Indiana University Melvin and Bren Simon Cancer Center, Indiana University School of Medicine, Indianapolis, IN, USA.
J Oncol Pract. 2012 Jul;8(4):212-4. doi: 10.1200/JOP.2011.000470. Epub 2012 Apr 3.
Estimates from 2010 suggest that more than 11 million unauthorized immigrants reside in the United States. Many oncologists have struggled with how to fulfill their perceived obligation to treat unauthorized immigrant patients with cancer and no access to financial resources. Because of current realities in medical economics and reimbursement policies, there is simply not a large enough profit margin in most practices to offer free care to everyone who needs it. In this article, I attempt to clarify why we feel such an obligation to do so and whether the reasons behind this sense of obligation point us toward a consistent stance we should have toward unauthorized immigrant patients who seek treatment from us.
据 2010 年的估计,美国有超过 1100 万非法移民。许多肿瘤学家一直在努力思考如何履行他们认为有义务治疗没有财务资源的癌症非法移民患者。由于当前医疗经济和报销政策的现实情况,大多数医疗机构根本没有足够的利润空间来为每个需要的人提供免费护理。在本文中,我试图澄清为什么我们感到有这样的义务,以及这种义务感背后的原因是否指向我们对寻求我们治疗的非法移民患者应持有的一致立场。