Ethical, Legal and Social Aspects of Healthcare for Migrants: Perspectives from the UK and Germany

319 Pages·2019·4.533 MB·English

by  Katja Kuehlmeyer (editor), Corinna Klingler (editor), Richard Huxtable (editor)

Ethical, Legal and Social Aspects
of Health Care for Migrants
Numerous important issues arise in relation to the health of, and health care for
(and by), migrants. Much of the commentary on the migrant ‘crisis’ and health
care has focused on the allocation of resources, with less discussion of the needs
of, and provision for, migrants. Presenting a comparative perspective on the UK
and Germany, this volume increases knowledge of a broad spectrum of chal-
lenges in health care provision for migrants.
‘Migration’ is deliberately understood in its broadest sense and includes not
only migrant patients but also migrant health care professionals. The book’s con-
tent is diverse, with insights from health care ethics, health care law, along with
clinical perspectives as well as perspectives from the social sciences. The collec-
tion provides normative reflections on current issues and presents data from em-
pirical studies. By informing researchers, politicians and health care practitioners
about approaches to challenges arising in health care provision for migrants, the
collection seeks to inform the development of adequate and ethically appropriate
strategies.
Katja Kuehlmeyer, Dr. rer. biol. hum., is Research Associate at the Institute of
Ethics, History and Theory of Medicine at LMU Munich. She works on various
topics at the intersection of psychology, health and ethics.
Corinna Klingler, MSc, has recently finished her doctoral research on integration
of migrant physicians in Germany and is currently working on translational bio-
ethics as a postdoctoral researcher at the QUEST Center of the Berlin Institute
of Health.
Richard Huxtable, LLB, MA, PhD, is Professor of Medical Ethics and Law
and Director of the Centre for Ethics in Medicine, University of Bristol, UK. He
works primarily on ethics and law at the end of life, surgical ethics, and clinical
ethics support.
Law and Migration
Series Editor: Satvinder S. Juss, King’s College London, UK
Migration and its subsets of refugee and asylum policy are rising up the policy
agenda at national and international level. Current controversies underline the
need for rational and informed debate of this widely misrepresented and little
understood area.
Law and Migration contributes to this debate by establishing an edited volume
series to encourage discussion and help to inform policy in this area. The series
provides a forum for leading new research principally from the Law and Legal
Studies area but also from related social sciences. The series is broad in scope,
covering a wide range of subjects and perspectives.
Bureaucracy, Law and Dystopia in the United Kingdom’s Asylum System
John R. Campbell
Children’s Rights and Refugee Law
Conceptualising Children within the Refugee Convention
Samantha Arnold
Law and Asylum
Space, Subject, Resistance
Simon Behrman
Ethical, Legal and Social Aspects of Health Care for Migrants:
Perspectives from the UK and Germany
Edited by Katja Kuehlmeyer, Corinna Klingler and Richard Huxtable
Environmental Change, Forced Displacement and International Law from
legal protection gaps to protection solutions
Isabel M. Borges
For more information about this series, please visit:
www.routledge.com/Law-and-Migration/book-series/LAWANDMIG
Ethical, Legal and Social
Aspects of Health Care for
Migrants
Perspectives from the UK and Germany
Edited by
Katja Kuehlmeyer,
Corinna Klingler and
Richard Huxtable
First published 2019
by Routledge
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
and by Routledge
52 Vanderbilt Avenue, New York, NY 10017
Routledge is an imprint of the Taylor & Francis Group, an informa
business
© 2019 selection and editorial matter, Katja Kuehlmeyer, Corinna
Klingler and Richard Huxtable; individual chapters, the contributors
The right of Katja Kuehlmeyer, Corinna Klingler and Richard Huxtable
to be identified as the authors of the editorial material, and of the authors
for their individual chapters, has been asserted in accordance with
sections 77 and 78 of the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced
