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Dual Loyalties

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The Challenges of Providing Professional Health Care to Immigration Detainees

by Christy Carnegie Fujio, JD, MA

March 2011

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Health professionals who work in the immigration detention system are bound by the same standards of conduct that apply to their treatment of patients in private clinics and hospitals: to treat their duty to patient as their first priority and to always act in the best interests of the patient. However, health professionals’ ability to maintain loyalty to their patients and to act in their best interests becomes severely compromised when the interests of their employer intrude upon or directly conflict with the needs of patients.

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