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Fairfield Hospital serves a diverse community with a large number of migrant farm workers. Dr. Robyn Joseph, a nurse pra...

Fairfield Hospital serves a diverse community with a large number of migrant farm workers. Dr. Robyn Joseph, a nurse practitioner on staff at the hospital, just completed a study of a local group of farm workers which concluded that most of the workers avoid going to the hospital and its clinics for care because of fear that they or their family members will be identified and arrested by immigration and customs enforcement officers (ICE), even if the individual is in the country legally. There have been recent outbreaks of preventable, communicable diseases and at least one child has died of measles.

Fairfield Hospital has an Executive Council comprised of the lead administrators of every unit as well as representatives from doctors, nurses, other health professionals and administrative and ancillary staff. Dr. Joseph asks the executive council to discuss ways that Fairfield Hospital could engage the community with its services.

Imagine that you are on the Executive Council, what would you suggest and why?

Resources:

National Immigration Law Center - Health Care Providers and Immigration Enforcement

Schweikart, SJ (2018) Case and Commentary: Should Immigration Status Information be considered Protected Patient Information. AMA Journal of Ethics. 21:1. E32-E37.

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Answer #1

Being a member of a Executive Council following the ethics of justice health should be accessible and affordable by all in a fearless manner and get treated for their illness irrespective of any background. The hospital can make certain standard protocols as per the local community need and serve them.In simple a discussion can be made in regards to providing care to these immigrants without any customs and immigration issues or any legal issues on ethical and moral grounds. Hence the suggestion for discussion on this topic can be done to save a number of lives.

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