in modern democracies; where citizens are made to believe that everyone is equal before the law but when in fact the law, (and in many instances more privileges) are often tilted in favour of the elites.
I agree with the prescription given by President Obama who once said that strengthening democracy entails building strong institutions over strong men. This is true because the absence of strong institutions will only continue to pave way for powerful groups to explore the limits of democracy. This also means that there must be strong political will to sanction these powerful groups engaging in this ‘thievocracy’. I know that political will is often used too loosely these days, but what I am inferring here is genuine determination to prosecute powerful criminals with transparency. This also suggests the need for better stability and stronger coordination of law across jurisdictions. Transparency should not only be limited to governments in societies, but also in those havens. It is also important to note that tackling financial crimes of the powerful should not be the duty of the state alone, but of all. Simply, it should be a collective effort of all, and it must require a joint action. By joint action I mean that civil societies and other private sectors must come together to advocate for stronger sanctions. We must seek collective participation in social movements because such actions can bring about social change – particularly when the democratic processes are proving unable to tackle such issues. Research institutes and academics must do their best by engaging in research to understand the depth of these problems as well as proffering possible solutions. Illicit financial delinquencies, we know, thrive when societies trivialize the extent and depth of its problem. Therefore, the media must continue to do their best in identifying these problems, just as we have consistently seen with the works of the International Consortium of Investigative Journalists and a few others. So, in a nutshell and to answer my friends, part of the reasons why issues like this often fade away quicker than expected has to do with some of the issues that I have pointed out. It is hoped however that those engaged in this incessant accretion of wealth will be confronted rather than conferred with national honors by their friends.
BBC (2021) Pandora Papers: A simple guide to the Pandora Papers leak. Available at: https://www.bbc.co.uk/news/world-58780561 (Accessed: 26 May 2022)
Young, M.A., 2012. Banking secrecy and offshore financial centres: money laundering and offshore banking, Routledge
Britain has a very proud history of taking refugees and migrants from war-torn and destabilised areas of the world – this is a fact which has been made clear from all sides of the political spectrum. What is concerning, however, is that this statement has since Brexit been continuously added as a precursor to every new border policy blunder made by the UK Conservative government in an attempt to ‘soften the blow’ of public perception. It is the paradox of Boris Johnson trying to appeal to those sympathetic to migration, but to also appease hard-line anti-immigration Brexiteers. This paradox was inevitable, given (a) the close split between Leave and Remain votes in the 2016 EU Referendum, and (b) the amount of lies told to both sides of this debate by Johnson and his ‘mates’ in a desperate attempt to gain political power in 2019…leaving the British public in permanent limbo as whether or not ‘Brexit’ (in the way it was described) had even taken place at all; a state of ‘technically we’re out, but we’re not really out’.
Given the ease of shaping and reproducing ‘empty signifiers’ (Laclau & Mouffe, 1985; Torfing, 1999) within this discursive limbo, Boris Johnson’s latest border policy disaster relating to refugee border crossings was announced yesterday. The new “genius” idea will be to deport those who are single men crossing the Channel in boats or lorries from France to Rwanda for ‘processing’. Of course, as per usual, this was seemingly quite a surprise to the Minister of State for Refugees who claimed on LBC just over a week prior to the announcement that he had no knowledge of any new plans to send anyone to Rwanda.
Before going into the details of the hypocrisy associated with this policy in the light of the war in Ukraine, what I fail to understand is the entire point of this process. Boris Johnson’s announcement seemed to focus most of his rhetoric on the ‘illegality’ of the status of people entering UK borders, as well as the need to curb ‘people smuggling’. He merged this part of his speech with Ukrainian refugees in an attempt to, once again, appear to seem more sympathetic to the struggle of fleeing populations than he is in reality…’whether you are fleeing Putin or Assad, our aim is that you should not need to turn to people smugglers or any other kind of illegal option’. It is important to note that we shouldn’t be confusing (as often happens) the term ‘people smugglers’ with ‘sex traffickers’, whose motives are wholly different than merely receiving money to aid someone’s journey across nation state borders. People smugglers tend to take advantage of those who are in sheer desperation. This desperation is normally grounded in a combination of multiple factors: (1) destabilisation in their home country, (2) fear for their life, safety, or future (or that of their family), (3) strong desire for liberation or freedom and, most importantly, (4) a practical inability to actually escape their current borders.
