Varför ska asylsökande och papperslösa ha tillgång till sjukvård på lika villkor som svenska medborgare? Ett argumentationsunderlag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r FN-rapportören Paul Hunts rapport om Sverige 2006 72. The Special Rapporteur is concerned that Swedish law and practice regarding the health care accessible to asylum-seekers and undocumented foreign nationals is not consistent with international human rights law. In 2000, the Committee on Economic, Social and Cultural Rights, which monitors and interprets ICESCR, advised: States are under an obligation to respect the right to health by refraining from denying or limiting equal access for all persons, including asylumseekers and illegal immigrants, to preventive, curative and palliative health services. In 2004, another United Nations committee of independent human rights experts took the same position. The Special Rapporteur sees no reason to take a different view. The Special Rapporteur notes that under international human rights law, some rights, notably the right to participate in elections, to vote and to stand for election, may be confined to citizens. However, human rights are, in principle, to be enjoyed by all persons. 73. A fundamental human right, the right to the highest attainable standard of health is to be enjoyed by all without discrimination. It is especially important for vulnerable individuals and groups. Asylum-seekers and undocumented people are among the most vulnerable in Sweden. They are precisely the sort of disadvantaged group that international human rights law is designed to protect. 74. As well as human rights and humanitarian reasons, there are also compelling public health grounds for treating all asylum-seekers and undocumented people on the same basis as Swedish residents. While on mission, it was not suggested to the Special Rapporteur that the estimated cost of extending the same medical services on the same basis to residents, asylum-seekers and undocumented individuals would be prohibitively expensive. The issue does not appear to be primarily one of cost. Indeed, relatively speaking, the costs of including asylum-seekers and undocumented individuals are unlikely to be significant. 75. Accordingly, the Special Rapporteur encourages the Government to reconsider its position with a view to offering all asylum-seekers and undocumented persons the same health care, on the same basis, as Swedish residents. By doing so, Sweden will bring itself into conformity with its international human rights obligations. H+$%$(&5;#1,&$,4$F#C1#E+%/;%11,&$#(&,*$F#&+'F$,4#2#&I,*#$,$F##*L,I)#*$,4$F#F+'F#-$ %$$%+*%6/#-$%*.%&.,41FI-+E%/%*.)#*$%/F#%/$F>S%(/T(*$5GUD..#*.()B+--+,*$,CV#.#*W
