title: Healthcare and complicity in Australian immigration detention.
abstract: Australian immigration detention has received persistent criticism since its introduction almost 25 years ago. With the recent introduction of offshore processing, these criticisms have intensified. Riots, violence, self-harm, abuse and devastating mental health outcomes are all now well documented, along with a number of deaths. Clinicians have played a central role working in these environments, faced with the overarching issue of delivering healthcare while facilitating an abusive and harmful system. Since the re-introduction of offshore processing a number of authors have begun to discuss the possibility of a boycott. While taking such action may lead to change, further discussion is needed, not only in relation to the impact of a boycott, but whether it is possible for clinicians to engage with this system in more productive, ethical ways. This article utilises a framework proposed by Lepora and Goodin (On complicity and compromise, Oxford University Press, Oxford, 2013) that provides a structured approach to examine complicity and seeks to explore how clinicians have engaged with Australian immigration detention and ultimately whether they should continue to do so.
authors.affiliation: The Centre for Values, Ethics and the Law in Medicine, The University of Sydney, School of Public Health, Medical Foundation Building K25, Sydney, NSW, 2006, Australia. ryan.essex@sydney.edu.au.
authors.forename: Ryan
authors.initials: R
authors.lastname: Essex
mesh_terms: D001315:Australia; D004641:Emigration and Immigration / Q000331:legislation & jurisprudence*; D004995:Ethics, Professional; D005260:Female; D045809:Human Rights Abuses; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008403:Mass Screening / Q000331:legislation & jurisprudence; D008603:Mental Health / Q000706:statistics & numerical data*; D012036:Refugees / Q000331:legislation & jurisprudence* / Q000523:psychology*