با سلام خدمت کاربران در صورتی که با خطای سیستم پرداخت بانکی مواجه شدید از طریق کارت به کارت (6037997535328901 بانک ملی ناصر خنجری ) مقاله خود را دریافت کنید (تا مشکل رفع گردد).
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First do No harm: Medical legal violence and immigrant health in Coral County, USA
اول صدمه نبینید: خشونت حقوقی پزشکی و سلامت مهاجران در Coral County، USA-2019 Contemporary U.S. health and immigration policies exclude millions of noncitizens from healthcare coverage.
Growing scholarship emphasizes legal status as a technology of social exclusion and determinant of health, but
few studies capture the effects of recent policy uncertainty on noncitizen health. By examining the case of Coral
County (a pseudonym), I highlight the challenges facing safety-net clinics and their noncitizen patients making
life and death decisions amidst uncertainty before and after the 2016 presidential election. Observational and
interview data with patients, clinic workers, and community partners (n=27) revealed that growing anxiety
over federal immigration policies altered clinical risk calculations through a process I refer to as “medical legal
violence” (MLV). Whereas previous risk negotiation strategies leveraged bureaucratic routines to elevate imminent
threats of illness and/or injury in health decisions, heightened immigration enforcement under the
Trump administration shifted the balance in clinical risk calculations toward social risks of detention, deportation,
and family separation. This transformed clinical care in Coral County by turning trusted medical-legal
bureaucracies into potential tools for federal biopolitical surveillance of immigrant patients, blocking healthcare
pathways and increasing patients’ fear and anxiety. Keywords: United States | Immigration status | Social determinants of health | Legal violence | Health inequalities | Medicaid | Safety-net clinics | Biopolitics |
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