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DIVERSE PEOPLE CAN help to create a more inclusive world. As a mother of five and an intensive care paediatrician, I often marvel at the complicated, unique, and brilliant qualities that make up a human being.
Diverse qualities are cause for celebration. These musings are one small reason why LGBTQI+ allyship has long been a passion of mine. The most significant and urgent reason for my advocacy in this area is the exposure I have had to the disparities faced by our LGBTQI+ community within healthcare settings.
LGBTQI+ individuals encounter complicated layers of challenges in everyday life which many of us will never have to even consider. Indeed, according to Visible Lives research, 26% of LGBTQI+ adults do not disclose their sexual orientation to any of their healthcare providers, often due to fears of experiencing a negative reaction because of their identity. Just imagine having to deal with the fear of judgement before you even begin to discuss a sensitive health-related issue with your doctor.
Members of the LGBTQI+ community have unique healthcare needs. To ensure the medical profession is meeting their needs, doctors must not only acknowledge this but advocate for a safe culture of diversity, inclusion and belonging.
To educate myself, I like to look at people in history who were pioneering access to healthcare and serving marginalised communities well ahead of their time. People like Kathleen Lynn, the remarkable Irish humanitarian, and her partner Madeline French-Mullen advocated for healthcare, housing, and education for the most underserved communities in Dublin.
Lynn established herself as one of the most distinguished physicians in Ireland and was known worldwide for her tenacity and activism. Elizabeth O’Farrell, a trained midwife, suffragist and trade unionist supported workers during the 1913 Lockout and famously delivered the surrender to British troops on the 1916 Easter Rising.
There are countless trailblazers in Ireland who have paved the way for all of us to develop empathy and an understanding of the challenges each community and individual faces. They’ve been crucial in shaping Ireland as a society with a greater culture of inclusion, positive changes in its laws and societal perceptions of genderism and sexuality.
Today, the medical and healthcare sectors in Ireland have much hurt and historical distrust to undo with those in the LGBTQI+ community. Patients from groups that are especially at risk of marginalisation within health and social care, e.g., the Travelling community, people living with a disability, and LGBTQI+ people, have previously reported disrespect and judgement from healthcare staff.
Conversion practices are an example of the poor legacy in healthcare left behind by laws against homosexuality in Ireland. Conversion therapies are practices that can be defined as any treatment aimed at changing a person’s sexual orientation.
Practices involve the use of a combination of cognitive, behavioural, psychoanalytical, and religious/spiritual methods which focus on reducing sexual behaviour that is judged to be aberrant.
There are concerns that health and social care professionals who create barriers to education and care for sexual health or shut down discussions about sexual orientation may be interpreted as a form of conversion therapy. Conversion practices have been widely discredited as being both ineffective and harmful to those who are exposed to them.
The Minister for Children, Equality, Disability and Youth, Roderic O’Gorman has confirmed that the Government will soon bring forward proposals to ban conversion therapy for LGBTQI+ people. The Department of Children, Equality, Disability, Integration and Youth commissioned the School of Nursing and Midwifery, Trinity College Dublin to carry out research in this area and its findings were published earlier this year. It indicates that conversion therapy does still take place in Ireland.
The personal accounts of people subjected to conversion practices make for harrowing reading. Practices seeking to undermine a person’s identity and sexual orientation can carry lifelong consequences.
Considerable research has largely concluded that sexual orientation change efforts are pseudo-scientific, ineffective, and harmful to the individual being ‘treated’. Young people are particularly vulnerable as they may be presented to doctors by their families seeking a ‘corrective’ treatment.
In the Medical Council’s Guide to Professional Conduct and Ethics, the role of the doctor as an ‘advocate’ is described. It is the ethical duty of a doctor to speak up for their patients, and any suggestion in the form of employment contracts or otherwise, that a doctor might be silenced is not acceptable.