K%&4<&-3%%-I/-<3%*.#,EF1%11#&-/<-%F%$+//':*'$+//-L(32:&.1:/+3%2+//3,&-,)-2#*-3%)#.6,&'%&#X Introduktion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nnehållsförteckning: Bakgrund dagens lagstiftning och praxis 4 Det människorättsliga perspektivet 5 Det humanitära perspektivet 6 Det medicinsk-etiska perspektivet 7 Det barnrättsliga perspektivet 9 Det kvinnorättsliga perspektivet 10 Folkhälsoperspektivet 10 Det ekonomiska perspektivet 11 Sverige i jämförelse med andra EU-länder 12 Samhällets ansvar inte bara frivilligorganisationernas 13 Rätt till sjukvård en migrationspolitisk fråga? 13 Omedelbar vård - är det tillräckligt? 14 Behov av kunskap och underlag för förändring 15 Web-tips för mer information 16 Kontakter 18 Y
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K%&4<&-3%%-I/-<3%*.#,EF1%11#&-/<-%F%$+//':*'$+//-L(32:&.1:/+3%2+//3,&-,)-2#*-3%)#.6,&'%&#X FAKTA Utdrag ur internationella konventioner Ur FN:s konvention om ekonomiska, sociala och kulturella rättigheter: Artikel 12 1. Konventionsstaterna erkänner rätten för var och en att åtnjuta bästa möjliga fysiska och psykiska hälsa. 2. De åtgärder som konventionsstaterna skall vidta för att till fullo tillgodose denna rätt skall innefatta sådana åtgärder som är nödvändiga för att a) minska foster- och spädbarnsdödligheten och främja barnets sunda utveckling, b) förbättra alla aspekter av samhällets hälsovård och den industriella hälsovården, c) förebygga, behandla och bekämpa alla epidemiska och endemiska sjukdomar, yrkessjukdomar och andra sjukdomar, samt d) skapa förutsättningar som tillförsäkrar alla läkarvård och sjukhusvård i händelse av sjukdom. Ur FN:s konvention om barnets rättigheter: Artikel 24 1. Konventionsstaterna erkänner barnets rätt att åtnjuta bästa uppnåeliga hälsa och rätt till sjukvård och rehabilitering. Konventionsstaterna skall sträva efter att säkerställa att inget barn är berövat sin rätt att ha tillgång till sådan hälso- och sjukvård. Ur FN:s konvention om avskaffande av all slags diskriminering av kvinnor: Artikel 12 1. Konventionsstaterna skall vidta alla lämpliga åtgärder för att avskaffa diskriminering av kvinnor när det gäller hälsovård för att, med jämställdheten mellan män och kvinnor som grund, säkerställa tillgång till hälso- och sjukvård, inklusive sådan som avser familjeplanering. 2. Utan hinder av bestämmelserna i punkt 1 ovan skall konventionsstaterna tillförsäkra kvinnor lämplig vård vid havandeskap och förlossning samt under tiden efter nedkomsten, varvid fri vård skall stå till förfogande när det är nödvändigt, liksom även lämplig kost under havandeskapet och amningstiden. $ Det människorättsliga perspektivet C2#&+'#F%&&%$+4+E#&%$.#4/#-$%+*$#&*%$+,*#//%3,*2#*$+,*#&,))0*-3/+'%&0$$+'F#$#&+2+/3%.#$-/:-4%-$ %$$%//%)0**+-3,&0&/+3%+20&.#,EF&0$$+'F#$#&G@.#--%3,*2#*$+,*#&+*':&02#*&0$$#*$+//F0/-%-,)#* 4(*.%)#*$%/&0$$+'F#$4<&2%&L##*-3+/.+*.+2+.GZ$$#\#)1#/($'<&-%2AOe-3,*2#*$+,*,).# #3,*,)+-3%>-,E+%/%,EF3(/$(&#//%&0$$+'F#$#&*%>.0&)%*#&30**#&%//%+*.+2+.#&-&0$$%$$5-:20/+4I-+-3$ -,)1-I3+-3$%2-##*.#:$*L($%60-$%(11*:#/+'%F0/-%5U%&$+3#/R7WG AOe--0&-3+/.#&%11,&$<&4<&&0$$#*$+//F<'-$%(11*:#/+'%F0/-%>S%(/T(*$>6#-<3$#C2#&+'#(*.#&L%*(%&+ 788fGCI4$#$)#.6#-<3#$2%&%$$(*.#&-<3%F(&C2#&+'#%&6#$%&-:20/*%$+,*#//$-,)+*$#&*%$+,*#//$4<& %$$2%&L##*-3+/.+*.+2+.-3%$+//4<&-03&%-&0$$#*$+//F0/-%GT(*$F0*2+-%&$+//#$$($$%/%*.#4&:*.