Skip to main content
Erschienen in: Health Care Analysis 4/2010

01.12.2010 | Original Article

The Ethics of Health Barriers to Immigration: Morality Among Neighbours

verfasst von: Eike-Henner W. Kluge

Erschienen in: Health Care Analysis | Ausgabe 4/2010

Einloggen, um Zugang zu erhalten

Abstract

Many countries encourage immigration, yet almost without exception they impose medical conditions on the admissibility of prospective immigrants. This paper examines the ethical defensibility of this practice. It argues that the neighbourhood principle, which states that we owe a greater duty to neighbours than to strangers, when properly understood, extends to all human beings, that economic and safety considerations play only a limited role in ethically underwriting an exclusionary policy, and that medical immigration criteria should be harmonized with treatment eligibility criteria for citizens of the relevant countries themselves.
Fußnoten
1
In Kantian terms, providing that care would a supererogatory act, not a duty.
 
2
It is a separate question whether there lies a duty to admit medically needy immigrants who do not pose a public danger but who, because of their health condition, will be unable to sustain themselves economically and consequently will become a drain on public resources.
 
Literatur
1.
Zurück zum Zitat A(FC) and others v. secretary of state for the home department (2004) UKHL 56. A(FC) and others v. secretary of state for the home department (2004) UKHL 56.
2.
Zurück zum Zitat Bloomfield, A., & Logan, R. (2003). Quality improvement perspective and healthcare funding decisions. BMJ, 327(7412), 439–443.CrossRefPubMed Bloomfield, A., & Logan, R. (2003). Quality improvement perspective and healthcare funding decisions. BMJ, 327(7412), 439–443.CrossRefPubMed
5.
Zurück zum Zitat Canada Immigration and Refugee Protection Act (2001, c. 27) 38(1). Canada Immigration and Refugee Protection Act (2001, c. 27) 38(1).
6.
Zurück zum Zitat Canada Immigration and Refugee Protection Act (2001, c. 27) 38(1); US Immigration & Nationality Act, Section 212(a)(1)(A)(I); Japan Immigration Control and Refugee Recognition Act, Article 5. Canada Immigration and Refugee Protection Act (2001, c. 27) 38(1); US Immigration & Nationality Act, Section 212(a)(1)(A)(I); Japan Immigration Control and Refugee Recognition Act, Article 5.
7.
Zurück zum Zitat Clayton, J. (1935). The rewards of labour. New Blackfriars. [2(16), 195]. Clayton, J. (1935). The rewards of labour. New Blackfriars. [2(16), 195].
8.
Zurück zum Zitat Daniels, N. (2201). Just health care. Cambridge: Cambridge University Press. Daniels, N. (2201). Just health care. Cambridge: Cambridge University Press.
9.
Zurück zum Zitat Donoghue (or M’Alister) v Stevenson ([1932] A.C. 562, 1932 S.C. (H.L.) 31, [1932] All ER Rep 1). Donoghue (or M’Alister) v Stevenson ([1932] A.C. 562, 1932 S.C. (H.L.) 31, [1932] All ER Rep 1).
11.
Zurück zum Zitat Gat, M. (1997). The Jewish exodus from Iraq, 1948–1951. London: Routledge. Gat, M. (1997). The Jewish exodus from Iraq, 1948–1951. London: Routledge.
12.
Zurück zum Zitat Gibbs, R. (2006). Hermann Cohen’s Ethics. Leiden: Brill Academic Publishers. Gibbs, R. (2006). Hermann Cohen’s Ethics. Leiden: Brill Academic Publishers.
13.
Zurück zum Zitat Goodman, L. E. (2008). Love they neighbour as thyself. Oxford: Oxford University Press.CrossRef Goodman, L. E. (2008). Love they neighbour as thyself. Oxford: Oxford University Press.CrossRef
14.
Zurück zum Zitat Kant, I. (1973). Metaphysik der Sitten. Prussian Academy Edition, 1914. Berlin: Georg Reimer. Vol. VI, p. 396 lls. 24–26. Kant, I. (1973). Metaphysik der Sitten. Prussian Academy Edition, 1914. Berlin: Georg Reimer. Vol. VI, p. 396 lls. 24–26.
15.
Zurück zum Zitat Kant, I. (1793) Metaphysik der Sitten. Prussian Academy Edition, 1914. Berlin: Georg Reimer. Vol. VI; Part II, Von der Tugendpflicht Gegen Andere, §§ 23–46. Kant, I. (1793) Metaphysik der Sitten. Prussian Academy Edition, 1914. Berlin: Georg Reimer. Vol. VI; Part II, Von der Tugendpflicht Gegen Andere, §§ 23–46.
16.
Zurück zum Zitat Kingsley Davis, K., Bernstam, M. S., & Ricardo-Campbell, R. (2006). Below-replacement fertility in industrial societies: Causes, consequences, policies. Cambridge and London: Cambridge University Press. Kingsley Davis, K., Bernstam, M. S., & Ricardo-Campbell, R. (2006). Below-replacement fertility in industrial societies: Causes, consequences, policies. Cambridge and London: Cambridge University Press.
17.
Zurück zum Zitat Locke, J. Two Treatises of government. Locke, J. Two Treatises of government.
18.
