• HCR - 120 000 réfugiés accèdent au régime iranien d’assurance-maladie
    https://www.unhcr.org/fr/news/briefing/2021/4/606c2f7ca/120-000-refugies-accedent-regime-iranien-dassurance-maladie.html

    Alors que la pandémie de Covid-19 continue d’affecter les réfugiés et les communautés d’accueil en Iran, le HCR, l’Agence des Nations Unies pour les réfugiés, assure que 20 000 réfugiés supplémentaires peuvent désormais accéder au régime iranien d’assurance-maladie, ce qui porte à 120 000 le nombre total de réfugiés bénéficiant d’une assurance-maladie dans le pays.
    L’assurance-maladie vise à fournir des soins de santé aux personnes les plus vulnérables qui en ont désespérément besoin, parmi les quelque 800 000 réfugiés afghans accueillis dans le pays selon les estimations du gouvernement iranien.En 2020, le HCR avait couvert les coûts des primes pour environ 100 000 réfugiés vulnérables bénéficiant du régime iranien d’assurance-maladie publique universelle (UPHI). Cependant, la pandémie de Covid-19 et le ralentissement économique actuel en Iran augmentent la vulnérabilité des réfugiés. De ce fait, le HCR a accepté d’augmenter temporairement le nombre de réfugiés couverts dans le cadre de ce programme.Malgré les difficultés, l’Iran a continué d’accorder généreusement aux réfugiés l’accès à l’éducation et aux services de santé. L’Iran est l’un des rares pays au monde à offrir aux réfugiés la possibilité de s’enregistrer auprès de son régime national d’assurance-maladie pour les services de santé publique secondaires et tertiaires essentiels, et ce au même titre que les ressortissants iraniens.Le régime iranien d’assurance-maladie permet aux bénéficiaires de recevoir des traitements et d’être hospitalisés gratuitement dans le contexte de la pandémie de Covid-19. Il subventionne également le coût des opérations chirurgicales, des dialyses, de la radiologie, des tests de laboratoire, des soins ambulatoires, etc.

    #Covid-19#migrant#migration#iran#sante#refugie#education#assurancemaladie#inclusion#santepublique

  • ’The US isn’t an option anymore’: why California’s immigrants are heading back to Mexico | California | The Guardian
    http://www.theguardian.com/us-news/2020/dec/31/california-immigration-mexico-coronavirus-us
    https://i.guim.co.uk/img/media/51b3a5c35c1749fad7ddbfe8878668cb108a6ae6/0_144_5000_3000/master/5000.jpg?width=1200&height=630&quality=85&auto=format&fit=crop&overlay-ali

    California’s most vulnerable immigrants have faced unprecedented challenges this year, with some weighing whether it’s worth staying in the United States altogether.Ten months of a pandemic that has disproportionately sickened immigrants and devastated some of the industries that rely on immigrant labor, combined with years of anti-immigrant policies by the Trump administration have exacerbated insecurities for undocumented people and immigrants working low-wage jobs across California.
    For immigrants at the bottom of the economic ladder, it’s never been easy in the US, said Luz Gallegos, the executive director of the immigrant advocacy group Training Occupational Development Educating Communities Legal Center (Todec).“But California was also always a place where my family – my parents and grandparents – believed they could build a better life,” said Gallegos who was born into a family of immigrant activists and organizers. “It was always a place with potential.”“There’s been so much fear and trauma – just layers of trauma,” she said. Workers at mega-farms and massive warehouses across California’s Inland Empire and Central Valley– many of whom have continued to toil through the most severe stretches of the pandemic despite coronavirus outbreaks at many facilities – have been coming to Gallegos for advice on what to do when they get sick.
    One family she spoke with recently asked her if there was a community clinic they could go to for Covid treatment, instead of the county hospital. As green card applicants, they were worried that if they sought government healthcare they could be denied permanent residency due to the Trump administration’s so-called “public charge” rule, which allowed the government to deny residency to immigrants who rely on public benefits. Gallegos said she tried to explain that going to a county hospital wouldn’t disqualify them – and moreover, a federal court had recently blocked the rule from being implemented. “I told them, you should think about your health first. You’ll have no use for a green card if you’re not alive,” Gallegos said.
    But they couldn’t stand the uncertainty. So, the grandmother, mom and two young children instead relocated across the southern border. The kids, both US citizens, are still able to cross the border to attend school.“It’s not even that the country is not welcoming any more, it’s just not an option any more,” said Gallegos. “I hear that all the time from people here, and from friends and family in other countries.” Javier Lua Figureo moved back to his home town in Michoacán, Mexico, three years ago, after living and working in California for a dozen years. Since the pandemic hit, several of his friends and family members have followed his lead, he said.“Things aren’t perfect in Mexico,” Figureo said in Spanish. But at least there’s access to healthcare, and some unemployment benefits for those who need it, he added. “In comparison to what it was in the US, the situation for us in Mexico right now is much better.” Although California’s coronavirus case tracking data doesn’t track immigration status, studies and surveys have found that the pandemic has taken a disproportionate toll on the state’s immigrant population. Or, as researchers at UC Berkeley put it: “Even though the virus is blind to people’s citizenship or visa status, immigrants can be especially vulnerable to infection, serious illness, financial hardship, and hateful discrimination.”
    Immigrants are more likely to work on the frontlines of the pandemic, as healthcare workers, grocery store clerks, delivery drivers and farmers, where their chances of contracting the virus are especially high. A third of all physicians are immigrants, and so are at least half the nation’s farm workers. An estimated 75% of farmworkers in California are undocumented immigrants. Even before the Trump administration implemented its anti-immigrant policies, and even before the pandemic hit, non-citizens had less access to healthcare and health insurance, as well as safety net programs like food stamps and unemployment. In May and June, they didn’t get the $2,000 stimulus check that most Americans with a social security number received.A $125m fund to send a one-time cash grant of $500 offered to workers without legal status dried up quickly, and was a drop in the bucket. The state’s governor, Gavin Newsom, vetoed a bill that would have provided low-income immigrants $600 for groceries. “It feels like discrimination,” said Pedro, who is 41 and works at a cauliflower farm in Riverside county, east of Los Angeles. In March, he lost work, and couldn’t make rent. And as California faces a surge in coronavirus cases, he said still doesn’t know what he’d do if he or his wife contracted Covid-19 – they don’t have health insurance, and without legal documents, they don’t feel safe going to the county-run free testing sites. Meanwhile, it unnerves him to see border patrol agents about town. “I’m scared to even go out to buy things for my daughters,” he said, in Purépecha. The Guardian is not using Pedro’s last name to protect him and his undocumented family members.

    #Covid-19#migrant#migration#etatsunis#mexique#californie#sante#discrimination#systemesante#assurancemaladie#economie#revenu