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2 winter 2017
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“I desire to seek God’s will through service.”
Continued from page 1
participate in the health encounters of another Nepali patient. On more than one occasion he has realized only halfway through an encounter, that “one of the people in the con- sulting room is not a family member, nor related, but has been listening intently to the conversation, and of- fering advice, or relevant questions. No one seems to mind too much...”
Intercultural experiences can at times be challenging. One example concerns patient consent, which in
Canada is based on the autonomy of the person to make an informed decision after receiving all the in- formation possible. In Nepal, Nick’s tentative observations are that the decisions are generally made by the patient’s family, which seems to be valued more highly in the culture than individual autonomy. Function- ally, however, this usually means that the consent process occurs with whichever male relative is most easily found. This seems to be true
often whether the patient is male or female, but especially the latter. Cer- tainly on a few occasions, a male family member has shown up at the last moment, and then in front of the female patient, or the mother of the child—the “actual consent” process starts. There are a whole host of is- sues here of course—not the least being the fact that the male mem- ber is also probably the one who will be footing the bill, in a system which is still 99% “private pay.” To function in a way that is respectful of Nepali norms, Nick writes: “I am having to temper some of my Cana- dian practises: but it is not always immediately obvious to me to what degree I should acquiesce, or instead promote a ‘different’ way of doing
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things, at least in my role here as an educator. My intercultural experience here at times challenges me, and our family, to be willing to bend, without breaking. And sometimes to sweat, as we figure out which is which.”
When originally asked why he was seeking an overseas mission appointment, Nick replied: “I desire to seek God’s will through service. I am in a ‘serving profession,’ but one that in Canada at least, is one of sig-
nificant privilege. Privilege and power are not a state naturally aligned with the Christian story, as followers of Jesus of Nazareth. These circum- stances have the ability to blind us to the other, to hold us from seeing the needs of others. I hold out hope for a Christian missions orientation of submissive engagement, of relation- ship building in which we can with our partners ‘seek justice, love kind- ness and walk humbly (with God).’”
Correction Notice
In Issue 3, page 8, the Rev. Glynis Williams was incorrectly listed as the author of “Thanking God for the Ng- udradrekai Bible” article. The piece was written by the Rev. Paul McLean.
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