Die medizinische Versorgung von Menschen ohne Papiere in Deutschland

Mylius, Maren

doi:10.14361/9783839434727

Cited by 5 publications

(4 citation statements)

References 20 publications

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“…Insofar as asylum seekers remain legally and spatially separated from the majority population, these centers clearly exhibit an instance of ‘camp thinking’ (Minca, 2015) and rigid segmentarity. Access to health care is restricted by law, and there is reason to assume that this restriction is at least partially motivated by a rational of deterrence (Bozorgmehr and Razum, 2016; Mylius, 2016). However, the practical application of this restriction is not at all consistent.…”

Section: Difference As Segmentaritymentioning

confidence: 99%

Biopolitics of migration: An assemblage approach

Wiertz

2020

Environment and Planning C: Politics and Space

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Critical research on migration, borders and camps has used the notion of biopolitics to interrogate how sovereign power or the state differentiate and govern the life of mobile populations. Yet despite its popularity, biopolitical theory is not without limitations, particularly when used as an analytic lens for empirical research. Many theorists of biopolitics are concerned with grand historical shifts and binary oppositions between life and death, inclusion and exclusion, bare life and political rights. Such binaries have been challenged by recent research that points to complex and nuanced differentiations of belonging and citizenship, to the ambiguity of power relations, and that prioritizes the agency and experience of individuals over structuralist conceptions of oppression. Against this background, I suggest that assemblage thinking and the works of Deleuze and Guattari offer terms and concepts that can be made useful to reconsider biopolitics as an analytic approach. Assemblage thinking challenges traditional oppositions between the individual and the collective, structure and agency, oppression and resistance and may thus be more sensitive to the complexity of power relations that integrate the life of migrants. In particular, I examine how revised conceptions of power, life, difference and population challenge the assumption of a central origin of power and an understanding of biopolitics as spatially or historically confined. By considering biopolitics as multiple and becoming, analysis can become more sensitive to the biopolitical experience of migrants, and to the formation of alternative collectives and subjectivities that challenge the violent biopolitics of contemporary migration regimes.

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Section: Difference As Segmentaritymentioning

confidence: 99%

Biopolitics of migration: An assemblage approach

Wiertz

2020

Environment and Planning C: Politics and Space

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“…For study participants without German citizenship, we additionally recommend asking for the current residence status. For people with temporary or insecure residence status, differences in psychological strain and stressful experiences, as well as in terms of access to health care, are to be considered, which might further impact health outcomes [ 62 , 63 ]. Since the residence status is a changeable characteristic, information on this is only valid for the survey time.…”

Section: Indicators For Data Collection On Migration-related and Furt...mentioning

confidence: 99%

Recommendations for collecting and analysing migration-related determinants in public health research

Kajikhina

Koschollek

Sarma

et al. 2023

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Background According to the definition of the German Federal Statistical Office, about every fourth person living in Germany has a so-called migration background (MB), i.e., the person or at least one of their parents was born without German citizenship. However, MB has been defined differently in many studies. Also, the MB summarises people in different living situations, making differentiated analysis in health science more difficult. This article formulates recommendations for the collection and analysis of migration-related, as well as social and structural, determinants of health. Indicators for capturing relevant determinants of health As part of the Improving Health Monitoring in Migrant Populations project (IMIRA), the previous approaches to operationalise and measure migration-related determinants were revised based on literature research and exchange formats, such as workshops, meetings, congress contributions, etc. Instead of MB, the country of birth of the respondents and their parents, duration of residence, citizenship(s), residence status, and German language proficiency should be recorded as minimum indicators and analysed as individual variables. Further social and structural determinants, such as socioeconomic position, working and housing conditions, or self-reported discrimination, should be included. Conclusions In order to describe health inequalities and to specifically identify the needs of people with a history of migration, a mutual and differentiated consideration of migration-related and social determinants of health is essential.

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“…The right to access health protection is in fact enshrined in many international and European legal instruments [21]. However, in France, Germany and the vast majority of European countries, there are groups within the population that are excluded from health insurance systems or have difficulties in accessing them, such as certain groups among the precarized migrants [13,[21][22][23].…”

Section: Limits Of the Public Healthcare Coverage System And Structur...mentioning

confidence: 99%

“…Thus, access to public health protection systems has often been prohibited or restricted for these categories of migrants. This is the case in France and Germany, where undocumented migrants cannot be covered by public insurance systems [22,23]. The lack of awareness of these exclusion mechanisms by health professionals often leads to inadequate care in different ways and at various stages.…”

Section: Limits Of the Public Healthcare Coverage System And Structur...mentioning

confidence: 99%

On the Role of Structural Competency in the Healthcare of Migrant with Precarious Residency Status

Geeraert

2022

Societies

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The literature on the health care of migrant patients has often emphasized the importance of cultural skills and cultural humility that caregivers must bring to their care. Recent work has emphasized the importance of adopting a structural reading of this competency. Based on two empirical surveys conducted in France and Germany in facilities providing access to care for migrants with precarious residency status, this article demonstrates the importance of competency linking in terms of what is produced by structures and institutions and what is produced during medical interactions between patients, medical professionals, and volunteers. The complexity of accessing health protection systems for migrants with precarious residency status is often the main structural and institutional barrier to care. To remove this barrier, health professionals can develop legal and administrative competency regarding residency and health rights. They can also develop institutional and practical competency regarding the possibilities of access to health care for people without health coverage in the local geographical context. Structural competency is also effective in deconstructing the stigma and discrimination that minority groups experience in the healthcare system.

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Die medizinische Versorgung von Menschen ohne Papiere in Deutschland

Cited by 5 publications

References 20 publications

Biopolitics of migration: An assemblage approach

Biopolitics of migration: An assemblage approach

Recommendations for collecting and analysing migration-related determinants in public health research

On the Role of Structural Competency in the Healthcare of Migrant with Precarious Residency Status

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