Posts Tagged ‘Medicare Modernization Act’

Dia de los Muertos, Dia de los Vivos

November 12, 2008

On the Dia de los Muertos, just days before the Day of the Living (November 4th), students from the University of Minnesota, Augsburg College, and Minneapolis Community & Technology College marched to remember the 1,954 border-crossing deaths the Border Patrol estimates occurred between 1998-2004. Those numbers continue to rise every year, with increased militarization and border barriers redirecting immigrants to more dangerous regions. (http://www.mndaily.com/2008/11/01/d%C3%AD-de-los-muertos-procession-honors-immigrant-deaths)

500 students marched in South Minneapolis as part of this event by Minnesota Immigrant Rights Action Coalition. Beginning at the Holy Rosary/Santo Rosario Catholic Church and finishing at El Milagro: The Miracle Lutheran Church, these protestors tried to publicize the fact that annual border crossing deaths have doubled in the ten years since 2005. As the participants read these names aloud, the air grew chill with the realization that our country’s policies are directly causing deaths.

Our new President-elect is inheriting an office faced with a teeming host of problems. American policies are causing deaths, both American and global, in far-reaching places like Iraq and Afghanistan and Somalia, but our legislation is also leading to deaths as close as Arizona, California, and Texas. Immigrants lured by employers and kept in a dependent work-relationship die every year, failing to get the health benefits and insurance they need. Hospitals like Saint Joseph’s in Phoenix repatriate about eight uninsured patients a month. While Vice-President Sister Margaret McBride said this is just a part of them trying to “be good stewards of the resources we have,” hospital El Centro Regional Medical Center in California refuses to forcefully deport immigrant patients. CEO David Green of that hospital said, “We don’t export patients. I can understand the frustrations of other hospitals, but the flip side is the human being element.” (http://www.nytimes.com/2008/11/09/us/09deport.html?_r=1&scp=1&sq=immigrant%20hospital&st=cse&oref=slogin)

Although healthcare is distant fourth on the upcoming President’s agenda and immigration a distant fifth or sixth, our lack of universal healthcare and lack of immigration reform creates a “perfect storm” which establishes bizarre incentives for hospitals to rid themselves of uninsured patients. Illegal immigrants are only partially covered by emergency Medicaid or, for the last few years at least, through the Medicare Modernization Act of 2003 (expired in October). Infants, even legal citizens like Elliott Bustamente who was born at University Medical Center in Tucson, are often ordered to be transferred to a Mexican hospital regardless of his heart defect or Down Syndrome. Dr. Stephen Larson, migrant health expert at the Hospital of the University of Pennsylvania, states that, “You’re given an out by there not being formal regulations. The question is whether or not litigation, or prosecution, catches up and hospitals start to be held liable.” Dr. Robert Margolin of the California Medical Association, confessed that, ““While we empathize with hospitals that must provide uncompensated care to undocumented immigrants, we overwhelmingly oppose the practice of repatriating patients without their consent.” (http://www.nytimes.com/2008/11/09/us/09deport.html?_r=1&scp=1&sq=immigrant%20hospital&st=cse&oref=slogin ). For hospitals that refuse to repatriate patients without their consent, though, this incurs prohibitive costs which are only partially covered by the State.

Hospitals are put between a rock and a hard place, when 12 million extralegal immigrants are not allowed to acquire employer-based or private insurance and our current healthcare system doesn’t pick up the costs. Being married to a hospital administrator and being the son of a healthcare executive, I uniquely understand the plight of hospitals as it gets harder and harder for them to survive financially. However, the forced repatriation of people based on racial profiling and lack of insurance certainly does not solve immigration issues nor does it adequately address the needs of hospitals. As President-elect Obama prepares to take the Oval Office, it is our duty as citizens to keep these issues in the forefront of his mind.


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