TAILIEUCHUNG - Illegal Aliens and American Medicine

The results of the review are structured to summarize the relevant studies that addressed each of these questions in relation to medicine, nursing and other health professional contexts. Several studies addressed more than one of our questions. For clarity, we have highlighted the different aspects of a single study under the relevant questions. Do practicing health professionals engage in reflective practice? Although our purpose was to look for the effectiveness of reflection in health professions education, we felt it important to explore whether this activity could be demonstrated in practicing professionals. Eight studies explored reflective practice in practicing profes- sionals; six were in medicine, and two in nursing | Illegal Aliens and American Medicine Madeleine Pelner Cosman . Esq. The Seen and the Unseen The influx of illegal aliens has serious hidden medical consequences. We judge reality primarily by what we see. But what we do not see can be more dangerous more expensive and more deadly than what is Illegal aliens stealthy assaults on medicine now must rouse Americans to alert and Even President Bush describes illegal aliens only as they are seen strong physical laborers who work hard in undesirable jobs with low wages who care for their families and who pursue the American dream. What is unseen is their free medical care that has degraded and closed some of America s finest emergency medical facilities and caused hospital bankruptcies 84 California hospitals are closing their Anchor babies born to illegal aliens instantly qualify as citizens for welfare benefits and have caused enormous rises in Medicaid costs and stipends under Supplemental Security Income and Disability 5 What is seen is the illegal alien who with strong back may cough sweat and bleed but is assumed healthy even though he and his illegal alien wife and children were never examined for contagious diseases. By default we grant health passes to illegal aliens. Yet many illegal aliens harbor fatal diseases that American medicine fought and vanquished long ago such as drug-resistant tuberculosis malaria leprosy plague polio dengue and Chagas 7 What is seen is the political statistic that 43 million lives are at risk in America because of lack of medical What is unseen is that medical insurance does not equal medical care. Uninsured people receive medical care in hospital emergency departments EDs under the coercive Emergency Medical Treatment and Active Labor Act of 1985 EMTALA which obligates hospitals to treat the uninsured but does not pay for that care. Also unseen is the percentage of the uninsured who are illegal aliens. No one knows how many .

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