医疗保健和非法移民。

Patrick Glen
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引用次数: 0

摘要

非法移民在美国是否有权享受某种形式的医疗保险,这个问题是医疗改革和移民改革这两个有争议的辩论的交叉点。支持扩大医保覆盖范围的人认为,美国有道义上的义务为其境内的所有人提供医疗保健。相反,反对这样做的人认为,非法入境的移民不应该享有公共福利。本文试图在这两个极端之间找到一条中间路线,同时回答两个问题。首先,宪法是否要求将医疗保险扩大到非法移民?其次,即使没有法律强制要求,是否有令人信服的政策理由来扩大这种覆盖范围?本文的结论是,尽管现行宪法规范并不要求为非法移民提供医疗保险,但将其作为一项政策予以扩大,将符合美国更广泛的利益。从经济和公共卫生的角度来看,扩大医保覆盖范围将是有益的,为所有美国公民以及美国医疗和健康保险体系中的人带来溢出效益。
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Health care and the illegal immigrant.

The question of whether illegal immigrants should be entitled to some form of health coverage in the United States sits at the intersection of two contentious debates: health reform and immigration reform. Proponents of extending coverage argue that the United States has a moral obligation to provide health care to all those within its borders. Conversely, those against doing so argue that immigrants illegally present in the country should not be entitled to public benefits. This Article seeks to chart a middle course between these extremes while answering two questions. First, does constitutional law mandate extending health coverage to illegal immigrants? Second, even if not legally mandated, are there compelling policy reasons for extending such coverage? This Article concludes that while health coverage for illegal immigrants is not required under prevailing constitutional norms, extending coverage as a matter of policy would serve the broader interests of the United States. Extending coverage would be beneficial as a matter of economics and public health, generating spillover benefits for all US citizens and those in the US healthcare and health insurance systems.

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