New York City Plan to Improve Immigrant Access to Health Care Services Follows Recommendation from The Hastings Center

New York City Mayor Bill de Blasio’s plan for a program to improve health care access for immigrants in the nation’s largest city incorporates the principal recommendation from The Hastings Center and the New York Immigration Coalition (NYIC).  

The recommendation, for the creation of a networked primary care medical home system for uninsured immigrants, comes from “Undocumented Immigrants and Access to Health Care in New York City: Identifying Fair, Effective, and Sustainable Local Policy Solutions,” a report by The Hastings Center and NYIC. Both organizations were participants in the Mayor’s Task Force on Immigrant Health Care Access, convened to identify ways to meet the health care needs of thousands of residents left out of the Patient Protection and Affordable Care Act (ACA).  

The mayor’s plan is part of a yearlong program, called Direct Access, to be launched in the spring of 2016 “to provide reliable and coordinated access to affordable health care for immigrants who are excluded from federal and state support,” according to the mayor’s office. 

“The creation of a direct access program for uninsured immigrants, using existing safety-net resources, is a major step toward closing health care gaps for New York City’s remaining uninsured and will spur fresh thinking about local solutions to this national problem”  says Nancy Berlinger, a Hastings Center research scholar and the lead author of the report. 

“The primary care medical home model reflects lessons learned from innovators in other cities,” says Michael Gusmano, a Hastings Center research scholar and co-author of the report. 

Berlinger and Gusmano are co-investigators of The Hastings Center’s Undocumented Patients project, which has contributed significantly to efforts to describe fair, effective, and sustainable local solutions to a health policy problem that often creates ethical challenges for frontline clinicians and safety-net organizations with limited resources.

Center News
In The Media

NPR’s “To the Point”
August 28
Nancy Berlinger interviewed on ethical behavior in the operating room.

New York Times
August 21
Nancy Berlinger interviewed about an incident of doctors behaving disrespectfully toward patients who are sedated.  

The New Yorker
August 24, 2015
Nancy Berlinger writes a letter to the editor, “Get With the Program.”  

Boston Globe
August 6, 2015
Mildred Solomon writes a letter to the editor, “Bioethicists do embrace science, but not indiscriminately.”
July 31, 2015
Mildred Solomon and Nancy Berlinger write a commentary, "Seizing a Medicare Moment to Improve End-of-Life Care." 

Health Affairs Blog
June 5, 2015
Mildred Solomon writes a commentary, “How Institutional Review Boards Can Support Learning Health Systems While Providing Meaningful Oversight.”

The New York Times
April 21, 2015
Erik Parens writes a commentary on the use of cognitive enhancers in the office.

The New York Times
January 19, 2015
A lead article in the Science section discusses Hastings Center Report articles on the ethically and legally controversial use of advance directives to enable people with dementia to hasten their death by refusing food and water.

The New Republic
November 1, 2014
Josephine Johnston co-authors an article on the risks of egg freezing.

The New York Times
July 11, 2014
A letter to the editor by Greg Kaebnick discusses humans’ relationship to the wilderness.

Roll Call
July 10, 2014
Hastings Center board member Joseph J. Fins writes a commentary, “Congress, With Help of Private Ryan, Can Save the VA.”

June 16 & 17
Nancy Berlinger and Mildred Solomon quoted in separate articles about the family dispute over Casey Kasem’s end-of-life wishes.

May 10, 2014
Josephine Johnston quoted about Long Island doctors who recommend medications to hospitals while being paid by drug companies.

May 6, 2014
Hastings Center senior advisor Rosemary Gibson looks at a small town in Maine to see the human impact of escalating health care costs on a community.

Wall Street Journal
April 28, 2014
Josephine Johnston quoted in an article about fertility treatments and multiple births, which also cites new article by Johnston, Michael Gusmano, and Pasquale Patrizio in Fertility and Sterility.

WMHT public television, Albany
April 10, 2014
Mildred Solomon interviewed on “Health Link” about the benefits of palliative care. 

March 15, 2014
Josephine Johnston quoted on federal charges against Novartis for paying doctors to prescribe pills.

Associated Press and NPR
January 1, 2014
Nancy Berlinger quoted on brain death and the case of Jahi McMath.

New York Times 
December 1, 2013
Daniel Callahan’s op-ed, “On Dying After Your Time,” is published in the Sunday Review.

October 8, 2013
Hastings Center Report case on doctors googling a patient is subject of an article.

September 18, 2013
Michael Gusmano quoted on relationship between mental illness and violence.

August 14, 2013
Tom Murray quoted about ethical questions raised by the BRAIN initiative.

Huffington Post
July 31, 2013
Hastings Center Guidelines called “a new must read resource for healthcare consumers.”

The New York Times
July 29, 2013
Nancy Berlinger quoted on dilemmas posed by pre-clinical testing for Alzheimer’s disease.

U.S. News Best Hospital Guidebook
July 12, 2013
Blair Sadler, board member and Fellow, interviewed about Fable hospital; Hastings Center Report essays cited. 

New York Times New Old Age blog
June 16, 2013
Over 65 blog post cited on why a geriatrician stopped accepting Medicare.

Huffington Post Live
June 6, 2013
Mildred Solomon, president, interviewed about pediatric lung transplants.

NPR’s Science Friday
May 17, 2013 
Josephine Johnston discusses ethical implications of new research that created the first human embryonic stem cells through cloning.

World Medical and Health Policy
March 2013
Michael Gusmano examines U.S. cancer survival statistics in light of claims that the U.S. health care system is the “best in the world.” 

Cell Stem Cell
February 7, 2013
Josephine Johnston coauthors article about absence of gamete donor consent in the NIH stem cell registry

The New York Times
January 20, 2013
Tom Murray quoted on the “arms race” in sport doping  

The New York Times
January 11, 2013
Letter to the Editor by Daniel Callahan on costs of medical care at the end of life