Ethics, economics and migration: intersections, synergies and tensions
Abstract The presentation will provide food for thought on the relationships between value-based discussions and economic evaluations of healthcare provision for marginalized migrant groups along two different lines of thought. First, while economic analyses are often interpreted as objective and neutral pieces of evidence, it can be argued that every economic model and analysis has its starting point in specific ethical values that are set as basic assumptions. This, in turn, has inevitable impacts on possible results and conclusions. The presentation will use examples to illustrate the value-based foundations of economic analyses in migrant healthcare; and it will propose options for the more explicit reflection of value-based assumptions in economic evaluations. Secondly, the presentation will reflect on existing research on the rationales shaping political decision-making processes in the field of migrant healthcare. In specific, it will examine the concepts of “health-related deservingness” and of “political decisions”, which both postulate that eventually values tip the scales in political decisions on migrant healthcare; and it will discuss the meaning of these concepts for the role of economic evidence in policy-making processes. In doing so, the presentation will relate back to the workshop’s overarching question on how to build synergies and bridges between migration and health research, economic analysis, and policy making to overcome inherent tensions.