Feds to NY: Cut Off Chemo for Undocumented Residents
Compassionate conservatism at work again. The Bush Administration is telling New York health officials not to approve chemotherapy for undocumented residents because it's not a medical emergency.
The change comes amid a fierce national debate on providing medical care to immigrants, with New York State officials and critics saying this latest move is one more indication of the Bush administration’s efforts to exclude the uninsured from public health services.
Under a limited provision of Medicaid, the national health program for the poor, the federal government permits emergency coverage for illegal immigrants and other noncitizens. But the Bush administration has been more closely scrutinizing and increasingly denying state claims for federal payment for some emergency services, Medicaid experts said.
While states differ on what is or is not a medical emergency, it should be obvious that the states that define it as "any condition that could become an emergency or lead to death without treatment" is the proper one.
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New York intends to challenge the directive. And thankfully, hospitals are unlikely to go along with it.
New York City public hospitals, which serve 400,000 uninsured patients a year, among them illegal immigrants, would continue to provide the cancer treatment no matter what, said officials from the Health and Hospitals Corporation. But if there is no reimbursement from Medicaid, they said, they will have to look elsewhere for financial support.
Rand Researchers issued a report earlier this month with suggestions for improving immigrant health care. It also contains this statistic:
Currently, approximately a third of immigrants are naturalized citizens, a third are legal permanent residents and a third are undocumented.
Check out the Center for Immigrant Health Care Justice:
We believe that every person possesses a right to healthcare, regardless of his or her status in society. We further promote that society has a duty to provide access to affordable and equitable healthcare for all.
NYU School of Medicine's Center for Immigrant Health is also doing its part.
Keeping with our commitment to eliminate ethnic and racial disparities in health care, the Center for Immigrant Health’s Immigrant Cancer Portal Project is implementing a model to improve the New York metropolitan area’s diverse, underserved immigrant communities’ access to cancer care services, particularly cancer treatment and support services, at local health care facilities.
...If you or anybody you know is an immigrant with cancer and is in need of assistance,please contact us.
As this report, Unequal Access: Immigrants and U.S. Health Care (pdf), concludes:
Policies that restrict immigrants' access to some health care services lead to the inefficient and costly use of other services (such as emergency room care) and negatively impact public health. The future economic success of the United States depends on a healthy workforce. Therefore, policies must be devised that improve, rather than restrict, immigrants' access to quality health care.
Another organization doing the right thing: GCIR ( Grantmakers Concerned with Immigrants and Refugees.) Their resource page on immigrant health is here.
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