When combined with motivation to provide good care, uncertainty about how to do so for patients who are excluded from key public insurance provisions can give rise to workarounds. Their practical and ethical complexities should be recognized when considering how to best serve immigrant communities.
AMA J Ethics. 2019;21(1):E100-105. doi:
10.1001/amajethics.2019.100.
Mark G. Kuczewski, PhD, Johana Mejias-Beck, MD, and Amy Blair, MD
Patients’ immigration concerns can be addressed when clinicians adopt a public health approach to caring: wearing buttons, distributing brochures, inviting experience sharing, and directing patients to needed resources.
AMA J Ethics. 2019;21(1):E78-85. doi:
10.1001/amajethics.2019.78.
Ruth L. Ackah, MD, Rohini R. Sigireddi, and Bhamidipati V. R. Murthy, MD
Although undocumented immigrants contribute to the pool of available organs and to the US tax base, they are not eligible for organ transplantation in most US states.
AMA J Ethics. 2019;21(1):E17-25. doi:
10.1001/amajethics.2019.17.
Going to so-called safety-net clinics could mean being subject to different standards of care than those in other health care delivery settings. Learners who understand social determinants of health might be able to help patients navigate the system and access community resources.
AMA J Ethics. 2019;21(1):E44-49. doi:
10.1001/amajethics.2019.44.
US immigration policy contravenes the Convention on the Rights of the Child, which all United Nations member nations have ratified except the United States. The convention recognizes that children need special assistance and legal protection and prohibits deprivation of liberty.
AMA J Ethics. 2019;21(1):E58-66. doi:
10.1001/amajethics.2019.58.
Regularly scheduled dialysis is not standard of care for most undocumented immigrants in the United States, so preventative care, and advocacy for it, is needed.
AMA J Ethics. 2019;21(1):E86-92. doi:
10.1001/amajethics.2019.86.
This graphic storybook portrays an undocumented child in the United States who is denied fundamental human rights to health care, education, shelter, and food.
AMA J Ethics. 2019;21(1):E111-112. doi:
10.1001/amajethics.2019.111.