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Sick and Vulnerable Migrants in French Public Hospitals. The Administrative and Budgetary Dimension of Un/Deservingness
Social Policy and Society ( IF 2.238 ) Pub Date : 2021-02-10 , DOI: 10.1017/s1474746420000767
Jérémy Geeraert

This article explores how staff in French public hospitals are indirectly involved in the governing of migration through healthcare. It unpacks the construction of differentiated values of life assigned to specific categories of vulnerable (authorised and unauthorised) migrants according to their perceived un/deservingness in context of budgetary restrictions. This context emphasises tensions between medical and administrative staff in the decision-making process regarding access to healthcare. The analysis rests upon empirical data (participant observations and semi-directed interviews) gathered in ‘healthcare access units’ located in public hospitals. Perceptions of un/deservingness lead to both healthcare rationing and healthcare denial and are built upon entangled criteria related to both migration status and budgetary concerns. These mechanisms reveal the administrative and budgetary dimensions that underlie the perceptions of health-related un/deservingness, which is linked to the costs of healthcare: the higher the costs, the less likely patients are to be designated to be deserving of healthcare.

中文翻译:

法国公立医院中的患病和弱势移民。Un/应得性的行政和预算维度

本文探讨了法国公立医院的工作人员如何通过医疗保健间接参与管理移民。它根据预算限制的背景下感知到的不/应得的脆弱性(授权和非授权)移民的特定类别,揭示了分配给特定类别的不同生活价值的构建。这种情况强调了医疗和行政人员在有关获得医疗保健的决策过程中的紧张关系。该分析基于在公立医院的“医疗保健访问单位”收集的经验数据(参与者观察和半定向访谈)。对不/应得的看法导致医疗保健配给和医疗保健拒绝,并且建立在与移民状况和预算问题相关的纠缠标准之上。
更新日期:2021-02-10
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