#* 3,))+$$[-,)<2#&2%3%&3,*2#*$+,*#*,)#3,*,)+-3%>-,E+%/%,EF3(/$(&#//%&0$$+'F#$#&e5C$%$#-%&# (*.#&%*,6/+'%$+,*$,&#-1#E$$F#&+'F$$,F#%/$F6I&%+*+*'4&,).#*I+*',&/+)+$+*'#g(%/%EE#--4,& %//1#&-,*->+*E/(.+*'h%-I/()-##3#&-%*.+//#'%/+))+'&%*$->$,1#*$+2#>E(&%$+2#%*.1%//+%$+2# F#%/$F-#&2+E#-G5i^#*#&%/H,))#*$O,GR_GjF#&+'F$$,$F#F+'F#-$%$$%+*%6/#-$%*.%&.,4 F#%/$FkGK+.%&#%*-#&S%(/T(*$#4$#&-+$$,44+E+#//%6#-<3+C2#&+'#%$$5D-I/()-##3#&-%*. (*.,E()#*$#.1#,1/#%&#%),*'$F#),-$2(/*#&%6/#+*CV#.#*GjF#I%&#E+-#/I$F#-,&$,4 2(/*#&%6/#'&,(1$F%$+*$#&*%$+,*%/F()%*&+'F$-/%V+-.#-+'*#.$,1&,$#E$h@F,1#$F#^,2#&*)#*$ Q
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K%&4<&-3%%-I/-<3%*.#,EF1%11#&-/<-%F%$+//':*'$+//-L(32:&.1:/+3%2+//3,&-,)-2#*-3%)#.6,&'%&#X Det medicinsk-etiska perspektivet "#*)#.+E+*-3%#$+3#*-)#-$'&(*./0''%*.#1&+*E+10&%$$)0**+-3,&-&0$$$+//2:&.-3%//2%&%/+3%4<& %//%,EF#*6%&$-$I&%-%2.#$)#.+E+*-3%6#F,2#$GZ3,*,)+-3>-,E+%/#//#&L(&+.+-3-$0//*+*'>1,/+$+-3#//#& &#/+'+<-$+//F<&+'F#$>#$*+-36%3'&(*.>3<*#//#&/+3*%*.#4%3$,&#&4:&+*$#1:2#&3%.#*)#.+E+*-3% 1&,4#--+,*#*-F%*./%*.#>-,)+-$0//#$-3%($':4&:*2#$#*-3%1,EF6#1&<2%.#&4%&#*F#$6&(3%.4<& 1%$+#*$#*-60-$%G"#--%1&+*E+1#&($2#E3/%.#-&#.%*%2T+11,3&%$#-G"#'#*,)-I&%&m,&/.B#.+E%/ D--,E+%$+,*-.#3/%&%$+,*#&>a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n$$#&-$%*-2%&+'%4<&%$$.#*)#.+E+*-3M#$+-3% 20&.#'&(*.#*-3%//3(**%#4$#&/#2%-0&.0&4<&1,/+$+3#&,EF6#-/($-4%$$%&#+*,)2:&.#*G"#*1,/+$+-3%,2+/L%*%$$#&30**%.#1%11#&-/<-%-,)#*1%$+#*$'&(11,EF$%%*-2%&4<&-+$(%$+,*#*-3%1%&#*-+$(%$+,*.0&)#.+E+*-3$1&,4#--+,*#//%/0)*%-#*-%))%%$$F%*$#&%#$$#$+-3$.+/#))%.0&1&,4#--+,*#*- '&(*.2%/%&-$:&1:-1#/G S,(/=,*'-$%.>.:EF#4/03%&#+;#'+,*C3:*#-3:&788Q+a03%&$+.*+*'#*e5A<&/03%&I&3#$0&.#* #$+-3%.+)#*-+,*#*+*$#4<&F%*./+*'-6%&Gb$%*.#**%.+)#*-+,*-3(//#/03%&#*4<&2%*./%-$+//#* F()%*6+,/,'>)<L/+'%$$-$I&%+2+/3#*&+3$*+*'-,)F#/-$6#&,#*.#1:(11.&%'-'+2%&#*-<*-3#):/h@ 6#'#$/03%+**-.#*#$+-3%.+)#*-+,*#*-:$I./+'$%$$)%*$&,/+'#*+*$#+/0*'.#*3%*3%//%-+' /03%&##*.%-$1:'&(*.2%/%2#\%)#*4&:*#*#&30*./03%&($6+/.*+*'G5i=,*'-$%.>788QGk FAKTA - Utdrag ut Hälso- och sjukvårdslag (1982:763) Mål för hälso- och sjukvården 2 Målet för hälso- och sjukvården är en god hälsa och en vård på lika villkor för hela befolkningen. Vården skall ges med respekt för alla människors lika värde och för den enskilda människans värdighet. Den som har det största behovet av hälso- och sjukvård skall ges företräde till vården. Krav på hälso- och sjukvården 2 a Hälso- och sjukvården skall bedrivas så att den uppfyller kraven på en god vård. Detta innebär att den skall särskilt 1. vara av god kvalitet och tillgodose patientens behov av trygghet i vården och behandlingen, 2. vara lätt tillgänglig, 3. bygga på respekt för patientens självbestämmande och integritet, 4. främja goda kontakter mellan patienten och hälso- och sjukvårdspersonalen. Vården och behandlingen skall så långt det är möjligt utformas och genomföras i samråd med patienten. 9
