Nav: Home

American College of Physicians urges physicians to oppose mass deportation

September 01, 2015

The American College of Physicians (ACP) today called on physicians, individually and collectively, to speak out against proposals to deport the 12 million U.S. residents who lack documentation of legal residency status, citing the adverse impact that mass deportation would have on individual and the health of the public.

ACP has had policy since 2011 opposing mass deportation of undocumented residents while also recognizing the need for the United States to have control over who it admits within its borders and to enact and implement laws designed to reduce unlawful entry.

In recent weeks, there has been a renewed political and policy debate over deporting all U.S. residents who lack legal documentation, as well as other changes to immigration law and enforcement.

"Largely missing from the debate over immigration policies has been consideration of the potentially grave impact that large-scale deportation would have on the health of those directly affected, their families, their communities, and on overall U.S. public health," said Wayne J. Riley, MD, MPH, MBA, MACP, ACP's president. "Large-scale deportation of undocumented residents would have severe and unacceptable adverse health consequences for many millions of vulnerable people. Numerous studies show that deportation itself, as well as the fear of being deported, causes emotional distress, depression, trauma associated with imposed family separations, and distrust of anyone assumed to be associated with federal, state and local government, including physicians and other health care professionals providing care in publicly-funded hospitals and clinics."

"Such distrust can result in patients delaying and/or not obtaining needed care, including for highly infectious diseases like SARS and tuberculosis," Dr. Riley continued, "especially if physicians in publicly-funded healthcare facilities would be required to report to authorities on the immigration status of those seeking care from them, as has already been proposed by some states. We would consider such reporting requirements to be an unacceptable, impermissible intrusion on the patient-physician relationship."

Today, ACP formally reaffirmed its view, expressed in its 2011 paper, that any policy intended to force the millions of persons who now reside unlawfully in the U.S. to return to their countries of origin could result in severe health care consequences for affected persons and their family members, create a public health emergency, result in enormous costs to the health care system of treating such persons (including the significantly increased costs associated with correctional healthcare services during periods of detention), and would likely to lead to racial and ethnic profiling and discrimination. The College also reaffirmed its view that U.S.-born children of undocumented parents should have the same access to health coverage and government-subsidized health care as any other U.S. citizen, as guaranteed by the Constitution's 14th amendment.

In a related blog post, Robert Doherty, ACP's senior vice president of governmental affairs and public policy, suggested that the medical profession's own standards of ethics and professionalism may obligate physicians to advocate for the health of all persons without regard to their legal residency status. The College's Ethics Manual, Sixth Edition, he noted, affirms that "All physicians must fulfill the profession's collective responsibility to advocate for the health, human rights, and well-being of the public. . . Physicians have an important role to play in promoting health and human rights and addressing social inequities. This includes caring for vulnerable populations, such as the uninsured and victims of violence or human rights abuses. Physicians have an opportunity and duty to advocate for the needs of individual patients as well as society."

Finally, ACP reaffirmed its 2011 call for a national immigration policy on health care that balances legitimate needs and concerns to control the country's borders, that makes appropriate distinctions in eligibility for publicly-funded benefits between those who entered lawfully and those who did not, and that ensures that all U.S. residents have access to health care.

"The national debate over immigration policy today is at a key juncture," Dr. Riley concluded. "Physicians and other health professionals must remind politicians and policymakers that deporting millions of vulnerable people would have adverse health care consequences, not only for the people directly affected and their families, but also, for their local communities and for the United States as whole. Instead, we need a balanced immigration policy that ensures access to healthcare for all U.S. residents while recognizing that we need appropriate controls over who is admitted."
-end-
The American College of Physicians is the largest medical specialty organization and the second-largest physician group in the United States. ACP members include 143,000 internal medicine physicians (internists), related subspecialists, and medical students. Internal medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness. Follow ACP on Twitter and Facebook.

American College of Physicians

Related Public Health Articles:

Public health guidelines aim to lower health risks of cannabis use
Canada's Lower-Risk Cannabis Use Guidelines, released today with the endorsement of key medical and public health organizations, provide 10 science-based recommendations to enable cannabis users to reduce their health risks.
Study clusters health behavior groups to broaden public health interventions
A new study led by a University of Kansas researcher has used national health statistics and identified how to cluster seven health behavior groups based on smoking status, alcohol use, physical activity, physician visits and flu vaccination are associated with mortality.
Public health experts celebrate 30 years of CDC's prevention research solutions for communities with health disparities
It has been 30 years since CDC created the Prevention Research Centers (PRC) Program, currently a network of 26 academic institutions across the US dedicated to moving new discoveries into the communities that need them.
Public health experts support federally mandated smoke-free public housing
In response to a new federal rule mandating smoke-free policies in federally funded public housing authorities, three public health experts applaud the efforts of the US Department of Housing and Urban Development to protect nonsmoking residents from the harmful effects of tobacco exposure.
The Lancet Public Health: UK soft drinks industry levy estimated to have significant health benefits, especially among children
The UK soft drinks industry levy, due to be introduced in April 2018, is estimated to have significant health benefits, especially among children, according to the first study to estimate its health impact, published in The Lancet Public Health.
Social sciences & health innovations: Making health public
The international conference 'Social Sciences & Health Innovations: Making Health Public' is the third event organized as a collaborative endeavor between Maastricht University, the Netherlands, and Tomsk State University, the Russian Federation, with participation from Siberian State Medical University (the Russian Federation).
Columbia Mailman School Awards Public Health Prize to NYC Health Commissioner Dr. Mary T.
Dr. Mary T. Bassett, Commissioner of the New York City Department of Health and Mental Hygiene, was awarded the Frank A.
Poor health literacy a public health issue
America's poor record on health literacy is a public health issue, but one that can be fixed -- not by logging onto the internet but by increased interaction with your fellow human beings, a Michigan State University researcher argues.
Despite health law's bow to prevention, US public health funding is dropping: AJPH study
Although the language of the Affordable Care Act emphasizes disease prevention -- for example, mandating insurance coverage of clinical preventive services such as mammograms -- funding for public health programs to prevent disease have actually been declining in recent years.
'Chemsex' needs to become a public health priority
Chemsex -- sex under the influence of illegal drugs -- needs to become a public health priority, argue experts in The BMJ this week.

Related Public Health Reading:

Best Science Podcasts 2019

We have hand picked the best science podcasts for 2019. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Climate Crisis
There's no greater threat to humanity than climate change. What can we do to stop the worst consequences? This hour, TED speakers explore how we can save our planet and whether we can do it in time. Guests include climate activist Greta Thunberg, chemical engineer Jennifer Wilcox, research scientist Sean Davis, food innovator Bruce Friedrich, and psychologist Per Espen Stoknes.
Now Playing: Science for the People

#527 Honey I CRISPR'd the Kids
This week we're coming to you from Awesome Con in Washington, D.C. There, host Bethany Brookshire led a panel of three amazing guests to talk about the promise and perils of CRISPR, and what happens now that CRISPR babies have (maybe?) been born. Featuring science writer Tina Saey, molecular biologist Anne Simon, and bioethicist Alan Regenberg. A Nobel Prize winner argues banning CRISPR babies won’t work Geneticists push for a 5-year global ban on gene-edited babies A CRISPR spin-off causes unintended typos in DNA News of the first gene-edited babies ignited a firestorm The researcher who created CRISPR twins defends...