QuestionQuestion

Using examples from the role-play in your, critically examine how the practice of privilege in context can be understood through the lens of institutional, symbolic and personal privilege.

Health Context, Group 2
SCENARIO
This scenario is set in the boardroom of the Auckland District Health Board (ADHB). The meeting consists of six individuals from the Ministry of Health (MOH) discussing a policy surrounding allocation of primary health care around the Auckland region. Two of which are Maori representatives from the National Hauora Coalition (Benn and Pai). The remaining non-Maori representatives include three board members (Nikki, Sejal and Kim), and the Chairwoman (Suha).
The Chairwoman opens the meeting and introduces the Maori representatives. There is friction between the Maori and non-Maori representatives as the non-Maori representatives rudely voice common stereotypes about Maori, creating a tense environment. During the course of the meeting there are strong discourses of Pakeha values and ideologies over areas where primary health care funding should be allocated. Maori representatives voice their opinions, however there is constant shutting down of their agenda and challenging comments. The other representatives regard their comments, questions and issues irrelevant and lack importance. In the end, tyranny of the majority rules out and the Maori representatives leave the meeting in discontentment. The Maori representatives feel as though they have no voice in making changes to New Zealand policy to meet the health needs of their people.
CHARACTERS
Maori Representatives:
Benn: Benn                            } representatives from the National Hauora Coalition
Hannah: Pai
Non-Maori Representatives:
Nikki: Nikki
Sejal: Sejal                              } board members from MoH
Kim: Kim
Suha: Suha                            } Chairwoman of MoH

SCRIPT
Suha: "Welcome everyone We are here today to discuss access to primary health care in Auckland 1 understand we have two new Maori representatives
Pai: "Kia Ora everyone, my name is Pai... you could please introduce yourselves."
"Sejal interrupts
Sejal: "Pai? Am - pronouncing it right?"
Pai: "Yeah Its just Pai"
Nikki: Toh, how delicious!"
*Awkward Pause
Ben: "Anyways... I'm Benn from the National Hauora Coalition"
"Slight mummer
Kim: "Benn? That's an unusual name for a Maori person to have!"
Suha: "Alright, let's get started on the first point of call for the huge need for 24/hr primary health care services in the North Shore today's meeting. The surrounding Auckland central area"
Sejal: "We definitely need to allocate resources within this area. It is paramount these people are provided with easily accessible health care around clock."
Benn: "Have you considered reallocating resources in areas, such as South At and Waitakere. Evidence obviously shows health care in these regions. inadequate provision
Nikki: "But before we help them, they need to help themselves. We also have evidence clearly showing that they don't take advantage of funded services that are available" the go
Pai: "Maori have barriers accessing these services such as cost and.
Kim: "What you were just saying Nikki, I am really annoyed that we placed funding in these areas for Maori, we have trained our staff total yet they still do not appreciate what Zealand has them.
Sejal: "In regards to cost, everyone gets charged the same price so they ca equal opportunity. You can't get much fairer than that."
Benn: "Price does not mean the same opportunity there are other factors in healthcare unaffordable for Maori."
Suba: "Such as what?"
Benn: "Well, many Maori are unable to get employed because of Institut
Kim: "They are given the benefit when they are unemployed, plenty for they didn't spend it all on you know." (look at Maori representatives awkwardly) Besides, we have moved beyond.
Hannah: You couldn't have proven to outpoint any better than you just did.


SCRIPT
Suba: "Welcome everyone We are here today to discuss access to primary health care in Auckland. 1 understand we have two new Maori representatives if you could please introduce yourselves."
Pai: "Kia Ora everyone, my name is Pai.
"Sejal interrupts
Sejal: "Pai? Am I pronouncing it right?"
Pai: "Yeah Its just Pai"
Nikki: "Oh, how delicious!"
*Awkward Pause
Ben: "Anyways.. I'm Benn from the National Hauora Coalition"
Kim: "Benn? That's an unusual name for a Maori person to have!"
"Slight mummer
Suha: "Alright let's get started on the first point of call for today's meeting. There is a huge need for 24/hr primary health care services in the North Shore and the surrounding Auckland central area"
Sejal: "We definitely need to allocate resources within this area. It is paramount that these people are provided with easily accessible health care around the clock."
Benn: "Have you considered reallocating resources in areas, such as South Auckland and Waitakere. Evidence obviously shows an inadequate provision of health care in these regions.
Nikki: "But before we help them, they need to help themselves. We also have evidence clearly showing that they don't take advantage of the government-funded services that are available"
Pai: "Maori have barriers accessing these services such as cost and.
Kim: "What you were just saying Nikki, I am really annoyed that we placed so much funding in these areas for Maori, we have trained our staff to talk like them yet they still do not appreciate what New Zealand has provided them.
Sejal: "In regards to cost, everyone gets charged the same price so they can have an equal opportunity. You can't get much fairer than that."
Benn: "Price does not mean the same opportunity there are other factors in playmaking healthcare unaffordable for Maori."
Suha: "Such as what?"
Benn: "Well, many Maori are unable to get employed because of institutional racism
Kim: "They are given the benefit when they are unemployed, plenty for healthcare, they didn't spend it all on you know." (look at Maori representatives awkwardly) Besides, we have moved beyond racism
Hannah: You couldn't have proven our point any better than you just did.
Suha: We are not talking about the topic we should be discussing, racism has nothing to do with health.
Nikki: Yeah.. this is so irrelevant.
Sejal: Ok, so educational for the new background North Shore and clinics experience we should as well employ as the doctors best modern with the best equipment available. We should not worry about the cost.
Benn: Why not worry about cost? We were so concerned about the budget of the healthcare services for the other Auckland regions.
Everyone (except Benn and Pai) nods in agreement.
Nikki: Well we know that these services will be properly utilised.
Pai: You don't understand, we are going to provide more services to the population group who least need it! On top of that, there are fewer Maori living in these areas and Maori are New Zealand's minority group whose health needs are not met.
Suha: So we all agree that we need to have the best clinicians and equipment for these new services in North Shore.
Benn: No.
Suha: Ok we will have a vote Benn, all in favour of this policy proposal.
All board members, but Benn and Pai raise their hands
Kim: Yes!
Suha: So majority rules, the proposition will be carried out later this month. May I ask Benn and Pai, why do you deeply disagree? Why don't you want North Shore to have good, updated health services?
Pai: We already explained ourselves, you chose to tick your boxes and ignore us.
Nikki: We gave you both a chance to have your say and we considered it.
Benn: We will see ourselves out.
Benn and Pai leave
Kim: That was rude, bad day?
Sejal: Typical.
Everyone murmurs with the agreement
Suha: That was a nice and quick discussion. Lunch anyone?

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Privilege in society is usually conveyed by advantaged groups (usually white and male) towards disadvantaged groups (usually minority and/or female). Institutional privilege involves using the levers of society to build structures that favor the advantaged groups. Personal privilege is an extension of institutional privilege, and occurs when individuals in advantaged groups use their perceived or real societal advantages to gain personal advantages, such as a lower loan rate on a mortgage or a more appealing school choice within an urban area. Symbolic privilege is also an offshoot of individual privilege. It occurs when a group continues to maintain advantages that no longer legally exist. An example of symbolic privilege is the largely white membership at golf clubs (although this is slowly changing).
Institutional privilege is the most blatant form of privilege that advantaged groups still wield over disadvantaged groups. An example of institutional privilege mentioned in the readings is the inability for minority...

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