Tag Archives: Public Health

The Curious Ostrich Immigration Policy-to-Health Framework

20 Feb

At the Curious Ostrich we provide updates and analysis on immigration news – providing health professionals and immigrant rights activists a “heads up” on immigration, xenophobia, and health. Looking at current events and national policy through a health perspective, we see that our immigration laws are powerful determinants of health for immigrants in the United States.  In the past, few public health researchers have focused on the ways immigration policies affect the rights, opportunities, and health of immigrants. But the public health field is increasingly taking notice that immigration policy is health policy. We believe that we will be more likely to achieve justice for immigrants and healthier communities when public health professionals understand (and address) the social and policy contexts that impact immigrant communities.

Last year, the American Public Health Association issued a policy statement supporting an end to the Secure Communities enforcement program.  The American Journal of Public Health published a recent study calling for more research on how state-level immigration policies, specifically, SB 1070, affect public health.  A growing number of researchers are trying to document and understand how policies and the experience of being undocumented affects health, such as immigrants’ access to health care (Stevens et al., 2010; Vargas Bustamante et al., 2011) and the impact of family separation, legal vulnerability, and stress in undocumented families (Arbona et al., 2010; Brabeck and Xu, 2010).

This is an important starting point!  Yet, the immediate experiences of immigrants and their families are the result of the full context of their lives in the United States, as well as our nation’s often anti-immigrant history, culture, politics, and laws.  Public health research and action must reflect this full picture.  

We have created a framework to illustrate the web of factors related to laws and policies that have an impact on the health of immigrants.

Immigration and Health Diagram_6

1) Our laws and policies are rooted in historical, political and cultural contexts.  The US has implemented immigration policies since it founding, including deportation and exclusionary policies such as the Chinese Exclusion Act in 1882. Each wave of anti-immigrant policy has been driven by racist and xenophobic narratives – immigrants viewed as a threat or as undeserving. The legacies of these cultural narratives and harmful policies continue to impact how immigrants are treated both in our political and popular debates and narratives.

2) These laws and policies influence the circumstances of immigrant’s lives, specifically their rights, resources, and safety.  Can immigrants access appropriate and affordable health care services? Do immigrant workers receive fair wages and are they safe in their workplaces? Are immigrant children able to attend schools and universities?  Do immigrants feel respected and safe in their communities? All of these questions are decided by specific federal, state, and local policies that expand or limit the rights and resources that determine the opportunities for immigrants and their families, as well as their overall safety in this nation as they pursue those opportunities.  These three factors are interconnected, as rights can create safety and access to resources or safety and resources can support individuals to exercise their rights.

3) These three factors are also inseparable, because the positive presence of all three are needed to promote positive physical, mental and community health outcomes.
When protective factors – such as access to health and educational services – align, immigrants will experience greater health and well-being. The lack of any or all three of these, such as limited access to employment and educational opportunities, stress and fear due to discrimination and anti-immigrant legislation, or vulnerability to violence, result in significant health risks.

Public health professionals and immigrants rights activists will have to make critical assessments of how existing and proposed policies may protect or harm the health of our nation’s immigrants. Our hope is that this diagram provides a framework for considering how various immigration policies may actually impact immigrant communities.  For example, the debate on “comprehensive immigration reform” is just heating up. It is heartening that there is growing support for a path to citizenship, but the proposals currently being developed would make the process lengthy and burdensome and continue existing bans on receiving public benefits. The proposals would also further codify border militarization and enforcement programs. Public health has an important role to play in these debates – ensuring that the true community costs are considered as immigration policy decisions move forward.

When we look at this diagram, we also see many opportunities for action! People working in all areas of public health can incorporate an immigrants rights perspective into their work. In the coming months, we will provide information and discussion on some of the main health issue areas in this diagram. And we will share ideas and opportunities for health and immigration activists alike to participate in this work.

Stay tuned to the Curious Ostrich for up-to-date health research and analysis.

Advertisements

2013: New opportunities for healthy immigration reform?

9 Jan

The Curious Ostrich has big plans for 2013! We are now moving to a monthly format, providing readers with in-depth analysis and commentary on the public health impact of immigration policies and national conversations around immigration. As always, our mission is to bring attention to the ways immigration policies affect health and to provide information and resources for health and immigration advocates alike. Want regular updates on immigration issues? Like our Facebook page!TCO cover

Over the course of 2012, a number of policies and events across the country significantly, and often negatively, affected the health of immigrants and their communities. Deportations continued at an all time high, separating families and at great cost to our economy. Due to programs such as Secure Communities 1.6 million people were deported during President Obama’s first term. Our nation’s growing immigration enforcement system now receives more funding than all other federal enforcement agencies combined. This focus on enforcement and a militarized border increased border violence and resulted in many deaths, some perpetrated  by the US Border Patrol itself.

Immigrants also continue to be denied many basic rights. For example, while the Affordable Care Act (ACA) goes a long way in expanding access to health insurance, undocumented immigrants and Deferred Action for Childhood Arrivals-approved individuals are barred from new health insurance programs. At the state level, although the Supreme Court knocked down many of the provisions in Arizona’s immigration bill SB 1070,  the “paper’s please” provision will move forward.  Other states continue to follow Arizona’s lead in anti-immigrant legislation.

