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Abstract
Recent legislative reform has drastically altered the ways in which asylum seekers are processed and treated within the Canadian immigration system. TheProtecting Canada’s Immigration System Act, the provisions of which were staggered into effect over 2012, has created a two-tiered system whereby individuals are subject to vastly differential treatment based on their country of origin, status of refugee claim, and mode of arrival to Canada. Beyond introducing an extremely restrictive determination process, the federal Conservative government has also implemented a sweeping overhaul of the Interim Federal Health Program which has transformed health insurance coverage for asylum seekers into a limited and hierarchal system. This paper explores these draconian policy changes, outlines the problematic rhetoric and discourse that has fueled them, and details the subsequent level of organized opposition from the Canadian medical profession. It also provides a comprehensive analysis of predicted social and economic consequences that the reform will have on refugee claimants and on Canadian society as a whole. Finally, it outlines provincial reactions, with a particular focus on Ontario, and concludes with policy recommendations for the federal government and the province of Ontario.
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Barnes, S. (2012). The real cost of cutting refugee health benefits: a health equity impact assessment.The Wellesley Institute. Retrieved fromhttp://www.wellesleyinstitute.com/wp-content/uploads/2012/05/The-Real-Cost-of-Cutting-Refugee-Health-Benefits.pdf
Benner, A. (2013 January 27). Hard work ahead.Welland Tribune. Retrieved fromhttp://www.wellandtribune.ca/2013/01/27/hard-work-ahead
Benzie, R. & Brennan, R. J. (2013 March 14). Ontario election still looms despite talks between premier Kathleen Wynne and rivals.The Toronto Star. Retrieved fromhttp://www.thestar.com/news/queenspark/2013/03/14/ontario_election_still_looms_despite_talks_between_premier_kathleen_wynne_and_rivals.html
Blizzard, C. (2013 January 30). Kathleen Wynne has some tough decisions ahead.Toronto Sun. Retrieved fromhttp://www.torontosun.com/2013/01/30/kathleen-wynne-has-some-tough-decisions-ahead
Canadian Association of Community Health Centres (2012). Canada’s health centres call on federal government to reverse dangerous healthcare cuts.Canadian Association of Community Health Centres. Retrieved fromhttp://us2.campaign-archive2.com/?u=7a43c7c3cc34f10750812285c&id=201d7f1ded
Canadian Association of Optometrists, Canadian Association of Social Workers, Canadian Dental Association, Canadian Medical Association, Canadian Nurses Association, the Canadian Pharmacist Association, College of Family Physicians of Canada, & College of Physicians and Surgeons of Canada (2012 May 18). Letter to Minister Jason Kenney. Retrieved fromhttp://www.pharmacists.ca/cpha-ca/assets/File/cpha-on-the-issues/SuppBenefitsKenneyEN.pdf
Canadian Association of Refugee Lawyers & Canadian Doctors for Refugee Care (2013 February 25). Press release: doctors and lawyers challenge federal health cuts to refugees.Canadian Association of Refugee Lawyers. Retrieved fromhttp://www.refugeelawyersgroup.ca/node/58
Canadian Council for Refugees (2009). Responding to chain email with false information.Canadian Council for Refugees. Retrieved fromhttp://ccrweb.ca/refassistrebut.html
Canadian Council for Refugees (2012). Changes to healthcare for refugee claimants and protected persons inhumane.Canadian Council for Refugees. Retrieved fromhttp://ccrweb.ca/en/bulletin/12/04/27
Canadian Council for Refugees (2013).Refugee healthcare: impacts of recent cuts.Canadian Council for Refugees. Retrieved fromhttp://ccrweb.ca/files/ifhreporten.pdf
Canadian Doctors for refugee Care (2013).Canadian Doctors for Refugee Care. Retrieved fromhttp://www.doctorsforrefugeecare.ca/index.html
Canadian Healthcare Association (2012). Changes to the Interim Federal Health Program: position statement.Canadian Healthcare Association. Retrieved fromhttp://www.cha.ca/wp-content/uploads/2012/11/IFHP-reform-policy-statement-November-2012.pdf
Caulford, P., & D’Andrade, J. (2012). Health care for Canada’s medically uninsured immigrants and refugees.Canadian Family Physician, 58, 725–727.