K%&4<&-3%%-I/-<3%*.#,EF1%11#&-/<-%F%$+//':*'$+//-L(32:&.1:/+3%2+//3,&-,)-2#*-3%)#.6,&'%&#X FAKTA - Utdrag ut andra lagar och riktlinjer Ur Lag om yrkesverksamhet på hälso- och sjukvårdens område (1998:531): 2 kap. Skyldigheter för hälso- och sjukvårdspersonal 1 Den som tillhör hälso- och sjukvårdspersonalen skall utföra sitt arbete i överensstämmelse med vetenskap och beprövad erfarenhet. En patient skall ges sakkunnig och omsorgsfull hälso- och sjukvård som uppfyller dessa krav. Ur Lissabondeklarationen World Medical Association: Läkare och andra personer eller organ som tillhandahåller hälso- och sjukvård har ett samlat ansvar för att erkänna och upprätthålla dessa rättigheter. Närhelst lagstiftning, regeringsåtgärder, eller annan administration eller institution förnekar en patient dessa rättigheter, bör läkare vidta lämpliga åtgärder för att säkerställa eller återupprätta dem. I. Rätten till medicinsk vård av god kvalitet a) Varje patient har, utan åtskillnad, rätt till lämplig medicinsk vård. b) Varje patient har rätt att bli behandlad av en läkare som patienten vet är fri att göra egna kliniska och etiska bedömningar utan inblandning utifrån. c) Patienten skall alltid bli behandlad på det sätt som bäst gynnar honom/henne. Den behandling som ges skall uppfylla allmänt vedertagna medicinska principer. Ur Tokyodeklarationen World Medical Association: 5. A physician must have complete clinical independence in deciding upon the care of a person for whom he or she is medically responsible. The physician's fundamental role is to alleviate the distress of his or her fellow human beings, and no motive, whether personal, collective or political, shall prevail against this higher purpose. Ur Läkarnas etiska kod (Läkarförbundets etiska regler): 1. Läkaren skall i sin gärning ha patientens hälsa som det främsta målet och om möjligt bota, ofta lindra, alltid trösta, följande människokärlekens och hederns bud. 2. Läkaren skall handla i enlighet med vetenskap och beprövad erfarenhet. Ur Sjuksköterskornas etiska kod (svensk översättning från International Council of Nurses): Sjuksköterskans primära ansvar är att ge människor vård. I vårdarbetet verkar sjuksköterskan för en miljö där mänskliga rättigheter, värderingar, sedvänjor och trosuppfattning hos individ, familj och samhälle respekteras. Ur Gemensamt ställningstagande från vårdprofessionerna (17 yrkesförbund, juni 2009): (...) följande ska tjäna som utgångspunkter vid vårdpersonals omhändertagande av alla människor, inklusive asylsökande och papperslösa. Vårdpersonalens uppgift är att ge vård, behandling omvårdnad och rehabilitering. Vårdpersonalens bedömningar ska utgå från patientens behov och grunda sig på vetenskap och beprövad erfarenhet. Patientens rättsliga status ska inte inverka på vårdpersonalens beslut att ge eller avstå från vård. Patientens betalningsförmåga ska inte vara en förutsättning för att vårdpersonalen ska erbjuda patienten nödvändig vård och akut tandvård. Vårdprofessionerna uppmanas att protestera och agera när människor förnekas vård på grund av sin rättsliga status och ge sitt stöd för alla människors rätt till vård. P
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