Commentaries

Archives: Commentary

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 […]

The Intersection of Medical Education and Healthcare Access for Undocumented Immigrants

The per­sonal state­ment I wrote twenty years ago to gain entrance into med­ical school read, “Accom­pa­ny­ing my grand­mother for med­ical appoint­ments showed me first­hand unset­tling inequities in our health care sys­tem. Med­ic­aid patients vis­ited crowded clin­ics, endured long wait­ing peri­ods, and expe­ri­enced a lack of med­ical con­ti­nu­ity as her physi­cians changed from week to week. […]

Access to Health Care for Undocumented Immigrants as a Family Health Issue

The 2012 pres­i­den­tial elec­tion cam­paign is the lat­est reminder of how dif­fi­cult it is to reach bipar­ti­san con­sen­sus about health care pol­icy in the U.S. In con­trast, both par­ties offer rhetor­i­cal sup­port to improv­ing child health and pro­vid­ing chil­dren with access to health care. The real­ity, of course, is more com­plex. Despite the impor­tance of […]