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The Ethics of Advocacy for Undocumented Patients

Bibliographic Data

ID20336089
AuthorsNancy Berlinger, Rajeev Raghavan (0000-0002-0610-261X)
Year2013
Volume43
Issue1
Pages14-17
Publication date2013-01-01
Open AccessYes
TypeARTICLE
VenueThe Hastings Center Report (JOURNAL)
Journal identifiersISSN: 0093-0334 • E-ISSN: 1552-146X
PublisherWiley (PUBLISHER • GB)
DOI10.1002/hast.126
PMID23315847
OpenAlexW2163503666
LanguageEN
Citations received8
References cited5

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 proceed in the face of severe financial constraints, clinicians may improvise remedies–a strategy that allows our society to avoid confronting the clinical and organizational implications of public policy gaps. There is no simple solution‐no quick fix‐that will work across organizations (in particular, hospitals with emergency departments) in states with different concentrations of undocumented immigrants, varying public and private resources for safety‐net health care, and differing approaches to law and policy concerning the rights of immigrants. However, every hospital can help its clinicians by addressing access to health care for undocumented immigrants as an ethical issue. We offer some recommendations for doing this in a structured, fair, and transparent way. We also describe the problems that may result when clinicians are forced to grapple with this issue on their own

Business · Face (sociological concept) · Health care · Immigration · Political science · Public health · Public relations · Safety net · Sociology · Work (physics) · Ethics in medical practice · Law · Medicine · Nursing · Patient Dignity and Privacy · Public Administration · Torture, Ethics, and Law

  • Should an Undocumented Immigrant Receive a Heart Transplant

    Open Access•Aaron Wightman, Douglas S Diekema•The AMA Journal of Ethic•2015

  • Is It Ethical to Bend the Rules for Undocumented and Other Immigrant Patients

    Open Access•Nancy Berlinger•The AMA Journal of Ethic•2019

  • Healthcare providers' advocacy approaches and ethical challenges in delivering healthcare to undocumented migrants

    Open Access•Fayez Abdulrazeq, Julian W März et al.•Medicine Health Care and Philosophy•2024

  • The Nurse as the Patient's Advocate

    Open Access•Sarah E Shannon•The Hastings Center Report•2016

  • Intersectionality in Healthcare Ethics

    Kimberly Vargas Barreto•International Journal of Feminist…•2025

  • Strategies for Naming and Addressing Structural Racism in Immigrant Mental Health

    Ivo H Cerda, Anjeli R Macaranas et al.•American Journal of Public Health•2023

  • A tension of rights and needs? Social work advocacy for undocumented residents in the unrecognized villages of the Negev

    Open Access•Noam Tarshish, Hani Nouman•The British Journal of Social Work•2026

  • Administrative (in)Visibility of Patient Structural Vulnerability and the Hierarchy of Moral Distress among Health Care Staff

    Open Access•Julie S Armin•Medical Anthropology Quarterly•2019

Citations per year0.73
Citation span2015 - 2026 (12)
Highly citedNo

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