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This paper presents an example of transformative learning afforded to social work students participating in an international study program between United States and Germany focusing on Genocide and the Holocaust. Using epistemic justice as a frame, it foregrounds the experience of a Black female social work student who was the target of microaggressions while abroad and highlights the critical theories, such as critical consciousness, critical realism, and intersectionality, used to help students reflect on and make meaning of their experiences. Through self-reflection and sustained dialogue, the experience offers examples of how students were engaged in a learning process that enabled them to become critically aware of the various individual and social forces that impact the lived experience of others. It also demonstrates how examining past issues of social injustice and oppression can be central to transformational learning about agency and advocacy in the modern day. [ABSTRACT FROM AUTHOR]

Interactions in the healthcare system today involve an important new set of actors: evaluative health platforms (EHPs). These platforms are not neutral intermediaries, but active moderators of how patients express opinions, choose providers, and consume health-related information. This paper adds to our understanding of the varied and evolving commercial interests of EHPs and the implications these have for patient voice. We analyze 71 platforms in the USA, UK, and Germany and identify five ideal types: subscribers, analyzers, advertisers, regulators, and scammers. Each platform type enacts a unique competitive strategy through an evaluative infrastructure which constrains but also generates possibilities for patient voice. Based on our typology, we develop three contributions. First, we nuance universalizing claims about the consequences of platform capitalism by specifying the diverse strategies underpinning competition between EHPs in different countries, and showing how each strategy leads evaluative infrastructures to develop in ways that impact patient voice. Second, we show how patients can navigate the challenges of a complex EHP space by exercising their ability to choose between platforms. Finally, we outline the conditions platforms need to fulfil to become empowering. Overall, this study highlights the varied and complex relationship between platform business models and user voice, which exists not only in healthcare, but also in many other fields. • Typology of evaluative health platforms (EHPs) in the US, the UK, and Germany. • EHP business models and content moderation techniques vary considerably. • EHPs have a wide range of implications for patient voice. • More transparency and competition can help platforms increase patient empowerment. [ABSTRACT FROM AUTHOR]