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Migrants and access to health care in Costa Rica

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dc.creator Voorend, Koen
dc.creator Bedi, Arjun S.
dc.creator Sura Fonseca, Rebeca
dc.date 2021-05-20T19:42:52Z
dc.date 2021-05-20T19:42:52Z
dc.date 2021-03-22
dc.date.accessioned 2023-03-20T15:41:40Z
dc.date.available 2023-03-20T15:41:40Z
dc.identifier https://www.sciencedirect.com/science/article/pii/S0305750X21000930?via%3Dihub
dc.identifier https://repositorio.iis.ucr.ac.cr/handle/123456789/767
dc.identifier 105481
dc.identifier 10.1016/j.worlddev.2021.105481
dc.identifier.uri https://biblioteca-repositorio.clacso.edu.ar/handle/CLACSO/215067
dc.description As in most immigrant-receiving countries in the global North, countries in the South face challenges regarding migrant access to social rights and the effect of migrants on the sustainability of the welfare state. In the Latin American context, this holds especially for countries such as Costa Rica, which has one of the strongest social policy regimes in the South and the highest (Nicaraguan) immigrant stock in Latin America. Set in the context of Costa Rica, this paper assesses two views which seem hard to reconcile, and, are common in the country. First, it is claimed that Nicaraguan migrants use public health services disproportionately, thereby threatening the country’s welfare system. Second, pro-migrant rights non-governmental organizations and academics are concerned, primarily based on qualitative studies, that access to health services for Nicaraguan immigrants is limited, and that they are discriminated based on nationality. This paper relies on administrative data and a unique data set representative of Nicaraguan born individuals residing in Costa Rica to examine the validity of both these claims. We do not find support for either. The incidence of migrant health care use is lower than their share in the population and at the same time there is no evidence of discrimination in health care access for migrants based on their nationality. The paper underlines the need for more informed migration debates. 2021 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license
dc.description UCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias Sociales::Instituto de Investigaciones Sociales (IIS)
dc.format application/pdf
dc.language en
dc.publisher Elsevier
dc.source World Development 144 (2021)
dc.subject Migration
dc.subject Healthcare
dc.subject Costa Rica
dc.subject Nicaragua
dc.subject Central America
dc.subject Nutrition policy
dc.subject Política de la salud
dc.subject Migración
dc.subject Salud
dc.title Migrants and access to health care in Costa Rica
dc.type artículo científico


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