Canadian Journal of Public Health
Volume 99, Issue 4, 2008, Pages 290-292

Health care access for refugees and immigrants with precarious status: Public health and human right challenges (Article)

Rousseau C.* , ter Kuile S. , Muňoz M. , Nadeau L. , Ouimet M.-J. , Kirmayer L. , Crépeau F.
  • a Division of Social and Transcultural Psychiatry, Department of Psychiatry, McGill University, 7085 Hutchison Street, Montreal, QC H3N 1Y9, Canada
  • b McGill University, Montreal, QC, Canada
  • c CSSS de la Montagne, Montreal, QC, Canada
  • d Division of Social and Transcultural Psychiatry, Department of Psychiatry, McGill University, 7085 Hutchison Street, Montreal, QC H3N 1Y9, Canada
  • e CSSS de la Montagne, Montreal, QC, Canada
  • f Division of Social and Transcultural Psychiatry, Department of Psychiatry, McGill University, Montreal, QC, Canada
  • g Faculty of Law, University of Montréal, Canada Research Chair in International Migration Law, Montréal, QC, Canada

Abstract

Migration flux is being transformed by globalization, and the number of people with either undocumented or with a precarious status is growing in Canada. There are no epidemiological data on the health and social consequences of this situation, but clinicians working in primary care with migrants and refugees are increasingly worried about the associated morbidity. This commentary summarizes findings from a pilot study with health professionals in the Montreal area and suggests that the uninsured population predicament is a national problem. Although ethical and legal issues associated with data collection by clinicians, institutions and governments need to be examined, estimating the public health consequences and long-term cost associated with problems in access to health care due to migratory status should be a priority. Current regulations and administrative policies appear to be at odds with the principles of equal rights set out by the Canadian Charter of Rights and Freedoms and the UN Convention on the Rights of the Child. Beyond the commitment of individual clinicians, Canadian medical associations should take an advocacy role and scrutinize the ethical and medical implications of the present system.

Author Keywords

access to health care Rights immigrants Legal status

Index Keywords

refugee Quebec human ethics Refugees statistics Ethics, Medical medical ethics human rights Humans Canada Emigrants and Immigrants Article organization and management migration legal aspect Delivery of Health Care Health Services Accessibility public health health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-50949102918&partnerID=40&md5=b4d67343b61b34ef2a61ea4ad9b55a42
ISSN: 00084263
Cited by: 42
Original Language: English