Immigrant health care workers serve a vital function within the American health care system
Early this month, it was reported that President Donald Trump, having grown frustrated from discussions regarding a bipartisan deal on immigration, asked why proposals continued to provide special protections for immigrants from the countries of El Salvador and Haiti, and the continent of Africa. He reportedly exclaimed, “Why are we having all these people from sh*thole countries come here?” The statement has been largely denounced both at home and abroad, and the United Nations human rights spokesman condemned the use of vulgar language, and the disparagement of people from entire countries and continents.
I...
Source: Kevin, M.D. - Medical Weblog - February 3, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/raymond-jean" rel="tag" > Raymond Jean, MD < /a > Tags: Physician Public Health & Policy Washington Watch Source Type: blogs
To this physician, thankfulness is his lifeline
The complaint was constipation. In the exam room, a quiet girl stood in a too big johnny, her eyes staring down at the floor. The 13-year-old was here with her “aunt.” Like over 50,000 children before her, she’d made the fifteen hundred mile plus journey from El Salvador to escape the violence of government and gang fighting, perhaps not knowing Mara Salvatrucha and the other gangs hung out only a few blocks away from the health center.
Her heart and lungs sounded fine, and her abdomen was soft with good bowel sounds. An inspection of her backside revealed sheets of condyloma cascading over her perineum and obstructi...
Source: Kevin, M.D. - Medical Weblog - December 17, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jeffrey-collins" rel="tag" > Jeffrey Collins, MD < /a > Tags: Physician Emergency Medicine Pediatrics Source Type: blogs
Guide to the Diversity Visa: Demographics, Criminality, and Terrorism Risk
ConclusionThe diversity visa is a relatively small green card category that has allowed in about a million legal immigrant principals since 1993, or about 5 percent of the total. As far as we know, immigrants who entered on the diversity visa are responsible for committing one terrorist attack on U.S. soil that murdered eight people. Foreign-born people from countries that have sent many diversity visa immigrants to the United States have lower incarceration rates than native-born Americans. Calls to end the diversity visa based on a single deadly terrorist attack are premature. Table 1Diversity Visa Admissions by ...
Source: Cato-at-liberty - November 2, 2017 Category: American Health Authors: Alex Nowrasteh Source Type: blogs
What Does Silence Say?
STUDENT VOICES | CHYNN PRIZE SECOND-PLACE WINNER By Amy Endres There had never once been a public opinion poll done in El Salvador until Ignacio Martín-Baró, a Jesuit, set out as the only doctoral-level psychologist in the country to measure the opinion of the people in the 1980s.[1] He knew this would be difficult. He … More What Does Silence Say? (Source: blog.bioethics.net)
Source: blog.bioethics.net - September 27, 2017 Category: Medical Ethics Authors: Ethics and Society Tags: Health Care Justice Research Ethics Chynn Prize Fordham University Center for Ethics Education immigration injustice Martin-Baro morality psychologists public opinion Public Trust religious leaders syndicated Theology U.S. im Source Type: blogs
Anti-Paper Prophet: Comments on The Curse of Cash
ConclusionRogoff raises many other interesting issues in his response, and trying to cover them all would make this article much too lengthy. His arguments are generally sophisticated and sometimes challenging, even when I disagree with him or believe he hasn’t adequately addressed my concerns. Our most fundamental difference remains our analysis of the State. Rogoff unreflectively adopts what Harold Demsetz characte rizes as the“nirvana” approach to public policy. This makes him far more optimistic than is justified about the overall benevolence and competence of governments, particularly in developed countries. H...
Source: Cato-at-liberty - August 15, 2017 Category: American Health Authors: Jeffrey Rogers Hummel Source Type: blogs
Thanks to the AHCA We Could Now See Cervical Cancer Rates Increase
By ILANA ADDIS, MD
In 2014 I took my first trip to Kenya. After my plane landed in Nairobi I rode for 10 hours with my medical colleagues to Bungoma, a town on the western edge of the country. We set up our clinic in the local hospital and then spent the week training local healthcare providers on a technique called ‘Visual Inspection with Acetic Acid (VIA)’. This is an inexpensive method to screen for cervical cancer and pre-cancer in low resource settings using vinegar. As a part of the training we screened 189 women for cervical cancer in that week.
The Papaniculou (pap) smear was revolutionary in cervical cancer pr...
Source: The Health Care Blog - May 4, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Cervical Cancer MacArthur Amendment Source Type: blogs
We Could Now See Cervical Cancer Rates Increase
By ILANA ADDIS, MD
In 2014 I took my first trip to Kenya. After my plane landed in Nairobi I rode for 10 hours with my medical colleagues to Bungoma, a town on the western edge of the country. We set up our clinic in the local hospital and then spent the week training local healthcare providers on a technique called ‘Visual Inspection with Acetic Acid (VIA)’. This is an inexpensive method to screen for cervical cancer and pre-cancer in low resource settings using vinegar. As a part of the training we screened 189 women for cervical cancer in that week.
The Papaniculou (pap) smear was revolutionary in cervical cancer pr...
Source: The Health Care Blog - May 4, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Cervical Cancer MacArthur Amendment Source Type: blogs
Why many patients are afraid to come to the clinic
The young woman sat in the corner of my exam room, facing away from me as I asked her questions. Her answers were short. “I’m from El Salvador.” Why did she come? “Because of the violence.” Her voice was flat. Her hands trembled. I knew she had suffered terribly and I needed to ask her how.
