Intersectional Lenses of DEI: Bioethicists' Duty to Advocate

Authors

  • Jillian Boerstler School of Nursing, Faculty of Applied Science, University of British Columbia, British Columbia, Canada
  • Nanette Elster Neiswanger Institute for Bioethics & Healthcare Leadership, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois, United States
  • Kayhan Parsi Neiswanger Institute for Bioethics & Healthcare Leadership, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois, United States https://orcid.org/0000-0003-2221-925X
  • Bryan Pilkington Department of Medical Sciences, Hackensack Meridian School of Medicine, Nutley, New Jersey, United States https://orcid.org/0000-0001-9373-8300

DOI:

https://doi.org/10.7202/1122840ar

Keywords:

equity, justice, clinical bioethicists, DEI, code of ethics, intersectionality, duty

Language(s):

English

Abstract

Building on the historical foundation of bioethics, we argue that bioethicists, with inherently interdisciplinary approaches and backgrounds, are well positioned to promote Diversity Equity and Inclusion (DEI) in the healthcare setting through the practice of clinical ethics. In the current cultural and political climate, bioethicists cannot remain silent while staying true to the tenets of the field. Provisions in the American Society for Bioethics and Humanities (ASBH) Code of Ethics and the lived experience of Canadian bioethicists offer relevant guidance. We argue that competence in clinical ethics obliges bioethicists to identify and seek to remove systemic barriers facing those whom clinical ethicists are privileged to serve. By adopting an intersectional approach to clinical bioethics, bioethicists can become advocates for the promotion of just healthcare.

References

1. Jecker NS, Caplan A, Ravitsky V, et al. Bioethicists must push back against assaults on diversity, equity, and inclusion. American Journal of Bioethics. 2025;25(8):5-11.

2. Baker RB. Making Modern Medical Ethics: How African Americans, Anti-Nazis, Bureaucrats, Feminists, Veterans, and Whistleblowing Moralists Created Bioethics. Cambridge, MA: MIT Press; 2024.

3. American Society for Bioethics and Humanities. Code of Ethics and Professional Responsibilities for Healthcare Ethics Consultants. ASBH. 2014.

4. Drees LM. Indian hospitals and Aboriginal nurses: Canada and Alaska. Canadian Bulletin of Medical History. 2010;27(1):139-61.

5. Indian Hospitals in Canada. Indian Residential School History and Dialogue Centre. University of British Columbia; Vancouver, BC.

6. AMA. Episode 8 – Towards justice and race conscious medicine. Clinical Problem Solvers. 2 Jun 2022.

7. Santovec ML. The necessity of intersectionality: a profile of Dr. Kimberlé Crenshaw. Women in Higher Education. 2017;26(3):8-9.

8. Cho S, Crenshaw KW, McCall L. Toward a field of intersectionality studies: theory, applications, and praxis. Signs: Journal of Women in Culture and Society. 2013;38(4):785-810.

9. Provincial Health Services Authority. PHSA Ethical Practice Guide. PHSA Ethics Service, 2nd ed. Aug 2025.

10. Brünig L, Salloch S. Making structural discrimination visible: a call for intersectional bioethics. American Journal of Bioethics. 2022;22(3):42-4.

11. Health Quality BC. Culturally Safe Engagement: What Matters to Indigenous (First Nations, Metis, and Inuit) Patient Partners Companion Guide. Aug 2024.

Downloads

Published

2026-01-20

How to Cite

[1]
Boerstler J, Elster N, Parsi K, Pilkington B. Intersectional Lenses of DEI: Bioethicists’ Duty to Advocate. Can. J. Bioeth 2026;9:14-6. https://doi.org/10.7202/1122840ar.