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Immigrant Health & Bioethics: On the Significance of Local Context
Foote, Amanda
Foote, Amanda
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Thesis/Dissertation
Date
2023
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Urban Bioethics
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http://dx.doi.org/10.34944/dspace/8856
Abstract
Local context should be considered a significant social determinant of health for immigrant communities, particularly those with precarious legal status. In this thesis I use a study done by Lilia Cervantes, MD and collegeaues of undocumented immigrants with end-stage renal disease attempting to access healthcare in three different US states to expand on my argument. Due to the lack of comprehensive federal immigration reform since 1986, many immigrants depend on the Emergency Medical and Active Labor Treatment Act (EMTALA) to access healthcare, which provides emergency-only care. Without federal mandates, further healthcare for this population is dependent on local laws and/or safety-net services. As a result, this local context impacts their medical outcomes, healthcare utilization and economic costs and acts as a potential moral hazard to family, patients and providers of and serving immigrant communities.
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