Medical Repatriation in the United States: An Ethical Appraisal

Abstract

Purpose: To examine the historical dimensions and ethical boundaries of medical repatriation, particularly as they relate to patients, health care providers, and hospitals. Methods: The methods employed in this analysis are rooted in the traditions and techniques of modern philosophy, medical ethics, and applied ethical theory. Results: After exploration and critical evaluation of the history and motivations behind medical repatriation, considerations against the practice are advanced. Drawing on the ethical dimensions of informed consent, equality, distributive justice, transparency, and trust, the tension between medical repatriation and the ethical duties of health care providers is assessed. Conclusions: At this time of great change in health care and immigration policy, clarity about our ethical obligations to undocumented immigrants is crucial if we are to create systems that are not only efficient, coordinated, and technologically sophisticated but also equitable for those who are vulnerable.