The medical care system in US immigration detention is dangerously inadequate, with unique consequences for women, and improving health care for immigration detainees should be a top priority for the new administration.
Human Rights Watch and the Florida Immigrant Advocacy Center said in documented numerous instances in which Immigration and Customs Enforcement (ICE) botched, delayed or denied medical care, causing suffering and even death.
The 78-page Human Rights Watch report, "
Detained and Dismissed: Women's Struggles to Obtain Health Care in United States Immigration Detention," documents dozens of cases in which the immigration agency's medical staff either failed to respond at all to health problems of women in detention or responded only after considerable delays.
"Women in detention described violations such as shackling pregnant detainees or failing to follow up on signs of breast and cervical cancer, as well as basic affronts to their dignity," said Meghan Rhoad, researcher in the women's rights division at Human Rights Watch.
Women described struggling to obtain potentially life-saving services such as Pap smears to detect cervical cancer, mammograms to check for breast cancer, pre-natal care, counseling for survivors of violence, and even basic supplies such as sanitary pads or breast pumps for nursing mothers. The obstacles to health services included inadequate communication about available services, unexplained delays in treatment, unwarranted denial of services, breaches of confidentiality, and failure to transfer medical records. When women were denied services, complaint mechanisms were ineffective.
The Human Rights Watch report is based on visits to nine detention centers in Florida, Texas, and Arizona, and interviews with 48 women detained or recently released from immigration detention, detention facility staff and health care providers, immigration officials, immigration attorneys and advocates. Additional research was conducted in the New York and Washington, DC, metropolitan areas.