Health (In)justice: Examining Structural Dysfunction in Health System Law

This article explores the ways in which the use of regulation, through the use of law, ethics, policies and standards, raises complex and deeply important questions about the ways in which our systems enable health (in)justice. My research journey started when I sat in a specialist's office as a 19-year-old student at Te Herenga Waka—Victoria University of Wellington, and heard words no one wants to hear. As I sat there with the noises of the world drowned out by those words echoing over and over in my head, I thought about power, privilege and their impact on peoples' access to, and experience of, the health system. Reflecting on vignettes of my experiences as a patient, I discuss the implications of these moments for the law, policy and ethics of health systems. If our health system is an expression of our values, what are they, and how can we and should we use the law to better express and enable them?

Authors

Publication Details

Journal
Victoria University of Wellington Law Review
Published
2026-10-30
DOI
https://doi.org/10.26686/vuwlr.v56i3.11587
Primary Topic
Health, Medicine and Society
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Health (In)justice: Examining Structural Dysfunction in Health System Law

Fiona McDonald
Victoria University of Wellington Law Review
Health, Medicine and Society
article

Health (In)justice: Examining Structural Dysfunction in Health System Law

Fiona McDonald
article en

Abstract

This article explores the ways in which the use of regulation, through the use of law, ethics, policies and standards, raises complex and deeply important questions about the ways in which our systems enable health (in)justice. My research journey started when I sat in a specialist's office as a 19-year-old student at Te Herenga Waka—Victoria University of Wellington, and heard words no one wants to hear. As I sat there with the noises of the world drowned out by those words echoing over and over in my head, I thought about power, privilege and their impact on peoples' access to, and experience of, the health system. Reflecting on vignettes of my experiences as a patient, I discuss the implications of these moments for the law, policy and ethics of health systems. If our health system is an expression of our values, what are they, and how can we and should we use the law to better express and enable them?

Victoria University of Wellington Law ReviewVol. 56(3)
Peace, justice, and strong institutions, Reduced inequalities
Openalex Percentile: Top 8%
Health, Medicine and Society
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.

Laika access coming soon