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Who is my neighbor? A communitarian analysis of access to health care for immigrants

  • Mark G. KuczewskiEmail author
Article

Abstract

Immigrants lacking health insurance access the health care system through the emergency departments of non-profit hospitals. Because these persons lack health insurance, continued care can pose challenges to those institutions. I analyze the values of our health care institutions, utilizing a Walzerian approach that describes its appropriate sphere of justice. This particular sphere is dominated by a caring response to need. I suggest that the logic of this sphere would be best preserved by providing increased access to health insurance to this population. This access would marry the rights of these members of our community to access care to our responsibility to contribute to financing of the system. I close with some considerations on what it means to be a member of the community.

Keywords

Affordable care act Care Communitarian EMTALA Amitai Etzioni Immigration Justice Medical ethics Michael Walzer 

References

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    Sandel, Michael J. 1982. Liberalism and the limits of justice. New York: Cambridge University Press.Google Scholar
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    Walzer, Michael. 1983. Spheres of justice: A defense of pluralism and equality. New York: Basic Books.Google Scholar
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    U.S. Congress. 1986. Emergency medical treatment and active labor act. In Social security act, section 1867(a). https://www.cms.gov/EMTALA/. Accessed August 2, 2011.
  4. 4.
    U.S. Congress. 2005. Border protection, antiterrorism, and illegal immigration control act. HR 4437. 109th Cong. http://thomas.loc.gov/cgi-bin/query/z?c109:H.R.4437. Accessed August 2, 2011.
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    Etzioni, Amitai. 1992. Communitarian solutions/what communitarians think. Journal of State Government 65(1): 9–11.Google Scholar
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    Etzioni, Amitai. 2007. Hispanics and Asian immigrants: America’s last hope. In Debating immigration, ed. Carol Swain, 189–205. New York: Cambridge University Press.Google Scholar

Copyright information

© Springer Science+Business Media B.V. 2011

Authors and Affiliations

  1. 1.Neiswanger Institute for Bioethics and Health PolicyLoyola University ChicagoMaywoodUSA

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