Park Jin K, Chokshi Dave A
Harvard Medical School, Boston, MA, USA.
New York City Department of Health and Mental Hygiene, New York, NY 10013, USA.
Lancet Reg Health Am. 2022 Jun;10:100238. doi: 10.1016/j.lana.2022.100238. Epub 2022 Mar 19.
The COVID-19 pandemic has caused massive disruptions in social life, created significant morbidity and mortality, and has exacerbated pre-existing disparities in health and welfare. In the United States, the pandemic has also catalyzed debate regarding how our health and social services infrastructure can be improved and bolstered going forward. An important part of these discussions revolves around the vulnerability experienced by immigrant populations during the pandemic. However, the debate has too often left unquestioned what fundamental standard of health is owed to immigrants. Here, we offer a set of proposals that can chart a course for a new standard of health for immigrants in the US, some of which, as a matter of statute, can ensure that the health of immigrant populations is not contingent on the policy prerogatives of various governmental administrations. Though these proposals would establish a novel standard for immigrant health, we argue that a broader approach is needed-encompassing local, state, and federal initiatives-to ensure that all members of society are provided fundamental resources and social support.
新冠疫情给社会生活带来了巨大破坏,造成了大量发病和死亡,并加剧了现有的健康和福利差距。在美国,这场疫情还引发了关于如何改进和加强我们的健康和社会服务基础设施的辩论。这些讨论的一个重要部分围绕着移民群体在疫情期间所经历的脆弱性。然而,辩论往往没有质疑应该给予移民什么样的基本健康标准。在此,我们提出了一系列建议,可为美国移民的新健康标准指明方向,其中一些建议,根据法规,可以确保移民群体的健康不取决于各政府行政部门的政策特权。尽管这些建议将为移民健康确立一个新的标准,但我们认为需要一种更广泛的方法——包括地方、州和联邦层面的举措——以确保社会所有成员都能获得基本资源和社会支持。