The New Responsible Tourism Paradigm: The UNWTO’s Discourse Following the Spread of COVID-19

The UNWTO’s discourse has focused on managing the effects of COVID-19 on tourism mobility since the outbreak was taken over by the WHO, as tourism is prominent amongst the hardest hit sectors. Emanating from the UNWTO as one of the dominant stakeholders in tourism discourse construction, an interesting component is the new meaning attributed to ‘responsible tourism’, which coincides with severe sanitary measures in this moment. Through critical discourse analysis and the theoretical framework offered by Iris Marion Young on responsibility for justice, this article will first demonstrate how the reappropriation of the term is in line with the UNWTO’s neoliberal perspective on tourism. The result is the promotion of sanitary measures for the protection of tourism as a consumer industry, rather than for the protection of the individuals involved. It is also cementing the pedestal on which the UN agency places the tourist-consumer, namely through the International Code for the Protection of Tourists project. This paper closes with thoughts on how the emerging dominant discourse on responsible tourism is internalized by tourism stakeholders as the new normal, which would gain in being explored through the lens of Foucault’s work on the concept of biopolitics and the neoliberal subject.

How the experience of medical assistance in dying changed during the COVID-19 pandemic in Canada: a qualitative study of providers.

BACKGROUND: In March 2020, all levels of government introduced various strategies to reduce the impact of the COVID-19 pandemic. The purpose of this study was to document how the experience of providing medical assistance in dying (MAiD) changed during the COVID-19 pandemic. METHODS: We conducted a qualitative study using semistructured interviews with key informants in Canada who provided or coordinated MAiD before and during the COVID-19 pandemic. We interviewed participants from April to June 2020 by telephone or email. We collected and analyzed data in an iterative manner and reached theme saturation. Our team reached consensus on the major themes and subthemes. RESULTS: We interviewed 1 MAiD coordinator and 15 providers, including 14 physicians and 1 nurse practitioner. We identified 4 main themes. The most important theme was the perception that the pandemic increased the suffering of patients receiving MAiD by isolating them from loved ones and reducing available services. Providers were distressed by the difficulty of establishing rapport and closeness at the end of life, given the requirements for physical distancing and personal protective equipment. They were concerned about the spread of SARS-CoV-2, and found it difficult to enforce rules about distancing and the number of people present. Logistics and access to MAiD became more difficult because of the new restrictions, but there were many adaptations to solve these problems. INTERPRETATION: Providers and coordinators had many challenges in providing MAiD during the COVID-19 pandemic, including their perception that the suffering of their patients increased. Some changes in how MAiD is provided that have occurred during the pandemic, including more telemedicine assessments and virtual witnessing, are likely to remain after the pandemic and may improve service.

The impact of the COVID-19 pandemic on medical assistance in dying in Canada and the relationship of public health laws to private understandings of the legal order.

Drawing on interviews we conducted with 15 medical assistance in dying (MAiD) providers from across Canada, we examine how physicians and nurse practitioners reconcile respect for the new, changing rules brought upon by the coronavirus disease 2019 (COVID-19) pandemic, along with their existing legal obligations and ethical commitments as health care professionals and MAiD providers. Our respondents reported situations where they did not follow or did not insist on others following the applicable public health rules. We identify a variety of techniques that they deployed either to minimize, rationalize, justify or excuse deviations from the relevant public health rules. They implicitly invoked the exceptionality and emotionality of the MAiD context, especially in the time of COVID, when offering their accounts and explanations. What respondents relate about their experiences providing MAiD during the COVID pandemic offers occasion to reflect on the role actors themselves play in giving meaning (if not coherence) to the potentially conflicting normative expectations to which they are subject.