Skip to main content

Abstract

This chapter describes how access to healthcare is organized for undocumented migrants (UDMs) in European health systems. Undocumented migrants include individuals who have entered a country without documentation, peo- ple whose legal basis (e.g. a visa, residence, or work permit) for being in the country has expired or become invalidated, and those who have been unsuccessful in obtaining asylum. Although ‘undocumented’ is most com- mon, ‘illegal’, ‘irregular’, or ‘unauthorized’ is also used in European literature (Woodward et al., 2013). Estimates of the number of undocumented migrants in the European Union (EU) countries (Croatia not yet included) range from 1.9 to 3.8 million people (European Commission, 2009). This is a substantial number but comparatively low to some other regions of the world, including the United States, which has an estimated 11.8 million undocumented migrants.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bilger, V. and C. Collomey (2011) Policies on Health Care for Undocumented Migrants in Switzerland, Country Report, Nowhereland Project, at: http://files.nowhereland.info/791. pdf, accessed 24 March 2014.

  • Biswas, D., M. Mristiansen, A. Arasnik and M. Norredam M (2011) ‘Access to Healthcare and Alternative Health-Seeking Strategies among Undocumented Migrants in Denmark’, BMC Public Health, 11: 560.

    Article  Google Scholar 

  • Boyle, S. (2011) ‘United Kingdom (England): Health System Review’, Health Systems in Transition, 13(1), 1–483.

    Google Scholar 

  • Bundesärztekammer (2010) Patientinnen und Patienten ohne legalen Aufenthaltsstatus in Krankenhaus und Praxis (Berlin: BÄK), at: http://www.aek-mv.de/upload/file/presse/ Flyer_Menschen_ohne_Papiere.pdf, accessed 20 March 2014.

  • Chauvin, P., N. Nimonnot, C. Couay and F. Vanbiervliet (2014) Access to Healthcare for People Facing Multiple Vulnerability Factors in 27 Cities Across 10 Countries: Report on the Social and Medical Data Gathered in 2013 in Eight European Countries, Turkey and Canada (Paris: International Network of Médecins du Monde).

    Google Scholar 

  • Cody, E. (2012) ‘France’s Sarkozy Vows to Get Tough on Immigration’, Washington Post, 11 March 2012, at: http://www.washingtonpost.com/world/europe/frances-sarkozy-vows-to-get-tough-on-immigration/2012/03/ ll/gIQACY5p5R_story.html, accessed 21 March 2014.

  • Cuadra, C. B. (2010a) Country Report Denmark. Health Care in Nowhereland Project, at: http://www.nowhereland.info/?i_ca_id=369, accessed 18 March 2014.

  • Cuadra, C. B. (2010b) Country Report Germany. Health Care in Nowhereland Project, at: http://www.nowhereland.info/?i_ca_id=369, accessed 18 March 2014.

  • Cuadra, C. B. (2010c) Country Report Italy. Health Care in Nowhereland Project, at: http://www.nowhereland.info/?i_ca_id=369, accessed 21 March 2014.

  • Cuadra, C. B. (2010d) Country Report Netherlands. Health Care in Nowhereland Project, at: http://www.nowhereland.info/?i_ca_id=369, accessed 21 March 2014.

  • Cuadra, C. B. and S. Sattacin (2011) Policies on Health Care for Undocumented Migrants in the EU27 and Switzerland: Towards a Comparative Framework, Summary Report, second edition (Malmö: Malmö University).

    Google Scholar 

  • European Commission (2009) Size and Development of Irregular Migration to the EU, Clandestino Research Project, at: http://tinyurl.com/3yayfcq, accessed 19 March 2014.

  • FRA — European Union Agency for Fundamental Rights (2011) Fundamental Rights of Migrants in an Irregular Situation in the European Union, at: http://fra.europa.eu/en/ publication/2012/fundamental-rights-migrants-irregular-situation-european-union, accessed 20 March 2014.

  • Galameau, C. (2011) ‘Still Missing: Undocumented Immigrants in Health Care Reform’, Journal of Health Care for Poor Underserved, 22(2), 422–8.

