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.
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.
A guardian’s request to sterilize a woman with intellectual disabilities is not ethically justifiable unless the woman assents and it is to her benefit.
AMA J Ethics. 2016; 18(4):365-372. doi:
10.1001/journalofethics.2016.18.4.ecas2-1604.
Undocumented patients are a vulnerable population, since they often lack access to health insurance and can be afraid to present for care. This month on Ethics Talk, we discuss challenges in caring for undocumented patients with Dr. Mark Kuczewski, Scott Schweikart, and Dr. Nancy Berlinger.
Being close enough to patients to care is as critical as remaining distant enough from a pathogen to be safe. This strategy simultaneously frustrates and supports public trust.
AMA J Ethics. 2020; 22(1):E22-27. doi:
10.1001/amajethics.2020.22.