Zurück zum Zitat Longman Dictionary of Contemporary English, (4th ed.) ISBN 9781405811262. Longman Dictionary of Contemporary English, (4th ed.) ISBN 9781405811262.
19.
Zurück zum Zitat Mill, J. S. (1848). Principles of political economy. Mill, J. S. (1848). Principles of political economy.
20.
Zurück zum Zitat Merriam Webster Collegiate Dictionary [13] (11th ed.) ISBN 9780877798095. Merriam Webster Collegiate Dictionary [13] (11th ed.) ISBN 9780877798095.
21.
Zurück zum Zitat Nozick, R. (1974). Anarchy, state, and utopia. New York: Basic Books. Nozick, R. (1974). Anarchy, state, and utopia. New York: Basic Books.
22.
Zurück zum Zitat Oberlander, J., Marmor, T., & Jacobs, L. (2001). Rationing medical casre: Rhetoric, and reality in the poregan health plan. CMAJ, 164(11), 163–168. Oberlander, J., Marmor, T., & Jacobs, L. (2001). Rationing medical casre: Rhetoric, and reality in the poregan health plan. CMAJ, 164(11), 163–168.
23.
25.
Zurück zum Zitat President’s Commission for the Study of Ethical Issues in Medicine, Biomedical, Behavioural Research. (1983). Securing access to health care: A report on the ethical implications of differences in the availability of health services. Washington DC: President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. President’s Commission for the Study of Ethical Issues in Medicine, Biomedical, Behavioural Research. (1983). Securing access to health care: A report on the ethical implications of differences in the availability of health services. Washington DC: President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research.
27.
Zurück zum Zitat Rawls, J. (1999). A theory of justice. Cambridge: Harvard University Press. Rawls, J. (1999). A theory of justice. Cambridge: Harvard University Press.
28.
Zurück zum Zitat Rohbeck, J. (1984) Property and labour in the social philosophy of John Locke” translated from the German by Leslie Grega. In History of European ideas. 5:65–77. Rohbeck, J. (1984) Property and labour in the social philosophy of John Locke” translated from the German by Leslie Grega. In History of European ideas. 5:65–77.
29.
Zurück zum Zitat Romanow, R. (2002). Building on values: The future of health care in Canada. Ottawa: Final Report of the Royal Commission on the Future of Health Care in Canada. Romanow, R. (2002). Building on values: The future of health care in Canada. Ottawa: Final Report of the Royal Commission on the Future of Health Care in Canada.
30.
Zurück zum Zitat Rousseau, J.-J. (1754). Discourse on the Origin and Basis of Inequality Among Men (Discours sur l’origine et les fondements de l’inégalité parmi les hommes). Rousseau, J.-J. (1754). Discourse on the Origin and Basis of Inequality Among Men (Discours sur l’origine et les fondements de l’inégalité parmi les hommes).
31.
Zurück zum Zitat Rousseau, J.-J. (1762). The social contract, or principles of political right. Rousseau, J.-J. (1762). The social contract, or principles of political right.
32.
Zurück zum Zitat Ryan, A. (1984). Property and political theory. Oxford, New York, N.Y.: Blackwell. Ryan, A. (1984). Property and political theory. Oxford, New York, N.Y.: Blackwell.
33.
Zurück zum Zitat Sartorius, R. (1984). Persons and property. In R. G. Frey (Ed.), Utility and rights (pp. 196–214). Minneapolis: University of Minnesota Press. Sartorius, R. (1984). Persons and property. In R. G. Frey (Ed.), Utility and rights (pp. 196–214). Minneapolis: University of Minnesota Press.
34.
35.
Zurück zum Zitat Tully, J. (1980). A discourse on property John Locke and his adversaries. Cambridge: Cambridge University Press.CrossRef Tully, J. (1980). A discourse on property John Locke and his adversaries. Cambridge: Cambridge University Press.CrossRef
40.
Zurück zum Zitat US Immigration & Nationality Act, Section 212(a)(1)(A)(i). US Immigration & Nationality Act, Section 212(a)(1)(A)(i).
41.
Zurück zum Zitat Waldron, J. (1988). The right to private property. Oxford: Clarendon Press. Waldron, J. (1988). The right to private property. Oxford: Clarendon Press.
42.
Zurück zum Zitat Zolberg, A. R. (2006). A nation by design: Immigration policy in the fashioning of America. Cambridge: Harvard University Press. Zolberg, A. R. (2006). A nation by design: Immigration policy in the fashioning of America. Cambridge: Harvard University Press.
Metadaten
Titel
The Ethics of Health Barriers to Immigration: Morality Among Neighbours
verfasst von
Eike-Henner W. Kluge
Publikationsdatum
01.12.2010
Verlag
Springer US
Erschienen in
Health Care Analysis / Ausgabe 4/2010
Print ISSN: 1065-3058
Elektronische ISSN: 1573-3394
DOI
https://doi.org/10.1007/s10728-009-0142-z

Weitere Artikel der Ausgabe 4/2010

Health Care Analysis 4/2010 Zur Ausgabe