City of Toronto (2012). Health impacts of reduced federal health services for refugees.City of Toronto. Retrieved fromhttp://www.toronto.ca/legdocs/mmis/2012/hl/bgrd/backgroundfile-47324.pdf
Citizenship and Immigration Canada (2012a). Backgrounder overview: ending the abuse of Canada’s immigration system by human smugglers.Government of Canada. Retrieved fromhttp://www.cic.gc.ca/english/department/media/backgrounders/2012/2012-06-29i.asp
Citizenship and Immigration Canada (2012b). Interim federal health program: summary of benefits.Government of Canada. Retrieved fromhttp://www.cic.gc.ca/english/refugees/outside/summary-ifhp.asp
Citizenship and Immigration Canada (2012c). Making Canada’s asylum system faster and fairer.Citizenship and Immigration Canada. Retrieved fromhttp://www.cic.gc.ca/English/department/media/releases/2012/2012-11-30.asp
Citizenship and Immigration Canada (2012d). News release: reform of the Interim Federal Health Program ensures fairness, protects public health and safety.Citizenship and Immigration Canada. Retrieved fromhttp://www.cic.gc.ca/English/department/media/releases/2012/2012-04-25.asp
Citizenship and Immigration Canada (2013a). Backgrounder—summary of changes to Canada’s asylum system.Government of Canada. Retrieved fromhttp://www.cic.gc.ca/english/department/media/backgrounders/2012/2012-11-30c.asp
Citizenship and Immigration Canada (2013b). Health care—refugees.Government of Canada. Retrieved fromhttp://www.cic.gc.ca/english/refugees/outside/arriving-healthcare.asp#health
Criscone, P. (2013 January 28). Docs want Ontario to fill gap in refugee health.Brampton Guardian. Retrieved fromhttp://www.bramptonguardian.com/news/article/1572143--docs-want-ontario-to-fill-gap-in-refugee-health
CUPE (2012 June 18). Refugee healthcare an investment, not charity.CUPE. Retrieved fromhttp://cupe.ca/health-care/refugee-health-care-investment-charity
Denton, T. (2012 May 17). They aren’t all ‘bogus’ refugees as portrayed by Kenney.The Winnipeg Free Press. Retrieved fromhttp://www.winnipegfreepress.com/opinion/westview/they-arent-all-bogus-refugees-as-portrayed-by-kenney-151840795.html
Eggertson, L. (2013 March 11). Doctors promise protests along with court challenge to refugee health cuts.Canadian Medical Association. Retrieved fromhttp://www.canadianmedicaljournal.ca/content/early/2013/03/11/cmaj.109-4430.full.pdf+html
Graham, J. R., Swift, K. J., & Delaney, R. (2012).Canadian social policy: an introduction (4th ed.). Toronto: Pearson.
Government of Canada (2012). Order respecting the Interim Federal Health Program, 2012.Government of Canada. Retrieved fromhttp://laws-lois.justice.gc.ca/eng/regulations/SI-2012-26/FullText.html
Haber, R. (2010. Health Equity Impact Assessment: a primer.The Wellesley Institute. Retrieved fromhttp://www.wellesleyinstitute.com/wp-content/uploads/2011/02/Health_Equity_Impact_Assessment_Haber.pdf
Health for All (2013 January 23). Health workers and concerned community members take on the Ministry of Health.Health for All. Retrieved fromhttp://www.health4all.ca/ONFillTheIFHGapPetitionDeliveryReportback
Immigration Matters in Canada Coalition (2012 June 14). Federal cuts put refugee health care in danger.Canadian Centre for Policy Alternatives. Retrieved fromhttp://www.policyalternatives.ca/publications/commentary/federal-cuts-put-refugee-health-care-danger
Jackson, S. (2012). The new interim federal health care program: how reduced coverage adversely affects refugee claimant’s employment.Ryerson Centre for Immigration and Settlement Brief No. 2012/1, 1–10. Retrieved fromhttp://www.ryerson.ca/content/dam/rcis/documents/RCIS_Research_Brief_2012_1.pdf
Jones, A. (2013 February 25). Doctor’s group takes Ottawa to court over refugee health-care cuts.The Globe and Mail. Retrieved fromhttp://www.theglobeandmail.com/news/politics/doctors-group-takes-ottawa-to-court-over-refugee-health-care-cuts/article9047552/
Karstens-Smith, G. (2012 May 7). Cuts to refugee health insurance dangerous, inhuman, doctors say.National Post. Retrieved fromhttp://news.nationalpost.com/2012/05/07/cuts-to-refugee-health-insurance-dangerous-inhumane-doctors-say/
