Deportation of non-citizen military veterans: A critical analysis of implications for the right to health.

Deportation of non-citizen military veterans: A critical analysis of implications for the right to health.
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DOI:
10.1080/17441692.2017.1413123
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发表时间:
2018-10
影响因子:
3.3
通讯作者:
Davidson PJ
Davidson PJ
中科院分区:
医学3区
文献类型:
--
作者:
Horyniak D;Bojorquez I;Armenta RF;Davidson PJ

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军事人员在服役期间通常会面临危害健康的状况,导致与普通人群相比,出现身心健康问题的比例更高。在大规模驱逐出境的时代,值得注意的是,非公民退伍军人也不能免受驱逐。我们利用人权框架对美国退伍军人驱逐出境的潜在健康后果进行了批判性分析,确定了驱逐出境可能限制退伍军人健康权的三种方式。首先,光荣退役的被驱逐退伍军人可能无法获得免费或有补贴的退伍军人事务部医疗服务,而他们本来可能有权享受这些服务。其次,医疗保健的提供和获取可能会受到限制,原因包括加入公共保险计划的障碍、在不熟悉的卫生系统中遇到的挑战以及对被驱逐移民的耻辱和歧视。最后,由于与服务相关的健康问题方面的专业知识有限,并且缺乏对某些健康状况(例如药物滥用/依赖)的循证治疗,现有护理的质量可能不是最佳的。需要两国多部门共同努力,确保被驱逐退伍军人的健康权得到充分保护。
Military personnel are commonly exposed to health-harming conditions during their service, resulting in higher rates of physical and mental health conditions compared with the general population. In an era of mass deportations, it is notable that non-citizen military veterans are not exempt from deportation. We utilised a human rights framework to conduct a critical analysis of potential health consequences of deportation for U.S. military veterans, identifying three ways in which veterans’ rights to health may be constrained through deportation. First, honourably discharged deported veterans may be denied access to free or subsidised Veterans Affairs health services to which they would likely otherwise be entitled. Second, availability of and access to healthcare may be limited for reasons including barriers to enrolling in public insurance schemes, challenges navigating unfamiliar health systems and stigma and discrimination towards deported migrants. Finally, quality of available care may be sub-optimal due to limited expertise in service-related health issues and lack of evidence-based treatment for some health conditions (e.g. substance abuse/dependence). Binational multi-sectoral efforts are necessary to ensure that the rights to health of deported military veterans are adequately protected.
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