With this in mind, it is astonishing to hear Johnson trying to justify this policy on the grounds that he is somewhat of a rule-of-law fan, wishing to drive out illegal behaviour from UK borders, given that he has recently become the first ever serving UK Prime Minister to have been sanctioned for breaking the criminal law. As with many similar approaches to these types of policies in the past (the obvious being the so-called ‘war on drugs’), the core motivation has very little to do with the actual human safety, and more rooted in neoliberal frustrations of the (and I deliberately use this term in its loosest possible sense) ’tax-paying’ Eton schoolboys at others, within UK borders or otherwise, earning any kind of money from which they are not directly benefitting. This ties in closely to, what I mentioned in a previous post, as the UK Conservative Party’s lazy response to sanctioning oligarchs linked to the Putin regime…for obvious personal reasons.
Most striking here is the level of hypocrisy between who is considered part of the in-group of migrants and refugees, and who is the ‘other’; the ‘deserving’ and ‘undeserving’ (Cottle, 2000; Van Dijck, 2000; Quinsaat, 2011; Reed, 2017). Without deflecting from Putin’s responsibility in reproducing anti-Ukrainian sentiment in Russia and surrounding former Soviet nations, and framing the ethnic group as some kind of leeching parasite on the Russian people, we have seen both overt and covert racism at play in Ukraine and other parts of the world in relation to this idea of ‘ideal’ refugees. The UK is no exception to this. Not since the aftermath of the Second World War have we seen the type of outpouring of sympathy by the British public towards a persecuted ethnic group, with hundreds-of-thousands opening up their homes to house refugees expected imminently. Of course we should be proud of every hand extended to any human in need of help, but where was this reaction when Syrians, Iraqis, Afghans and Libyans were fleeing their countries due to botched UK military operations in their sovereign territory? Where is this reaction when innocent Yemeni people are calling on the world to help while we are funding Saudi Arabia’s genocidal campaign in their sovereign territory?
It is too simple to claim that this issue is purely related to skin-colour-based racism or another type of xeno-racism, because we know this not to be the case. Perhaps due to the personal nature of the conflict in the Republic of Artsakh in late 2020 which killed thousands of Armenians and displaced around 90,000, and the rhetoric of neutrality from the UK Conservative government (due to their close monetary ties with the aggressor and his oligarch friends), the mainstream media and near-total silence from prominent celebrities…all of whom seem to now scream for action in response to Ukraine (rightly so), but I can’t help but echo a question asked by another Armenian, Tatev Hovhannisyan: Where was the outpouring of empathy when my country was at war?
Perhaps to understand the nature of this hypocrisy we need to focus more on the complex interplay between the nation state, power and discourse. I would add another element into this equation: money. In a neoliberal, populist political model, dictators seemingly pay vast sums of money to other nation states in exchange for the unyielding, unchallenged and unregulated power to produce and reproduce dominant discourses which ground their version of hegemony within those states.
Cottle, S. (Ed.). (2000). Ethnic Minorities and the Media. Open University Press.
Laclau, E., & Mouffe, C. (1985). Hegemony and Socialist Strategy: Towards a Radical Democratic Politics. Verso.
Quinsaat, S. M. (2011). ‘Everybody Around Here is from Somewhere Else’: News frames and hegemonic discourses in the immigration debates in the United States, 2006 and 2010 [MA Thesis]. University of Pittsburgh: Kenneth P Dietrich School of Arts and Sciences.
Reed, H. (2017). Framing of Immigrants and Refugees: A content analysis of mainstream and partisan news coverage of immigration [MA Thesis]. University of Missouri: Faculty of the Graduate School.
Torfing, J. (1999). New Theories of Discourse: Laclau, Mouffe and Žižek. Blackwell.
Van Dijk, T. A. (2000). New(s) Racism: A Discourse Analytical Approach. European Journal of Political Economy, 33–49.