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08-20-2008, 09:52 AM #1
Sending sick undocumented immigrants back home
Sending sick undocumented immigrants back home
It's a last resort.
That's how Chicago's Mount Sinai Hospital describes its practice of sending undocumented immigrants back to their country of origin.
Cara Pacione, director of social services, spoke to me about the hospital's experience as I was preparing a story for Wednesday's paper.
The New York Times wrote an extensive piece about the controversial practice two weeks ago, thrusting it into the national spotlight.
The Tribune also examined the topic in articles about a stroke survivor sent to the Philippines by a Des Plaines nursing home because he was uninsured. Orlando Lopez, an undocumented Filipino alien, was afraid he'd die after the Nov. 2005 transfer – and he did.
Pacione says that hasn't happened to Mount Sinai former patients. Over the last six years, the hospital has returned people in the U.S. illegally to Mexico, Poland, Lithuania, Honduras and Guatemala after serious illnesses and accidents. For the most part, the transfers worked out "relatively well," she says.
All were moved with their own consent or that of their families, and in each case Chicago doctors talked to colleagues in the patient's country of origin "to make sure they would offer an appropriate level of care," Pacione explains.
That's not good enough, some advocates argue. Once a patient returns to a country such as Mexico, a hospital that initially accepts him can later transfer him to another, sub-standard facility and he'll have no resource, said Sonal Ambergaokar, health policy attorney for the National Immigration Law Center.
It's one thing for a patient to give medical consent to a transfer; it's another thing to waive rights to challenge what is in effect a deportation, Ambergaokar argues. She's willing to believe hospitals do the former and doubts they do the latter.
The hard reality is there are no good choices for undocumented immigrants who need long-term services.
Staying in a hospital for months or even years can be dangerous; these institutions are breeding grounds for infection and aren't designed for chronic care. Finding another facility willing to take someone without insurance is nearly impossible. (Illinois doesn't pay for nursing home care for illegal immigrants.)
If a patient is in relatively good condition, arrangements can often be made to help them be cared for at home, relying on family members and community supports, Pacione says. Mount Sinai will help by providing home health services and physical and occupational therapy free of charge.
But if an immigrant patient is bad off, requiring extensive nursing care, their family typically won't be able to shoulder the expense of in-home care. That's when the hospital has to start looking for other alternatives, including sending the person back where they came from, Pacione says.
Pacione tells of a Lithuanian man in his 40s who ended up staying at the hospital 13 months after a traumatic brain injury. Eventually, hospital officials located his mother in Lithuania and arranged for him to return to that country, first to spend several months in a rehabilitation facility and then with his mother at home.
The Lithuanian consulate helped prepare the necessary documents and a Mount Sinai physician and physical therapist escorted the patient on the flight abroad.
The University of Illinois Medical Center at Chicago, embroiled in a current controversy over a Mexican man in a coma, also has had experience with the practice. In the past two years, the hospital has returned two patients to Poland and one to Mexico, said Dr. William Chamberlin, chief medical officer.
In one case, it flew a patient's wife to Chicago so she could accompany him on the return flight to Mexico, he said.
Legally, U.S. hospitals are responsible for treating all patients in medical emergencies and finding a setting with adequate services to send them to once they've been stabilized. The intent of existing laws is to prevent indigent patients from being dumped on the street or at home.
In years past, Cook County agreed to support some of these patients for years in the long-term care unit at Oak Forest Hospital. But most of the unit's beds have been closed and Cook County has indicated it will not pay for long-term services for new undocumented immigrants going forward.
Do you think hospitals have an obligation to keep treating these patients in the U.S. rather than shipping them off to the countries they left behind? What about these countries' obligations? Should they assume responsibility for people who are still, legally, their citizens?
