By PHUOC LE, MD and BROOKE WARREN
For over a month, Kānaka ‘Ōiwi (Native Hawaiian)
elders and community members have stood in solidarity at Maunakea in Hawai’i.
They seek to protect their land, sovereignty, and culture from those who want
to build the Thirty Meter Telescope (TMT) on Maunakea. Maunakea holds both cultural
and spiritual meaning to the Kānaka ‘Ōiwi. Unfortunately, many astrophysicists
and TMT investors see Maunakea primarily as a means to make scientific
discoveries. The frequent narrative where Indigenous people need to defend the
value of their traditional knowledge, beliefs and culture to
Western scientists is a very familiar story that is often replicated in
healthcare, both at home in the U.S., and abroad.
Kānaka ‘Ōiwi elders blocking road to prevent TMT construction (Photo: Caleb Jones/AP)
Traditional medicine, as defined by the World Health Organization, is the “knowledge, skills and practices based on the theories, beliefs and experiences indigenous to different cultures, used in the maintenance of health and in the prevention, diagnosis, improvement or treatment of physical and mental illness”. Looking at this definition, it is clear that traditional medicine practiced by Indigenous people has equivalent goals to modern Western medicine. Therefore, are we harming our patients when we do not incorporate traditional approaches harmoniously to the practice of healing, and instead value Western medicine over traditional medicine?
The arguments for putting TMT on Maunakea follow a similar reflex to reject knowledge that is different from our own. Thankfully, letters and activism rallying against the construction of TMT on Maunakea, from both Indigenous communities and scientists, are highlighting how Indigenous people are not anti-Western science. In fact, they are beginning to envision how collaboration between Traditional Knowledge and Western science is possible, and potentially even synergistic. Similarly, Western healthcare, too, must foster an approach that centers Traditional Knowledge for Indigenous communities.
How can current and future healthcare