Summation of Actions and Ensuing
Health Inequities
The
United States has a long history of intervening in the affairs of other
countries. The official message is that we are the world police, looking to
restore order to these destitute places and preventing corrupt governments from
swindling their people. In reality we are looking out for our own best
interest. Maybe our best interest is in controlling the Panama Canal, taking
care of obstacles for large corporations like United Fruit Company which
benefits a few very powerful Americans. We fight for policies that lower the
price of the consumer goods we purchase, that give our exports the best rates.
We also cause our manufacturing jobs to migrate south in a race to the bottom –
who is willing to work for the least amount of money and give the least amount
of resistance? As manufacturing costs go down, profits for shareholders increases.
While
we do have, at long term cost to job stability, benefits from NAFTA and CAFTA, we inflict great harm on
Mexico and Central America and we also hurt ourselves by allowing manufacturing
jobs to go off-shore.
Because
of our many interventions and free trade agreements people are coming to our
southern border who are fleeing violence and destitution that, while not 100%
the fault of the US, we bear a great responsibility for the instability of our
neighbors to the south.
For
over one hundred years the US has been actively meddling in the politics of
Latin American countries after they gained their independence from their
colonizers. Instead of assisting the people in rebuilding their countries, we
assist in the destabilization of their countries through our fear of the spread
of communism, through our belief in Manifest Destiny, through our belief that
we are better.
When
these citizens of central American Countries flee the violence of their homes for
which we laid the groundwork, they are met with open hostility at our borders. The
Trump Administration is slowing
the asylum seeking process which is causing a
bottle neck at the checkpoints which leave migrants susceptible to criminal
elements who prey on the vulnerable.
Immigrants
who cross the border and detained are treated inhumanely. Children are torn
from their parents. Parents are being tricked
into signing away their right to be reunited with their children. Babies and toddlers have court hearings without legal
representation. The chain of custody is broken and the link to the parents is
lost – children are put in foster care and some are at risk of being
adopted to American families.
The trauma of
being separated from caregivers and being denied comforting touch causes a
sequence of events to unfold that lead to many poor health outcomes. These
traumas are called toxic stress. Toxic stress leads to increased inflammatory
processes and immune system changes. These adverse childhood events (trekking
hundreds of miles in a hostile environment, being separated from parents, being
caged like animals) are all adverse childhood events which lead to a 3x risk
for developing lung cancer, 3.5x risk for heart disease and up to a 20-year
reduced life span.
To make matters
worse, the children who experience these traumas and develop these diseases and
suffer from poor mental health perpetuate the cycle when they pass on their
trauma to their children.
As these groups
of people are vilified in the media, by our leaders in government, it leads to strengthen
structural racism against immigrants that further leads to their devaluation
and poor treatment which further impacts
social determinants of health that continue to drive inequality.
Primary
Care Providers in Massachusetts noted an adverse effect of ICE on immigrant
health and noticed that a theme of fear
emerged. Fear of deportation impacted:
emotional health, interrupted care, familial separation due to
detention/deportation, and perceived barriers to access.
A
2017 study of detention centers in the New York
City area found ICE denied medical treatment for serious conditions like
dialysis. People needing surgery faced unreasonably long delays and requests
for medical care stemming from serious health complaints were ignored. Denied
and delayed care often led to greater interventions being taken later: delayed
cancer diagnosis, emergency surgery for malfunctioning pacemaker and emergency
surgery to take care of gallstones.
Government
lawyers argue soap
and toothbrushes should not be mandatory for immigrants in
detention facilities. In some
detention facilities that hold 300 children to one cell there are
flu outbreaks, lice infestations, no diapers with children sleeping on the
floor. The Customs and Border Patrol, who run detention facilities have no
plans to administer flu vaccines. A group, Doctors for Camp Closures, offered
to give the vaccines to the detainees free of charge – there would be
no cost to CBP – but were ignored.
Children
are being kept in squalid conditions in many facilities. Too little food that is not nutritious, lights on 24/7,
sleeping on the ground in frigid temperatures with no blankets.
There
are two policies aimed at deterring immigration. One was declared an official
policy by Trump and his then Attorney General,
Jeff Sessions: family separation. They asserted that by separating children
from parents that parents would not make the dangerous journey to reach our
southern border.
The
other, unofficial
policy to deter immigration appears to be
standard operating procedure: keeping migrants, children and adults, in squalid
living conditions.
We have a moral
obligation to help people fleeing the violence and destitution because it is our
imperialistic hands of interventions, our meddling, our trade agreements that helped
to destabilize their homes. Our policies, official and otherwise, helped
corrupt governments take hold. It was our fear of communism that lead to the
scorched earth campaigns that played into the devastation of whole societies
through guerilla warfare and civil wars.
We must face
our role in the influx of asylum seekers. Until we see what led to this situation,
we will continue policies that perpetuate corruption and power imbalances that
leave the average citizen of these countries in dire circumstances, looking north to the land of opportunity for help.