A reply to “Fundamental issues in epistemic injustice in healthcare” by Nielsen, Nordgaard & Henriksen (2025)

Abstract Nielsen et al. (2025) have recently argued that the study of epistemic injustice in healthcare is subject to issues that, left unaddressed, threaten the ongoing research programme. One of their central worries is a lack of appropriate empirical evidence to support claims about the ubiquity and seriousness of these epistemic injustices which are commonly endorsed and rehearsed in publications on the topic. As researchers on the project Epistemic Injustice in Healthcare (EPIC), we offer responses to their concerns. While we sympathise with and develop some of their concerns, we express caution regarding others. We argue for an ongoing research agenda which is empirically-informed but maintains a pluralistic approach to research methods and approaches. This, we argue, is necessary in order to accommodate the complex social phenomenon of epistemic injustice in healthcare contexts.