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The Vulnerable, the Dependant and the Scrounger: Intersectional Reflections on Disability, Care, Health and Migration in the Brexit Project

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Gender and Queer Perspectives on Brexit

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Abstract

The NHS, medical tourism and benefit abuse played a central role in the referendum vote. Nonetheless, the (anticipated) impact of the UK’s exit on the experience of disability, health and care are marginalised in analyses of and policies on Brexit. I pull these from the margins to explore their impact at the centre of the Brexit Project. Doing so, I explore the Brexit Project in this chapter from various angles; such as the impact of the loss of EU funding, trade barriers and (post-EU) deregulation on the availability of medication and medical devices, on healthcare workers and on social care provision; the impact on disability rights and disabled people’s in(ter)dependence; gender and migration specific impact; and, particularly, the impact of the Brexit Project on disabled EU citizens’ and EU carers’ (un)equal access, or the fear thereof, to “settled status” and benefits and services.

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Notes

  1. 1.

    Some of the studies refer to EEA migrants, others to EU migrants; for the sake of simplicity, I use the term EU migrants.

  2. 2.

    The collection of information for this chapter closed on 24 July 2018.

  3. 3.

    Note the Briefing for the House of Lords (Haves 2018).

  4. 4.

    Unfortunately, a discussion of disabled UK citizens’ challenges in the EU falls beyond the scope of this chapter.

  5. 5.

    Uveitis is a type of eye inflammation.

  6. 6.

    This includes those who are self-sufficient but without Comprehensive Sickness Insurance (CSI). However, in their Statement of Intent, the Home Office (2018c, para. 2.3) intends to abolish the CSI requirement for “those applying under the EU Settlement Scheme.”

  7. 7.

    I have not found (approximate) numbers (e.g. see Sumption and Kone 2018, 3).

  8. 8.

    Arguing that ‘on health and safety, the UK has one of the strongest records in Europe’ (House of Commons 2018b, para. 122), the Government, ironically, ‘proposes that the UK and the EU commit to the non-regression of labour standards’ (para. 123).

  9. 9.

    Affordable access is already a concern for many people in the UK.

  10. 10.

    For instance, Ben Bradshaw MP (House of Commons 2018b) points out that the Future Relationship document addresses infectious diseases—and health threats and health security (e.g. HM Government 2018a, para. 2.2.f)—but does not address issues of health with regards to ‘patients’ lives and safety [which] will be in danger if there is any interruption at all to the supply of vital medicines and medical equipment into this country’.

  11. 11.

    This will benefit disabled people’s access to, for instance, smartphones, banking services, computers, and transport.

  12. 12.

    Approximately 80–87% of the nurses, auxiliaries and assistants are female. In the NHS and privately, 19–28% of the nursing and midwifery workforce were not born in the UK; around 5–6% is born in another EU country (RCN 2017, 9–10).

  13. 13.

    There is an 18.4% drop in learning disabilities/difficulties and 6.2% in mental health nursing.

  14. 14.

    There continues to be an increase in non-EU workers (NMC 2018, 12).

  15. 15.

    While the Memorandum of Understanding has supposedly been suspended since May 2018 (EHRC 2018c), this is not reflected in official information (DoH and HO 2017; HM Government 2018c).

  16. 16.

    “Democratic will of the people” is a reference to the (marginally favourable) outcome of the referendum.

  17. 17.

    See also Haves (2018).

  18. 18.

    For a contrasting governmental perspective, see Haves (2018, 13).

  19. 19.

    11% of disabled men and twice the amount (22%) of disabled women experience a pay gap (Longhi and Platt 2008, 11).

  20. 20.

    Depending on the type of impairment, difference in pay between non-disabled and disabled women ranges between 4.3 and 18.9% (EHRC 2018c, 89).

  21. 21.

    Further research is required on the geopolitical, racial and ethnic-national differences in the impact of Brexit on the position of, on the one hand, white Northern and Western Europeans and, on the other hand, Eastern and Central European migrants, Roma populations and intra-European migrants of colour in the UK.

  22. 22.

    See previous comment.

  23. 23.

    All the emails originate from the service of the Home Office to keep EU citizens in the UK informed.

  24. 24.

    As secondary legislation, EUSS will fall under section 3(2) of the Immigration Act 1971 (see Home Office 2018c, 37).

  25. 25.

    Various groups, such as victims of domestic violence (unpaid) carers, and disabled people, and those receiving benefits, are expected to face difficulties in this process and, in case of a rejection, without clarity about the appeal procedure (see Schiek 2018; Sumption and Kone 2018).

  26. 26.

    The CSI requirement seems to be off the table.

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Correspondence to Dieuwertje Dyi Huijg .

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Huijg, D.D. (2019). The Vulnerable, the Dependant and the Scrounger: Intersectional Reflections on Disability, Care, Health and Migration in the Brexit Project. In: Dustin, M., Ferreira, N., Millns, S. (eds) Gender and Queer Perspectives on Brexit. Gender and Politics. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-03122-0_5

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