The impact of xenophobia and anti-immigrant politicking is not limited to immigrant communities. For example, in 2012 the Violence Against Women Act, a traditionally non-controversial, bi-partisan bill, failed to be reauthorized for the first time in its history. This was in part due to Republican supposed opposition to protections for immigrant women.

In 2012, we also saw promising policies and inspiring activism by undocumented immigrants, particularly youth. Influenced by ongoing activism by DREAMers, President Obama granted deferred action to “childhood arrivals” (DACA), creating the largest opening in many years for undocumented individuals to gain work permission and protection from deportation. While not a long-term solution, DACA created opportunities for many young immigrants.

Exciting grassroots mobilizations also helped raise the profile of immigrant issues and pushed forward a more progressive policy agenda. The Caravan for Peace turned attention to the human impact of border violence and the United State’s role in drug war violence; undocumented youth are using art and creativity to assert their rights; DREAMers sat-in at Obama campaign offices; the Undocubus shared stories at the Democratic National Convention; and the Campaign for the American Dream team walked from San Francisco to Washington, D.C. to raise awareness about immigration policy.

Moving into 2013

Building on this momentum, 2013 brings new opportunities for making immigration policy more just and protecting immigrant communities. President Obama’s re-election turned new attention to the power of communities of color in our political system and we now have the most diverse Congress in US history. Polling suggests that the public and elected officials are ready to consider immigration reform. President Obama has repeatedly stated that comprehensive immigration reform will be a priority early on in his second administration. However, for too long, political debates about immigration have focused on controlling immigration through the criminalization and stereotyping of immigrants.  Therefore, we hope to see these policy discussions and decisions acknowledge the importance of immigrants to our society and economy and affirm that all people, including immigrants and regardless of their immigration status, have rights as residents of this nation.  Specific policies that we would like to see from the 113th congress include:

      • Create a path to citizenship for undocumented immigrants currently in the US.  The increasing numbers of young immigrants applying for deferred action demonstrates that creating a process for undocumented immigrants to apply for papers is not only relatively politically non-controversial, but is feasible and has tremendous positive impacts. This is a start, but temporary status for a small portion of undocumented immigrants is not enough.  There are still roughly 11 million individuals who lack papers and a path to citizenship. This is an injustice, not only to these individuals, but to their families and communities and the nation as a whole.
      • Reduce deportations and keep families together.  Enforcement programs and deportations needlessly tear people from their jobs, communities and families, with devastating emotional and economic impacts.  A simple fix would be to end programs such as Secure Communities.  In addition, policies are needed to end the fear that deportations have caused by creating clear delineations between local police officers and Immigration and Customs Enforcement.
      • Create accountability over and reform the detention system. The unregulated and unhealthy network of privatized detention centers must be reformed and regulated. This should include expanding accountability and oversight for current detention centers.  The all-historic-high number of detention beds in centers and county jails creates a gross profit motive and should be reduced.
      • End the militarization of the border.  Border fence and patrolling policies throw money into militarization, rather than the true safety of people in the United States.  There should be an end to financial support for the border fence, reduction in funding for the Border Patrol, and increased oversight over the Border Patrol, including the training and background of officers and their use of surveillance technology.
      • Increase access to education and social services for all immigrants.  Immigrants should be positively included in public policies.  This is a matter of both fairness and of effective crafting of public policies, as economic, social service and health policies ultimately have an impact on immigrant communities, such as the Affordable Care Act and the Violence Against Women Act.

The connection to health

At The Curious Ostrich, we believe that all of these policies and their resulting challenges and opportunities for immigrants are public health issues. Immigration policies, and related social and economic policies, directly impact the health of immigrants in a number of ways – from reduced access to essential services and resources to the  fear and stress that result from discrimination, criminalization and deportation. Over the course of 2013, we will continue to explore these links between immigration policies and health:

      • Access to health care— Many people are barred or have limited access to health insurance and health care services due to their immigration status. Access to regular primary care is important in preventing many diseases (e.g. diabetes), while limited emergency care services results in unnecessary deaths.
      • Diminished rights and protections— Fear of deportation diminishes the rights of undocumented individuals by shaping their decisions about accessing services such as education or police protection. For instance, many undocumented workers are victims of wage theft, yet they do not have legal recourse without risking deportation.
      • Access to resources— Diminished rights lead to reduced access to resources to lead a healthy life. For example, undocumented immigrants may choose not to access public resources, such as education or social services, because they believe they are not eligible or they are afraid of coming into contact with government officials.
      • Discrimination— There is widespread anti-immigrant sentiment embedded in our national policy and media discourses, and anti-immigrant groups continue to advocate effectively for policies that devalue and dehumanize immigrants because of their lack of legal standing. From conservative politicians campaigning on deportation policies, to widespread discriminatory commentary in the news, there is a strong national narrative that a lack of papers justifies less-than-humane treatment.

There are feasible policy solutions that can reduce the risks to and protect the health of immigrant communities. There are dynamic and mobilized advocates who will continue to fight for the rights of immigrants.  Public health advocates can play a critical role.  Therefore, in 2013, our hope is to see not a continuation of the short-term and enforcement-focused policies often associated with “comprehensive” immigration reform, but rather the promotion of healthy immigration reform.