Archives: Commentary

Fair Care

Emma’s sto­ry, in show­ing the real­i­ty of glob­al eco­nom­ic migra­tion, rais­es sig­nif­i­cant ques­tions about glob­al ethics. The cur­rent sys­tem has many ben­e­fits: poor nations receive remit­tances from fam­i­ly mem­bers work­ing abroad, while rich nations are pro­vid­ed with a labor source for low-sta­­tus work and with a mar­ket for goods used pri­mar­i­ly by low-wage migrants. Employ­ers […]

The Supreme Court and Health Care Access for Undocumented Immigrants

The fol­low­ing com­men­tary is re-post­ed from Bioethics Forum, a blog of The Hast­ings Cen­ter. The Supreme Court announced that it will hear a legal chal­lenge to Pres­i­dent Obama’s 2014 exec­u­tive action to pro­tect an esti­mat­ed five mil­lion undoc­u­ment­ed immi­grants from depor­ta­tion and per­mit them to work legal­ly. The imple­men­ta­tion of the Deferred Action for Par­ents of Amer­i­cans […]

No ID in NC: Undocumented Immigrants and the Identification Problem

The fol­low­ing com­men­tary is re-post­ed from Bioethics Forum, a blog of The Hast­ings Cen­ter. On Octo­ber 28, North Car­oli­na Gov­er­nor Pat McCro­ry signed HB 318, the “Pro­tect North Car­oli­na Work­ers Act.” This new exam­ple of state-lev­­el anti-immi­­grant leg­is­la­tion, a trend that had been cur­tailed by the U.S. Supreme Court’s 2012 deci­sion in Ari­zona v. Unit­ed States, is aimed […]

Get with the Program

Jef­frey Toobin, in his arti­cle about the Flo­re­ses, a mixed-sta­­tus fam­i­ly, describes a “com­pre­hen­sive break­down in pub­lic pol­i­cy” with regard to immi­gra­tion reform (“Amer­i­can Lim­bo,” July 27th). I write as a co-direc­­tor of the Undoc­u­ment­ed Patients Project at the Hast­ings Cen­ter. Fam­i­lies like the Flo­re­ses have also been sys­tem­at­i­cal­ly exclud­ed from pub­lic ben­e­fits that pro­vide […]

Medical Education as Mission: Why One Medical School Chose to Accept DREAMers

Mark G. Kuczews­ki and Lin­da Brubak­er, “Med­ical Edu­ca­tion as Mis­sion: Why One Med­ical School Chose to Accept DREAM­ers,” The Hast­ings Cen­ter Report 43, no. 6 (2013): 21–24. DOI: 10.1002/hast.230 Abstract: In Octo­ber 2012, the Loy­ola Uni­ver­si­ty Chica­go Stritch School of Med­i­cine amend­ed its eli­gi­bil­i­ty require­ments for admis­sion. In addi­tion to U.S. cit­i­zens and per­ma­nent res­i­dents, per­sons who qual­i­fy for the […]

Undocumented Patients and the Not-So-Safe Safety Net

Car­o­line Rath,” Undoc­u­ment­ed Patients and the Not-So-Safe Safe­ty Net,” Hast­ings Cen­ter Report 43, no. 5 (2013):  inside back cov­er. DOI: 10.1002/hast.212 Abstract: Work­ing in an urban safe­ty net facil­i­ty, my col­leagues and I dai­ly face any num­ber of chal­lenges. In some respects, an undoc­u­ment­ed immi­gra­tion sta­tus is just anoth­er one of those chal­lenges. How­ev­er, it is a par­tic­u­lar­ly inter­est­ing one […]

Undocumented Dreamers” and the Health of the Dreamers

Loy­ola Uni­ver­si­ty Chica­go Stritch School of Medicine’s recent announce­ment that it would accept appli­ca­tions from Dream­ers – young undoc­u­ment­ed immi­grants eli­gi­ble for Deferred Action on Child­hood Arrivals (DACA) sta­tus – is an inno­v­a­tive and wel­come response to the promise implic­it in DACA. The idea that young peo­ple who had been brought to the U.S. as […]

The Undocumented Unwell

Jonathan H. Marks, “The Undoc­u­ment­ed Unwell,” Hast­ings Cen­ter Report 43, no. 1 (2013): 10–11. DOI: 10.1.002/hast.124 Abstract: Nell Tou­s­saint is not well. In recent years, she has been diag­nosed with uter­ine fibroids, uncon­trolled hyper­ten­sion, nephrot­ic syn­drome, poor­ly con­trolled dia­betes, hyper­lipi­demia, and a pul­monary embolism. She also suf­fers from decreased mobil­i­ty, short­ness of breath, and-per­haps not sur­pris­ing­ly, giv­en her […]

The Ethics of Advocacy for Undocumented Patients

Nan­cy Berlinger and Rajeev Ragha­van, “The Ethics of Advo­ca­cy for Undoc­u­ment­ed Patients,” Hast­ings Cen­ter Report 43, no. 1 (2013): 14–17. DOI: 10.1.002/hast.126 Abstract: Approx­i­mate­ly 11.2 mil­lion undoc­u­ment­ed immi­grants have set­tled in the Unit­ed States. Pro­vid­ing health care to these res­i­dents is an every­day con­cern for the clin­i­cians and health care orga­ni­za­tions who serve them. Uncer­tain how to […]

Health Reform and Access for Undocumented Patients: Pressure on the Safety-Net

Buy a bag of let­tuce, and I guar­an­tee you that the hands of at least one undoc­u­ment­ed work­er helped get it to your table. Unfor­tu­nate­ly, rig­or­ous iden­ti­fi­ca­tion require­ments and changes to fed­er­al Dis­pro­por­tion­ate Share fund­ing for safe­­ty-net providers will make access to med­ical care for that undoc­u­ment­ed work­er more dif­fi­cult after imple­men­ta­tion of the Patient […]