In the following paper, Annemiek Richters of the University
of Leiden in the Netherlands addresses the dilemmas faced by
health professionals who are asked to evaluate and provide
supporting documentation for those refugees who seek political
asylum in the countries of Europe. It is in the politically
charged arena of asylum applications, government regulations,
and public policy where bioethics, human rights, and health
converge. Despite the 1951 Convention on Refugees, a treaty
signed by nations around the world to safeguard the rights of
those who are displaced, and other treaties that protect the
rights of vulnerable populations, refugee and asylum policies
have become increasingly strict in an effort to deter those
who would seek safety. This tightening of borders in the countries
of the West challenges physicians who find themselves caught
between obligations to treat, to advocate, and to challenge
policies that make treatment a potentially dangerous proposition.
Unfortunately, the World Trade Center attacks have exacerbated
the problem by labeling asylees and refugees as potential
terrorists and subject to deportation.