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or in any information storage or retrieval system, without permission in
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or registered trademarks, and are used only for identification and
explanation without intent to infringe.
British Library Cataloguing-in-Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging-in-Publication Data
A catalog record for this book has been requested
ISBN: 978-1-138-05654-1 (hbk)
ISBN: 978-1-315-16524-0 (ebk)
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Contents
List of tables and box ix
Notes on contributors xi
Foreword xv
SATVINDER S. JUSS
Preface xxi
Acknowledgements xxiii
List of abbreviations xxv
Introduction – ethical, legal and social aspects of
health care for migrants: perspectives from the UK
and Germany 1
KATJA KUEHLMEYER, CORINNA KLINGLER AND
RICHARD HUXTABLE
PARt I
Migrants’ health in Germany and the UK 19
1 Health of migrants and ethnic minorities in Germany:
reflecting on normative agendas 21
OLIVER RAzUM AND JUDITH WENNER
2 the health of migrants in the UK: evidence and
implications for health care 33
HIRANTHI JAYAWEERA
3 Bearing witness: observations of the health of people
without access to the regular health care system
in Médecins du Monde’s health care and advocacy
programmes in London and Munich 47
LUCY JONES, ANNA MILLER, SABINE FüRST, CAROLIN BADER
AND LEA GELFERT
vi Contents
4 Dynamics of informal exclusion: migrants’ health as
experienced in the City Lab Bochum 57
CHRISTIANE FALGE
PARt II
Migrants’ access to health care 77
5 Migrants’ right to health in international and
European human rights law: can it still unfold
its integrative dynamic in an era of restrictive
immigration policies? 79
AMREI MüLLER
6 Entitlements to social health benefits for asylum
seekers and refugees in Germany 100
MARKUS KALTENBORN
7 Access and entitlements for migrants and visitors to
the UK in the English National Health Service 112
SARAH STEELE AND CORMAC DEVLIN
8 the right to health for all? Debates surrounding access
to health care for asylum seekers in Germany 125
SABINE KLOTz
PARt III
(Re)constructing migrants in health research 145
9 Questioning categorisation practices: ‘migrants’ and
‘ethnic groups’ in public health classification(s) 147
PENELOPE SCOTT AND HELLA VON UNGER
10 Culturally sensitive palliative care research: what
should we do with ‘those people’, or what should we
do with ourselves? 162
PIRET PAAL
11 Using superdiversity as a lens to view migrant health:
reflections on ethical and practical implications of an
exploratory study involving community researchers 175
ANTJE LINDENMEYER
Contents vii
PARt IV
Navigating pluralism in health care 189
12 Challenges in the provision of mental health care
for refugees in Germany: a socially and culturally
sensitive approach to psychological counselling and
psychotherapy 191
KERSTIN HEIN AND BARBARA ABDALLAH-STEINKOPFF
13 Female genital alteration in the UK: a failure of
pluralism and intersectionality 207
ARIANNE SHAHVISI
14 Integration, identity and elite migrants: capturing the
perspectives of overseas-trained South Asian doctors in
the UK 224
YASMIN GHAzALA FAROOQ
15 How to support migrant physicians in navigating
through an unfamiliar health care system: findings
from a qualitative interview study 241
CORINNA KLINGLER AND GEORG MARCKMANN
16 Migrants, pluralism and end-of-life decision-making
for children with life-limiting illness: perspectives on
the case of Josip 259
KATJA KUEHLMEYER AND MONIKA FüHRER
Commentary 1: The ethical implications of interculturality
in paediatric palliative medicine 262
ILHAN ILKILIC
Commentary 2: Migration, bioethics, pluralism 267
RICHARD HUXTABLE
Commentary 3: Universalism versus particularism in
clinical ethics: a coherentist perspective 272
GEORG MARCKMANN
Index 283

List of tables and box
tables
4.1 Results from the vulnerability assessment 66
4.2 Biological and physiological vulnerability 67
11.1 Description of the study participants 180
14.1 Ethnic, gender and religious attributes of participants related
to the case study areas 227
15.1 Description of the sample 244
15.2 Desired support strategies for migrant physicians 251
Box
16.1 Principle-based model of ethical case discussion
(cf. McCullough & Ashton 1994; Marckmann & Mayer 2009) 275