Open AccessEthical issues and obligations with undocumented immigrants relying on emergency departments for dialysis
Author(s) -
Kluesner Nicholas H.,
McGrath Norine,
Allen Nathan G,
Dilip Monisha,
Brenner Jay
Publication year - 2021
Publication title -
journal of the american college of emergency physicians open
Language(s) - English
Resource type - Journals
ISSN - 2688-1152
DOI - 10.1002/emp2.12590
Subject(s) - disadvantaged , immigration , dialysis , medicine , state (computer science) , medical emergency , political science , law , psychiatry , algorithm , computer science
Undocumented immigrants with end‐stage renal disease in the United States are uniquely disadvantaged in their ability to access dialysis. This article examines the unique circumstances of the medical condition and healthcare system, including the relevant legal and regulatory influences that largely relegate undocumented immigrants to relying on emergency‐only dialysis through a hospital's Emergency Medical Treatment and Labor Act obligations. We explore the ethical implications of this current state, emphasizing the adverse effects on patients and staff alike. We also review necessary actions that range from the actions an individual emergency physician to changes needed in federal policy.