Slowly, quietly, she recounted the gang violence she had fled in El Salvador. The assault she’d been too afraid to tell her family about lest they be targeted. The death threats to her children that finally led her to seek asylum in the United States.
“They can do what they want to me,” she said. ...
Source: Kevin, M.D. - Medical Weblog - March 22, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/elisabeth-poorman" rel="tag" > Elisabeth Poorman, MD < /a > Tags: Physician Primary care Trump Source Type: blogs
A Doctor ’ s Dilemma: A Case of Two Right Answers
By ABRAAR KARAN, MD
Imagine you are a doctor running a clinic in a primarily lower-income neighborhood, where many of your patients are recent immigrants from different parts of the world. You are granted a fixed annual budget of $100,000 through your local public health department, and it is unlikely that you can obtain additional funding later in the year. Traditionally, you have used your entire budget for the past several years, which usually lasts from January until December. This allows you to care for all of the few thousand patients who come to you for treatment throughout the year.
One day in January, a frightened...
Source: The Health Care Blog - March 17, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
What this physician learned from a medical mission
In August of 1991, I became a family practitioner in the United States Air Force and was sent to Clark Air Force Base in the Philippines. During my time there, I was asked to go on a medical mission. This experience struck me with the missionary bug to provide my talents and to care for others in another country. With medications that were near expiration date in USAF stock and due to the U.S. departure from the Philippines following the eruptive destruction of Mount Pinatubo at Clark AFB, we went out to a local barangay, village, and cared for the ill. It was an uplifting compassionate experience that started decades of t...
Source: Kevin, M.D. - Medical Weblog - March 10, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/dirck-a-curry" rel="tag" > Dirck A. Curry, DO < /a > Tags: Physician Primary care Source Type: blogs
Three Trends to Put Trump ’s Anti-Immigration Executive Orders in Context
President Donald Trump has issued two executive orders on immigration so far —both of them undermine immigrants’ ability to live and work peacefully in the United States. The first focuses on the border crisis, mandating the construction of a virtually pointless border wall and cracking down on asylum seekers, and the second ramps up enforcement against immigrants residing illegally inside the United States. Here are three trends that put these orders in context.1. The administration will target asylum seekers during the largest U.S. asylum crisis in decades. More people came to the border last year to claim asylum th...
Source: Cato-at-liberty - January 27, 2017 Category: American Health Authors: David Bier Source Type: blogs
DACA Definitely Did Not Cause the Child Migrant Crisis
Senators Dick Durbin and Lindsey Graham have introduced a bill to extend the Deferred Action for Childhood Arrivals (DACA) program, which since 2012 has provided work permits and lawful presence to 800,000 young immigrants brought illegally to the United States as children. One difficulty for the bill is that the GOP House passed a bill to end DACA in 2014, arguing that DACA caused a surge of young children to come to the border starting in 2012 and reaching its peak in 2014.At the time, my colleague Alex Nowrasteh published an article arguing against this thesis. First, he noted that DACA specifically prohibited recent ar...
Source: Cato-at-liberty - January 9, 2017 Category: American Health Authors: David Bier Source Type: blogs
Alternative Summer Breaks Part 2 —Center for Global Initiatives Podcast
Johns Hopkins School of Nursing students and faculty talk about their travels, projects, experiences with, and thoughts on global nursing. In Episode 1: Part 2, students Evi Dallman and Amy Pennington talk with host Elyse Rudemiller about their practicum experiences in El Salvador. They discuss their experience with preceptor Megan Lopez and her work with (Source: Nursing Blogs at Johns Hopkins University)
Source: Nursing Blogs at Johns Hopkins University - November 3, 2016 Category: Nursing Authors: Global INITIATIVES Johns Hopkins School of Nursing Tags: CGI Podcasts On the Pulse Center for Global Initiatives El Salvador Fundación para el Desarrollo de Social Global nursing summer break Whole Child International Source Type: blogs
No Mr. President, Mexico Is Not "Absorbing a Great Number of Refugees"
On Tuesday, President Obama delivered ashort address to the Leaders Summit on Refugees at the United Nations. He went out of his way to praise the Mexican government by stating:“Mexico … is absorbing a great number of refugees from Central America.” In reality, the Mexican government has donevery little to absorb refugees. From 2013 to 2015, Mexico only recognized 720 refugees from Honduras, 721 from El Salvador, and 62 from Guatemala. During the time period, Mexico granted asylum to 129 Hondurans, 82 Salvadorans, and 17 Guatemalans. That’s a total of 1,731 refugees and asylum seekers from those countrie...
Source: Cato-at-liberty - September 22, 2016 Category: American Health Authors: Alex Nowrasteh Source Type: blogs
I wish my doctor knew
Recently the New York Times published an article, “What Kids Wish Their Teachers Knew.” As a pediatrician, I have spent a good part of my lifetime fighting for the health and welfare of our young people. They are the future. We owe our children a safe, caring, stable childhood whenever possible. Outside of a supportive family, a long-term family physician or pediatrician can be an important role model for impressionable youngsters. For confidentiality reasons I have altered identifying details, but will give you some of the great things heard over the years and a few tragic ones as well.
I wish my doctor ...
Source: Kevin, M.D. - Medical Weblog - September 16, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/niran-s-al-agba" rel="tag" > Niran S. Al-Agba, MD < /a > Tags: Physician Pediatrics Source Type: blogs