We are a trusted profession, and not only do our patients trust us to raise concerns – but the public quite rightly expects it.
A strong stance in the healthcare profession supporting the proposed ban on conversion practices in Ireland would go a long way towards making sure there is trust and pride in healthcare.
Trust in healthcare and professional conduct means respect for everyone. Recently, Census 2022 statistics showed that human health, social work and education were among the largest employment sectors with 77.3% of these workers identifying as female. With a growing and progressive generation of doctors, I am confident that this flourishing sector will continue to advocate for high standards of healthcare for marginalised communities, empowering them to access safe healthcare without judgement.
With that in mind, because advocacy can be lonely as a solo voice, I’ve found that seeking out those who feel similarly to you makes putting your head above the parapet a little easier.
Engagement with a group, be it a professional body, union, political party or charity provides confidence in speaking. Speak always with the agreement of any group you are in.
As medical practitioners, we should strive to address past injustices by ensuring that we advocate for partnership and informed consent in our relationships with patients. To advocate means to use your voice to speak up about a particular issue, or on behalf of a group of others. If you were to use your voice one hundred times and improve the life of one person, it would be worth it.
Dr Suzanne Crowe is President of the Medical Council and a consultant in paediatric intensive care in Children’s Health Ireland Crumlin. She is also a board trustee for LGBT Ireland, Cheshire Ireland, and The Down Syndrome Centre. LGBT Ireland offers a range of services to provide support and information for LGBTQI+ people. The service is also used by individuals questioning if they might be LGBT, as well as the family and friends of LGBTQI+ people, and professionals looking for information.
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‘Government wants to know how much the clean-up bill for Storm Emma is going to cost’
the taxpayer.
@David Sinclair: As opposed to who David, given taxes fund public spending?
@David Sinclair: as opposed to who David does minister Murphy have a money tree out the back of Dáil Éireann that he shakes in case of emergency.
Just clarifying things in case the message fails to get communicated.
@Tom Harpur: Yes they seem to be able to find copious amounts of money when they want to!
@David Sinclair: bad weather damages infrastructure and requires capital investment. They might have to bring forward some repair work. This needs forecasting, what’s the big deal?
I must say though I have extra respect for all the farmers now who helped dig out the more isolated roads. Spare a thought for them when there’s a late start to spring and they need support to feed their livestock.
Not as much as cleaning up the tidal wave of corruption that besets this once fine nation!
On another matter I see the comments on Anglo Irish Banking enquiry into Siteserve and other matters has already been suspended!
@Jarlath Murphy: Shallow and tired click-bait. Ata boy Jarlath.
@Jarlath Murphy: All aboard the censorship. No one is allowed to question the slurping activities of the fat pigs at the trough.
@MK76: Yet you felt compelled to respond?
Shallow and tired, like the hackneyed
Strategic Communications Unit Mess?
@Patricia McCarthy: They have their pathetically sad sycophantic acolytes defending their excesses, as they wat in solemn servitude for an opportunity to slurp at the trough!
Sad specimens!
@Jarlath Murphy: Ah, sure that’s more of it now Jarlath. Yaaaaaaawn.
@MK76: while pretending not to care you still feel compelled to respond?
@Jarlath Murphy: Just trying to help someone who is clearly craving attention Jarlath. The content of your messages are utter tripe, but maybe you’re just lonely.
@MK76: Your concern is touching, perhaps I can move in with you?
@Jarlath Murphy: when was it a fine nation?
@Jarlath Murphy: Couldn’t listen to your empty rhetoric and opaque political musings, but there’s someone for everyone, so hang in there.
@MK76: They say there’s a match for a beetle and you’ve clearly found yours!
In the meantime I hear they are planning on rebranding the Strategic Communications Unit.
Can you confirm?
@Ohhh_reeally: Before you clearly!
@Jarlath Murphy: How would I be able to conf…….wait a minute….
