Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany.
Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.
Int J Health Policy Manag. 2017 Jun 1;6(6):349-351. doi: 10.15171/ijhpm.2016.139.
Recourse to a purported ideal of societal homogeneity has become common in the context of the refugee reception crisis - not only in Japan, as Leppold et al report, but also throughout Europe. Calls for societal homogeneity in Europe originate from populist movements as well as from some governments. Often, they go along with reduced social support for refugees and asylum seekers, for example in healthcare provision. The fundamental right to health is then reduced to a citizens' right, granted fully only to nationals. Germany, in spite of welcoming many refugees in 2015, is a case in point: entitlement and access to healthcare for asylum seekers are restricted during the first 15 months of their stay. We show that arguments brought forward to defend such restrictions do not hold, particularly not those which relate to maintaining societal homogeneity. European societies are not homogeneous, irrespective of migration. But as migration will continue, societies need to invest in what we call "globalization within." Removing entitlement restrictions and access barriers to healthcare for refugees and asylum seekers is one important element thereof.
在难民接收危机的背景下,诉诸于所谓的社会同质性理想已变得很常见——不仅在日本如 Leppold 等人所报告的那样,而且在整个欧洲也是如此。欧洲对社会同质性的呼吁既来自民粹主义运动,也来自一些政府。通常,这伴随着对难民和寻求庇护者的社会支持减少,例如在医疗保健方面。基本的健康权随后被缩减为公民权,仅完全授予国民。德国就是一个例子,尽管在 2015 年接纳了许多难民,但在他们逗留的头 15 个月里,寻求庇护者的医疗保健权益和获得医疗保健的机会受到限制。我们表明,为捍卫这种限制而提出的论点站不住脚,尤其是那些与维护社会同质性有关的论点。无论是否存在移民,欧洲社会都不是同质的。但是随着移民的持续,社会需要投资于我们所谓的“全球化内部”。取消难民和寻求庇护者的医疗保健权益限制和获得医疗保健的障碍是其中的一个重要因素。