Kenney, J. (2012 May 11). Response to Ottawa Citizen re: IFH.Jason Kenney. Retrieved fromhttp://www.jasonkenney.ca/news/response-to-ottawa-citizen-re-ifh/
Keung, N. (2012 May 11). Physicians occupied MP’s office over cuts to refugee health care.The Toronto Star. Retrieved fromhttp://www.thestar.com/news/investigations/2012/05/11/physicians_occupied_mps_office_over_cuts_to_refugee_health_care.html
Matthews, D. (2012a June 27). Letter to Ministers Jason Kenney and Leona Aglukkaq. Retrieved fromhttp://www.ontla.on.ca/library/repository/mon/26007/318895.pdf
Matthews, D. (2012b December 14). Letter to Minister Jason Kenney. Retrieved fromhttp://www.health.gov.on.ca/en/news/bulletin/2012/docs/hb_20121214_1.pdf
Ontario Government (2013a). Reinstating access to health care for refugee claimants.Ontario Government. Retrieved fromhttp://news.ontario.ca/mohltc/en/2013/12/reinstating-access-to-health-care-for-refugee-claimants.html
Ontario Government (2013b). Backgrounder—Ontario temporary health program.Ontario Government. Retrieved fromhttp://news.ontario.ca/mohltc/en/2013/12/ontario-temporary-health-program.html
Oscapella, T. (2013 February 27). Refugee groups taking federal government to court over refugee health care cuts.Canadian Civil Liberties Association. Retrieved fromhttp://www.ccla.org/rightswatch/2013/02/27/refugee-groups-taking-federal-government-to-court-over-refugee-health-care-cuts/
Radio Noon Montreal (2012 June 28). Quebec will fund refugee care.CBC Radio. Retrieved fromhttp://www.cbc.ca/player/Radio/Local+Shows/Quebec/ID/2251206467/
Radwanski, A. (2013 March 29). For Ontario Liberals, early peacekeeping might lead to long-term challenges.The Globe and Mail. Retrieved fromhttp://www.theglobeandmail.com/news/national/for-ontario-liberals-early-peacekeeping-might-lead-to-long-term-challenges/article10585715/
Rice, W. (2011). Health promotion through an equity lens.The Wellesley Institute. Retrieved fromhttp://www.wellesleyinstitute.com/wp-content/uploads/2011/02/Health_Promotion_Through_an_Equity_Lens.pdf
Samon, L. & Hui, C. (2012). Cuts to refugee health program put children and youth at risk.Canadian Pediatric Society. Retrieved fromhttp://www.cps.ca/advocacy/CPS_RefugeeHealth.pdf
Sanders, C. (2012 October 13). Province steps up for refugees.Winnipeg Free Press. Retrieved fromhttp://www.winnipegfreepress.com/local/province-steps-up-for-refugees-169590316.html
Spur, B. (2012 July). Refugee health cuts sicken doctors.Now Toronto, 31(45). Retrieved fromhttp://www.nowtoronto.com/news/story.cfm?content=187651
Toth, J. (2010). The incomprehensible flow of Roma asylum-seekers from the Czech Republic and Hungary to Canada.Centre for European Policy Studies. Retrieved fromhttp://aei.pitt.edu/15124/1/EU-Canada_paperToth_final.pdf
University of Toronto Department of Psychiatry (2012). Interim Federal Health Program cuts and Bill C-31—U of T Psychiatry position statement.University of Toronto. Retrieved fromhttp://www.utpsychiatry.ca/bill-c31-uoft-psychiatry-position-statement/
Wales, J. (2010). Interim federal health: a public perspective.Commentary, 7(1), 50–52. Retrieved fromhttp://www.mumj.org/Issues/v7_2010/articles/51.pdf.
Woods, M. (2013). Doctors, lawyers to challenge conservative refugee healthcare cuts.O-Canada. Retrieved fromhttp://o.canada.com/2013/02/24/doctors-lawyers-to-challenge-conservative-refugee-health-care-cuts/#.UTbQ41c6K9U
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Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada
Helen P. Harris
Factor-Inwentash Faculty of Social Work and School of Public Policy and Governance, University of Toronto, Toronto, ON, Canada
Daniyal Zuberi
- Helen P. Harris
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- Daniyal Zuberi
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Correspondence toDaniyal Zuberi.
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Harris, H.P., Zuberi, D. Harming Refugee and Canadian Health: the Negative Consequences of Recent Reforms to Canada’s Interim Federal Health Program.Int. Migration & Integration16, 1041–1055 (2015). https://doi.org/10.1007/s12134-014-0385-x
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