Jarlath, you rascal you. You’re intimating I’m somehow part of FGs communications unit, because I’m calling you out for your moronic posts.
You’re as clever as you are original. How are you still single?
@MK76: What you mean your not on the pay roll!
How disappointing!
For you!
@MK76: AK47 does a lot of yawning but can’t seem to just close his bullying gob for its own absence of sense defending this joke of a government, nit picking as usual while ignoring all the other articles on the journal; Macabe,spin and the hse mess. Go off to sleep you must have insomnia worrying about your peacock Leo. Say goodnight to @Frank Murphy for me ;(
@Jarlath Murphy: Rebranding SCUT? No. I hope not. It should remain as SCUT. Strategic Communication Unit Trolls.
Such an appropriate title.
@MK76: AK47= moronic yawn
@Declan: There you are Jarlath. Declan and yourself seem like a match made in heaven.
@MK76: Don’t worry, you got to believe that there’s someone for you!
Just hold on in there, you may end up with a rich bankster, a bulging pocket full of water options and a very short cough!
Alternatively you may even get elected!
@Patricia McCarthy:
General Independent Managerial Processors
Not sure what that will be shortened too?
They don’t wanna be asking The Gardaí how much it’ll be, figure they’ll get back would be either 76trillion euro or a fiver
We pay taxes. Deal with it.
@Tony Joyce: ‘HOUSING MINISTER EOGHAN Murphy today expressed his appreciation for the “whole-of-government” support during the severe weather last week.
While he acknowledged the situation is not over for everyone around the country, the minister told his Cabinet colleagues that the management of the cold weather conditions “went to plan”.
He should get a t shirt with a hand slapping his back. It woudl save him having to do it himself all the time. Does this guy ever stfu about how good he and the govermnemt are?
Didn’t cost a penny in my estate r any estate I’d say as no council worker to be seen…ah we have to keep the main roads etc our number one priority…surely they could provide more resources/funding for estates so people can get around and get about…
@Gareth Fitzpatrick:
Alternatively you could set up a resistance committee and buy a few shovels. There is no law against getting up off your arse and doing something to contribute
@Nick Allen:
Residents*
@Nick Allen: I and most of the neighbours that were young enough all did that…your smartarse comment is really appreciated..
@Nick Allen: I and most of the neighbours that were young enough all did that…your smart comment is really appreciated…
@Gareth Fitzpatrick:
Then what are you moaning about?
@Nick Allen: are you for real?? I’m so called moaning because why isn’t there enough resources for the council to do more I’m lucky enough to have a job…if they where given more funding they would be able to clear roads in estates so people Can get around…why should residents have to do it all?? I’m far from lazy but surely it would be under there job remit to do more locally??
Gov ain’t worried about how much their spin unit costs, not worried about how much their expensive 2040 and similar launches cost, not worried about how much their own advertising and self promotion costs, but worried about how much support they have to give out to the plebs after the storm and how much that’s going to inconvenience them.
After their spin unit failure and resultant bad publicity, gov wants to appear to be more honest with the public now, but the leopard doesn’t change it’s spots, their response will be to try harder to fool the nation!
The incompetent gov don’t seem to worry how much it’s gonna cost when it comes to their own salaries, very generous expenses, exorbitant pensions, extra payments for appearing on various gov committees, and ridiculous compensation packages.
Mattie McGrath TD and his family were out all during the snow clearing roads and helping stranded drivers with their heavy equipment at their own expense . Its great to see a politician talking the talk as well as walking the walk.
@Naoimh Ó Murchadha: lol dont kid yourself. A bill will go to the council. TDs arent in the charity business and the machinery and operators dont work on fresh air.
@Naoimh Ó Murchadha: He mustn’t have been able to get out to any funerals.
@Naoimh Ó Murchadha: Yes I heard about that because he and his organisation made danm sure to put out plenty of photos and social media updates about it. Meanwhile lots of ordinary people did stuff quietly and without a fuss.
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