Borders Across Healthcare

Examining which actors determine undocumented migrants’ access to healthcare on the ground, this volume looks at what happens in the daily interactions between administrative personnel, healthcare professionals and migrant patients in healthcare institutions across Europe. Borders across Healthcare explores contemporary moral economies of the healthcare-migration nexus. The volume documents the many ways in which borders come to disrupt healthcare settings and illuminates how judgements of a health-related deservingness become increasingly important, producing hierarchies that undermine a universal right to healthcare.

Historically organised at a local or national scale, the fields of medicine and healthcare are being radically transformed by new communication, transport and biotechnologies creating, in the process, a genuinely globalised sphere of biomedical production and consumption. This emerging market is characterised by the circulation of bodily materials (tissues, organs and bio-information), patients and expertise across what traditionally have been relatively secure ontological and geographical borders. Crossing both disciplinary and geographical boundaries, this volume draws together a number of important contributions from acknowledged leaders in three respective fields: the trade in bodily commodities, biomedical tourism and migration of health care professionals. It explores and maps out the key characteristics of this emerging, although as yet poorly researched global trade, questioning how, where and why bodies cross borders, whether this exacerbates existing health inequalities and how these circulations impact on healthcare services. Considered together, the chapters in this volume invite comparisons of the ways in which body parts, patients and medical professionals cross national borders, elucidating common themes, concerns and issues. Contributors also pose important questions about the ethical and legal implications of the circulation of bodies across borders and evaluate current and future strategies for regulation.

A report that welcomes the proposal from the European Commission for a Directive on patients' rights to cross-border healthcare but calls for improvements and warns that, due to the unpredictable impact of the provisions in the Directive, it must be carefully monitored upon implementation.

A report that welcomes the proposal from the European Commission for a Directive on patients' rights to cross-border healthcare but calls for improvements and warns that, due to the unpredictable impact of the provisions in the Directive, it must be carefully monitored upon implementation.

This volume examines why hospitals collaborate with each other and with other health care actors across borders in Europe. Cross-border hospital collaboration is not a new phenomenon but began to receive increased attention in the first decade of the 21st century in the context of European debates on patient mobility, the impact of European Union (EU) integration on national health systems and the particular situation of border regions. In this context, the role of health care providers stands out: while physically anchored in the health system that funds and regulates them, hospitals in border regions often witness or initiate cross-border movements of patients and health professionals.

Cross-border health care has become a much more prominent phenomenon in the European Union. When in need of medical treatment, patients increasingly act as informed consumers who claim the right to choose their own providers, including those beyond borders. This book explores such trends and also looks at the legal framework for cross-border care as well as examining some of the uncertainties surrounding it. After the adoption of the Directive on the application of patient rights in cross-border care, Member States will now have to start implementing these provisions. One of the challenges will be to see how various national practices related to access, benefits and tariffs, quality and safety, patient rights, cooperation etc. will be affected by these new rules. The information and analysis presented in the study can be of considerable use to policy-makers and those with an interest in key aspects of cross-border health care to accompany or follow this process.