Elizabeth and Chauncey Leake Memorial Fund
Bioethical Geographies: How Distance, Power and Time are Differently Experienced
Across Healthcare Settings
Christopher Mayes, PhD
Senior Research Fellow
Alfred Deakin Institute and
Senior Lecturer in Philosophy
in the Faculty of Arts & Social Sciences,
Deakin University
Australia
Thursday, March 24, 2022
5:00-6:00pm
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To date, bioethicists have given fleeting attention to geography and space. This partly due to the
fact that most bioethicists and bioethics centres are located in major international cities. This
history and location of bioethics has arguably fostered what clinical psychologist Malin Fors has
termed “geographic narcissism” – the subtle ‘devaluation of rural knowledge, conventions, and
subjectivity, and a belief that urban reality is definitive’. This lacunae in the bioethics literature is
particularly significant in relation to regional-metropole and rural-urban health disparities. In this
paper I address the bioethical effects of geography by examining how distance, relations of
power and time shape access to healthcare services and the quality of care received. I draw on
some recent qualitative research conducted with participants based in regional/rural Australia
seeking to access reproductive services. I argue that the differential experiences of distance,
power and time are further compounded by for-profit operation of health-services.