    Article  Google Scholar 

  • Gray, B. H. and E. van Ginneken (2012) ‘Health Care for Undocumented Migrants: European Approaches’, Issue Brief (Commonwealth Fund), 33, 1–12.

    Google Scholar 

  • Grit, K., J. J. den Otter and A. Spreij (2012) ‘Access to Health Care for Undocumented Migrants: A Comparative Policy Analysis of England and the Netherlands’, Journal of Health Politics, Policy, and Law, 37, ‘il-67.

    Google Scholar 

  • HUMA Network (2009) Access to Health Care for Undocumented Migrants and Asylum Seekers in 10 EU Countries: Law and Practice (Paris: Médecins du Monde), 165–75.

    Google Scholar 

  • Jensen, N. K., M. Monedam, T. Traebel, M. Mogie, S. Sriebe and A. Krasnik (2011) ‘Providing Medical Care for Undocumented Migrants in Denmark: What Are the Challenges for Health Professionals?’, BMC Health Services Research, 11: 154.

    Article  Google Scholar 

  • Pen, C. and S. Sonsterudbrâten (2011) No Way In, No Way Out, Fafo Rapport 3 (Oslo: Fafo).

    Google Scholar 

  • PICUM (2007) Access to Health Care for Undocumented Migrants in Europe (Brussels: PICUM).

    Google Scholar 

  • PICUM (2010a) Undocumented Migrants’ Health Needs and Strategies to Access Health Care in 17 EU countries. Country Report United Kingdom, at: www.nowhereland.info/?i_ca_id= 389, p. 7.371, accessed 19 March 2014.

  • PICUM (2010b) Undocumented Migrants’ Health Needs and Strategies to Access Health Care in 17 EU countries. Country Report France, at: www.files.nowhereland.info/708.pdf, accessed 20 March 2014.

  • Schäfer, W., M. Mroneman, W. Woerma, M. van den Berg, G. Gestert, W. Devillé and E. van Ginneken (2010) “The Netherlands: Health System Review”, Health Systems in Transition, 12(1), 1–228.

    Google Scholar 

  • Suurmond, J., K. Ktronks and P. Mladovksy (2007) ‘Migrant Health Policies in the Netherlands’, Euro Observer, 9(4), 3–4.

    Google Scholar 

  • Turone, F. (2009) ‘Italian Doctors Can Report Illegal Immigrants to Police, under Proposed Law’, British Medical Journal, 338: b548.

    Article  Google Scholar 

  • Van der Heijden, P. G. M., G. van Gils, M. Mruijff and D. Hessen (2006) Een schatting van het aantal in Nederland verblijvende illegale vreemdelingen in 2005 in opdracht van het Ministerie van Justitie (Utrecht: IOPS).

    Google Scholar 

  • Viladrich, A. (2012) ‘Beyond Welfare Reform: Refraining Undocumented Immigrants’ Entitlement to Health Care in the United States, a Critical Review’, Social Science & Medicine, 74(6), 822–9.

    Article  Google Scholar 

  • Wöger, A. (2009) Report Denmark. REGINE, Régularisations in Europe (Vienna: ICMPD).

    Google Scholar 

  • Woodward. A., N. Noward and I. Wolffers (2013) ‘Health and Access to Care for Undocumented Migrants Living in the European Union: A Scoping Review’, Health Policy and Planning, at: http://heapol.oxfordjournals.org/content/early/2013/08/16/heapol. czt061.full.pdf+html, accessed 24 March 2014.

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Copyright information

© 2015 Ewout van Ginneken and Bradford H. Gray

About this chapter

Cite this chapter

van Ginneken, E., Gray, B.H. (2015). European Policies on Healthcare for Undocumented Migrants. In: Kuhlmann, E., Blank, R.H., Bourgeault, I.L., Wendt, C. (eds) The Palgrave International Handbook of Healthcare Policy and Governance. Palgrave Macmillan, London. https://doi.org/10.1057/9781137384935_38

Download citation

Publish with us

Policies and ethics