Ethical medical repatriation of guest workers: Criteria and challenges

Healthcare facilities in receiving countries regularly encounter guest workers whose need for acute or subacute care triggers the prospect of termination of employment and repatriation. In these scenarios, country-specific migration and employment policies and norms of medical professionalism and et...

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Main Authors: Voo, Teck-Chuan, Kaur, Sharon, Rajaraman, Natarajan
Format: Article
Published: 2021
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Online Access:http://eprints.um.edu.my/27012/
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spelling my.um.eprints.270122022-04-08T05:30:13Z http://eprints.um.edu.my/27012/ Ethical medical repatriation of guest workers: Criteria and challenges Voo, Teck-Chuan Kaur, Sharon Rajaraman, Natarajan HD Industries. Land use. Labor JV Colonies and colonization. Emigration and immigration. International migration Healthcare facilities in receiving countries regularly encounter guest workers whose need for acute or subacute care triggers the prospect of termination of employment and repatriation. In these scenarios, country-specific migration and employment policies and norms of medical professionalism and ethics offer some guidance, but also create tensions. It is not clear under what conditions such medical repatriation is ethically permissible. This paper analyses the application of a previously articulated criteria for the ethical medical repatriation of undocumented immigrants, to the situation of documented guest workers, with focus on the context of Singapore. We examine how these standards could be adapted and applied to the provision of care for guest workers, and argue that healthcare institutions and medical professionals have a duty to intervene in employers' decisions to repatriate guest workers for medico-economic reasons when repatriation essentially amounts to `patient dumping'. Barriers and challenges in implementing the criteria, and their possible solutions will be discussed. 2021-12 Article PeerReviewed Voo, Teck-Chuan and Kaur, Sharon and Rajaraman, Natarajan (2021) Ethical medical repatriation of guest workers: Criteria and challenges. Developing World Bioethics, 21 (4). pp. 227-236. ISSN 14718731, DOI https://doi.org/10.1111/dewb.12286 <https://doi.org/10.1111/dewb.12286>. 10.1111/dewb.12286
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic HD Industries. Land use. Labor
JV Colonies and colonization. Emigration and immigration. International migration
spellingShingle HD Industries. Land use. Labor
JV Colonies and colonization. Emigration and immigration. International migration
Voo, Teck-Chuan
Kaur, Sharon
Rajaraman, Natarajan
Ethical medical repatriation of guest workers: Criteria and challenges
description Healthcare facilities in receiving countries regularly encounter guest workers whose need for acute or subacute care triggers the prospect of termination of employment and repatriation. In these scenarios, country-specific migration and employment policies and norms of medical professionalism and ethics offer some guidance, but also create tensions. It is not clear under what conditions such medical repatriation is ethically permissible. This paper analyses the application of a previously articulated criteria for the ethical medical repatriation of undocumented immigrants, to the situation of documented guest workers, with focus on the context of Singapore. We examine how these standards could be adapted and applied to the provision of care for guest workers, and argue that healthcare institutions and medical professionals have a duty to intervene in employers' decisions to repatriate guest workers for medico-economic reasons when repatriation essentially amounts to `patient dumping'. Barriers and challenges in implementing the criteria, and their possible solutions will be discussed.
format Article
author Voo, Teck-Chuan
Kaur, Sharon
Rajaraman, Natarajan
author_facet Voo, Teck-Chuan
Kaur, Sharon
Rajaraman, Natarajan
author_sort Voo, Teck-Chuan
title Ethical medical repatriation of guest workers: Criteria and challenges
title_short Ethical medical repatriation of guest workers: Criteria and challenges
title_full Ethical medical repatriation of guest workers: Criteria and challenges
title_fullStr Ethical medical repatriation of guest workers: Criteria and challenges
title_full_unstemmed Ethical medical repatriation of guest workers: Criteria and challenges
title_sort ethical medical repatriation of guest workers: criteria and challenges
publishDate 2021
url http://eprints.um.edu.my/27012/
_version_ 1735409487959818240
score 13.211869