Anthropological research on policy and health underscores how policy reflects cultural ideologies and results in marginalizing specific populations. Ethnographic inquiry can further reveal the broader, unexpected effects of policy change. In this article, I describe how state legislators in Georgia revised an existing entitlement program to specifically exclude undocumented immigrants with kidney failure from receiving life‐sustaining care. This health policy change converged with broader efforts to financialize the US health system and resulted in undocumented immigrant patients dying; being medically repatriated to their countries of birth; placed in private, for‐profit dialysis centers; or obtaining care through a burdensome process involving a public hospital's emergency room. Drawing from Mbembe's concept of necropolitics, I show how policy changes left undocumented kidney failure patients in a state between life and death, revealing the hidden outcomes of policies targeting immigrants. As anti‐immigrant policies continue to be proposed in the United States, findings from this article provide a cautionary tale about the sweeping consequences of legislation that targets immigrants.

中文翻译：

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生命，死亡和透析：美国无证肾衰竭患者的医疗遣返和合法生活

关于政策与健康的人类学研究强调了政策如何反映文化意识形态并导致特定人群被边缘化。人种学调查可以进一步揭示政策变化的广泛而出乎意料的影响。在本文中，我描述了佐治亚州的州立法者如何修改现有的权利计划，以明确排除患有肾功能衰竭的无证移民接受维持生命的护理。这项健康政策变更与为使美国卫生系统金融化而做出的更大努力相融合，导致无证移民患者死亡。被医疗遣返其出生国；放置在私人的营利性透析中心；或通过涉及公立医院急诊室的繁重过程获得护理。借鉴姆贝姆贝的坏政治学概念，我展示了政策变化如何使无证肾功能衰竭患者处于生死之间的状态，揭示了针对移民的政策的隐藏结果。随着美国继续提出反移民政策，本文的调查结果提供了一个警示性的故事，说明针对移民的法律的广泛后果。