Journal of Emergency Medicine: Open Access(JEMOA)

Borra College of Health Science, Dominican University, USA

Publications

• Review Article   
  A Critical Genealogy of Punishment and Its Chilling Effect on Medical Practice
  Author(s): Julian Ungar-Sargon*
  
  This article examines how the evolution of punishment from public spectacle to bureaucratic surveillance has created a pervasive climate of internal fear within medical practice, fundamentally altering physicians' psychological states and clinical decision-making. Drawing on Foucault's genealogy of punishment, contemporary sociology of the carceral state (Simon's "governing through crime," Garland's "culture of control," Wacquant's analysis of neoliberal penality), and my work on heretical medical ethics, I argue that the threat of criminal prosecution for pain management, off-label prescribing, reproductive care, gender-affirming treatment, and alternative medicine has transformed physicians from autonomous healers into risk-averse bureaucratic functionaries. This "carceral consciousness" operates through internalized surveillance tha.. Read More»
  

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