I'm eager to hear additional stories about how patients are affected by this practice if you're willing to share them.
http://newsblogs.chicagotribune.com/tri ... ck-un.htmlJoin our efforts to Secure America's Borders and End Illegal Immigration by Joining ALIPAC's E-Mail Alerts network (CLICK HERE)
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08-20-2008, 09:55 AM #2
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08-20-2008, 10:18 AM #3
If we let them people will just keep throwing themselves across our doorstep, looking for help. Millions upon millions from every impoverished nation on the planet, if they can figure out a way to get here. We have to draw the line somewhere. We already have a far larger international humanitarian outreach than any other country on the planet.
"Men of low degree are vanity, Men of high degree are a lie. " David
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08-20-2008, 11:04 AM #4
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What a mess these scoundrels calling themselves politicians have made of our Country.
We can't deport them all ? Just think of the fun we could have trying!
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08-20-2008, 11:29 AM #5
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If a patient is in relatively good condition, arrangements can often be made to help them be cared for at home, relying on family members and community supports, Pacione says. Mount Sinai will help by providing home health services and physical and occupational therapy free of charge.
Flying someone's wife to this country to accompany the husband back home is ridiculous. I would have rather seen that round-trip ticket given to someone that has medical training and needs a well-deserved vacation.[/b][/quote]Join our efforts to Secure America's Borders and End Illegal Immigration by Joining ALIPAC's E-Mail Alerts network (CLICK HERE)
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08-20-2008, 12:34 PM #6
We aren't responsible for the health care services in the Phillipines or Mexico or any other nation. If they aren't as good as ours, so what? That's their problem. Americans die every day from strokes and illness.
Get these people out of here before they get sick or hurt themselves or one of US, so these organizations can stop whining about illegal aliens.
Just. Get. Them. Out. Of. Here.
We're in a Depression, counted unemployment has spiked to 5.7% and there's at least that many more the government doesn't even count. North Carolina's rate has already spiked to 6.6%. Foreclosure rates have tripled from 1% to 3%. The banks are failing, our industrial base is dwindling, our governments are out of money and our economy is running massive trade deficits.
Wake Up People!!!
Jobs Out (Free Trade Treason) + People In (Illegal Immigration) = Bankrupt Nation
It's not complicated. It's very simple.A Nation Without Borders Is Not A Nation - Ronald Reagan
Save America, Deport Congress! - Judy
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08-20-2008, 12:41 PM #7Originally Posted by Justonehero
When a politician opens their mouth about "immigration reform" "we're a nation of immigrants" "doing the jobs Americans won't do" "give me your huddled masses yearning to be free" just tell them to Shut the Frick Up and Enforce US Law. And if they don't, then vote their treasonous butts out of office in November.
It's non-negotiable. We're in the worst depression in world history and there is no room in this US Inn for even one mouth that isn't supposed to be inside our borders. Wake Up People.
A Nation Without Borders Is Not A Nation - Ronald Reagan
Save America, Deport Congress! - Judy
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08-20-2008, 12:50 PM #8
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The New York Times wrote an extensive piece about the controversial practice two weeks ago, thrusting it into the national spotlight
And to those who claim such policies will prevent illegals from seeking care. Well... If it's an emergency and your life is in danger, not even an ignorant illegal would deny themselves treatment! They may however, think twice about using the emergency room as their source of primary care.Join our efforts to Secure America's Borders and End Illegal Immigration by Joining ALIPAC's E-Mail Alerts network (CLICK HERE)
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08-20-2008, 01:20 PM #9Legally, U.S. hospitals are responsible for treating all patients in medical emergencies and finding a setting with adequate services to send them to once they've been stabilized.
Once the emergency is over and the illegal alien patient has stabilized, their respective consulate should be responsible for making arrangements for obtaining and paying for the necessary follow-up care. The consulate should also be billed for the emergency care rendered so the country of origin's government becomes responsible for its citizens."Distrust and caution are the parents of security."
Benjamin Franklin
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08-20-2008, 01:25 PM #10
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Originally Posted by MyAmerica
Providing "aid" to their people, should also include picking up the tab when their illegal invader citizens become ill in this country...Join our efforts to Secure America's Borders and End Illegal Immigration by Joining ALIPAC's E-Mail Alerts network (CLICK HERE)
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