Access to Transplantation for Undocumented Pediatric Patients

Author:

Charnaya Olga1,Verghese Priya2,Goldberg Aviva3,Ladin Keren45,Porteny Thalia4,Lantos John D.6

Affiliation:

1. Division of Pediatric Nephrology, School of Medicine, Johns Hopkins University, Baltimore, Maryland;

2. Division of Pediatric Nephrology, Department of Pediatrics, Medical School, University of Minnesota, Minneapolis, Minnesota;

3. Section of Nephrology, Department of Pediatrics and Child Health, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada;

4. Research on Ethics, Aging, and Community Health Lab and

5. Departments of Occupational Therapy and Community Health, School of Arts and Sciences, Tufts University, Medford, Massachusetts; and

6. Bioethics Center, Children’s Mercy Hospital, Kansas City, Missouri

Abstract

Clinicians in the United States today regularly face dilemmas about health disparities. Many patients and families cannot afford the medical care that doctors recommend. These problems are most stark when the medical care that is needed is lifesaving and expensive and involves scarce resources. Transplants are the best example of this. The most ethically disturbing situations occur when an undocumented immigrant child needs a transplant. We present such a case and analyze the ethical, legal, and policy issues that arise.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

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