Dundee University Medical School, Dundee, Scotland.
Br J Gen Pract. 2009 Oct;59(567):765-72. doi: 10.3399/bjgp09X472539.
The UK government has recently consulted on proposals to prohibit access to health care for some asylum seekers. This discussion paper considers the wider ethical, moral, and political issues that may arise from this policy. In particular, it explores the relationship between immigration and health and examines the impact of forced migration on health inequalities. It will be argued that it is both unethical and iniquitous to use health policy as a means of enforcing immigration policy. Instead, the founding principle of the NHS of equal access on the basis of need should be borne in mind when considering how to meet the needs of this population.
英国政府最近就一些寻求庇护者获得医疗保健服务的相关限制提议进行了磋商。本文考虑了该政策可能引发的更广泛的伦理、道德和政治问题。具体而言,本文探讨了移民与健康之间的关系,并审视了强制迁移对健康不平等的影响。本文认为,将卫生政策作为执行移民政策的手段既不道德,也不公平。相反,在考虑如何满足这部分人群的需求时,应该牢记国民保健制度的基本理念,即基于需求的平等获得医疗服务。