Objective 15: Provide access to basic services for migrants

In Sweden, the law was changed in 2012 so that access to health care is now guaranteed and free for all children under 18, and for all adults in case of emergency, without any requirement to provide documents. Strong rules on confidentiality apply to citizens and non-citizens, both for access to health care and education, creating a robust firewall in the sphere of health, hence patient confidentiality includes undocumented migrants. 

Switzerland has firewalls between immigration enforcement and service providers to guarantee access to basic services to all, including undocumented migrants. This right is based on the Swiss Federal Constitution and regulated by the Public Health Insurance Law.

Numerous programs encourage links between schools and communities to foster social inclusion of children and their families. For instance, in the Netherlands for second-generation Turks and Moroccans; in Pakistan for Hazara girls; in Canada among African and Caribbean-born immigrants; and in the US for Latin America and Vietnamese communities.

The Republic of Moldova gives migrants the option to buy into national insurance schemes. Both migrants and refugees benefit from medical services through the mandatory health insurance system and also benefit from preventive and disease prevention services (e.g. immunization, communication/information, screening, prophylactic treatment for infectious diseases).

Some private insurance providers in Australia offer provisions especially for migrants to facilitate insurance coverage given their circumstances; for instance removal of waiting periods for hospital and pre-existing conditions coverage.

Some countries offer health coverage for their citizens who move abroad, e.g. Sri Lanka and the Philippines.

The PhilHealth program for OFWs allows members to avail themselves of PhilHealth benefits even if they are confined in hospitals abroad. At the same time, their qualified dependents in the Philippines may avail themselves of the benefits even if the principal is working overseas.

Thailand has championed migrants’ health protection for years by offering a prepaid, premium-based health insurance scheme. Undocumented migrants can buy the insurance under the condition of registering with the government.

Thailand achieved universal health coverage, through three main insurance schemes: 1) the Universal Coverage Scheme (UCS) for ordinary Thai nationals, 2) the Civil Servant Medical Benefit Scheme (CSMBS) for Thai civil servants, and 3) the Social Security Scheme (SSS) for workers in the formal private sector.

Numerous public services have adjusted to provide universal access or extend social protection coverage to an increasingly diverse population through bilateral and multilateral social security agreements or unilateral measures.

One mechanism for extending social protection and paving the way for universal coverage is the establishment of social protection floors – nationally defined sets of basic social security guarantees that ensure at a minimum, that over a lifetime, all those in need have access to essential health care and to basic income security.

The Migrant and Refugee Orientation Centre is a place both to meet and to receive support, aimed at all groups and communities that make up the multicultural society of the City of Buenos Aires. It seeks to centralize activities of State bodies and civil organizations and promote initiatives, meeting the needs and demands of migrants and refugees. Its activities are divided into 3 main areas: 1) Guidance and support; 2) Job training; and 3) Sport and recreation.

Uruguay has introduced specific measures to minimize administrative irregularity linked with international human mobility and is pursuing legal framework revisions to promote migrants’ rights, bilateral and multilateral social security agreements, visa waiver agreements, and various measures in line with civil society recommendations.

The most significant examples of regularization and access to residence and identity documents are the following: