Legislación en Alemania (sistema basado en seguros)

 

La legislación alemana discrimina significativamente a los solicitantes de asilo durante los cuatro primeros años de residencia en Alemania. Durante este tiempo, éstos sólo tienen derecho a acceder a tratamientos médicos gratuitos en caso de «enfermedades graves o dolor agudo», así como a «todo lo necesario para la recuperación, mejora o alivio de enfermedades y de sus consecuencias». Esto incluye la atención pre y postnatal y el tratamiento del VIH. Sólo los menores cuentan con una cobertura más amplia.

 

Entre los derechos de los inmigrantes sin permiso de residencia y los derechos de los solicitantes de asilo que residen en el país desde un período inferior a 48 meses existe un falso paralelismo, que en absoluto se refleja en la práctica diaria debido a la obligación de denuncia que impone la legislación alemana a las instituciones administrativas públicas. Ésta también se aplica a los centros de asistencia social con competencias en materia de administración sanitaria. Sólo recientemente una interpretación formal de las leyes realizada por el Parlamento alemán ha excluido a estos centros de la obligación de denuncia en los casos en los que los profesionales de la salud les solicitan el reembolso de los gastos derivados de la atención de urgencias.

 

Este rígido marco legal sólo ha sido "sorteado" por algunas iniciativas tomadas a nivel local con la intención de proporcionar la asistencia sanitaria necesaria a la población inmigrante sin regularizar, garantizando su anonimato.

 

Descargar el informe sobre la legislación alemana en materia de asistencia sanitaria de las personas inmigrantes sin permiso de residencia y los solicitantes de asilio (en inglés).

 

Descargar la comparativa general de dieciséis países en el ámbito de asistencia sanitaria de las personas inmigrantes sin permiso de residencia y los solicitantes de asilio.

Informaciones sobre la asistencia sanitaria

Right to stay for long-term 'tolerated' foreigners extended
01/12/2009

Last week, the Interior Ministers of the German Federal States agreed to grant two more years of stay to foreigners with a 'tolerated status' (Duldung) who have had this status for at least eight years or, if having children who are minors, for at least six years. The 'Duldung' is a special status containing limited rights granted to those who have been refused asylum but have not been forcibly returned for humanitarian reasons. Because of the duty to denounce that lies upon the social welfare centres in specific circumstances, the duldung often ends up being the only possibility to receive care. The extra two years will be given to find a job and receive a residence permit. NGOs expressed disappointment that, again, there has been no permanent solution to the precarious situation of tolerated foreigners. They are also concerned that sick and disabled people would not be able to make use of the new regulations, as they are not very likely to find jobs.

Sources: ECRE weekly bulletin, 11 December 2009; and Pro Asyl, 'Ergebnis der Innenministerkonferenz in Bremen'

Law proposal to modify the Aliens act
24/11/2009

On 24 November, the social-democrat party (SPD) introduced a law proposal to modify the Aliens act, on the one hand to extend further the prohibition to denounce undocumented migrants: obligation to denounce would be limited to forces of law and order; and on the other hand, in case of assistance to undocumented migrants, to limit sanctions to those persons who where assisting for financial gain.

Prohibition to denounce undocumented migrants extended to the welfare services
01/09/2009

The previous administrative instructions for the 'Residence Act' (Aufenthaltsgesetz) already prevented health professionals and administrative staff of hospitals from denouncing undocumented migrants to the authorities, contrary to the welfare services, which were obliged to inform the immigration authorities if they learned about a foreigner living without legal residence status.

According to new instructions released by the Bundesrat on 18 September 2009, the prohibition to denounce is extended to social welfare services. The new administrative instructions are available (in German) here (p. 507-509).

Creation of a fund to finance emergency healthcare for undocumented migrants
02/07/2009

On July 2nd, the city council of Munich voted unanimously the creation of a fund to finance emergency health care for undocumented migrants and people without health insurance. The fund should be endowed with € 100.000 a year and serve two purposes:

Fatal delay for an undocumented migrant
30/07/2009

An undocumented migrant, who had lived in Germany for 20 years, suffering from AIDS, did not dare – out of fear of being denounced and expulsed – to seek medical support before the end of July. He died some weeks later. According to Medizinischen Flüchtlingshilfe (‘Medical care for refugees’), this would not have been the case if medical care and treatment could be provided to undocumented migrants on an anonymous basis.

MDM Germany report on its open.med project
27/07/2009

The annual report of MDM Germany’s open.med project has just been released. The project provides access to health care for persons without health insurance. It gives a broad overview of what open.med is about, what profile the patients have, and what pathologies they suffer from.

Good Practices and Policy Requirements from the German Trade Union Federation

The German Trade Union Federation (DGB) has issued a paper dealing with the situation of undocumented migrants in Germany. In addition to naming a few examples for “good practices”, the DGB also formulates policy requirements, i.e. respecting undocumented migrants' basic social and human rights, combating moonlighting as a matter of labor, not regulatory policy, no ban on regularizations by the EU, a more liberal issuing of a stable right to stay and work to migrants with short-term permits, an end to the duty to report for public administration in the fields of health care, education and work, decriminalization of people supporting undocumented migrants, a disjunction of employment and residence rights, and deportations that are in compliance with human rights.

Roma undocumented woman dies following deportation to Kosovo
16/02/2011

A Roma family originating from Kosovo had lived in Germany since 1999. Despite the serious illness of the mother, the whole family was deported in early December to Kosovo. Just a month later, the mother died of a brain haemorrhage. The mother's own specialist doctor had diagnosed her as suffering from post-traumatic stress disorder, depression and neuralgia. Due to these symptoms, she received regular medication and therapy with the support of the Caritas organisation. The local administration in Mayen-Koblenz ordered the deportation of the family. The Trier Administrative Court then upheld the deportation. Mrs. T. was also examined at Düsseldorf Airport by a doctor.

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