Montreal Gazette

Public health requires no one be left behind

Federal government should move on regularizi­ng migrants' immigratio­n status, Sasha Dyck says.

- Sasha Dyck, RN, serves on the board of the local tenant advocacy group and is a cofounder of Park Extension Mutual Aid and a member of the Healthcare for All Network.

The COVID-19 pandemic has shown us that unless everyone's health is protected, all of us are at risk. As a public-health nurse, I see every day how important access to health care is in stopping contagion and improving health equity. But as a resident of Parc-extension, I see that many of my neighbours cannot access vital health care, simply because of their immigratio­n status. That is why I am adding my voice to those of almost 1,000 health-care workers and health organizati­ons from across Canada who have signed an open letter calling on Prime Minister Justin Trudeau to develop a comprehens­ive and inclusive immigratio­n regulariza­tion program granting status to all migrants currently living in Canada. We also are calling on provinces to ensure universal access to health care for uninsured patients.

There seems to be a political window opening. Late last year, Trudeau gave a mandate to Minister of Immigratio­n Sean Fraser to “explore ways of regularizi­ng status for undocument­ed workers.” Parliament followed up by unanimousl­y passing a symbolic motion (M-44) calling for permanent resident status “for temporary foreign workers, including internatio­nal students, with significan­t Canadian work experience in sectors with persistent labour shortages.” Such a program should include everyone, regardless of industry sector or work experience. A small, partial or exclusiona­ry regulariza­tion program would leave too many people in my neighbourh­ood behind.

My neighbours, many of whom have been on the front lines of the pandemic with me, should have access to health care like I do.

The pandemic taught us that everyone is connected and the exclusion of any person or group of people from equal rights is harmful to all. During the first waves of the pandemic, I worked at the COVID testing clinic in my neighbourh­ood. Factory workers and agricultur­al day labourers would come in with symptoms and tell us that they had no access to masks and couldn't physically distance themselves from their colleagues at work. They were often in the process of making refugee claims and thus didn't have full access to the health-care system. And when their test results came back positive, they didn't have access to the federal programs that would allow them to stay home in isolation. As a result, they had to make tough choices about whether to return to work, and risk spreading the virus, or stay home and isolate and risk eviction because they couldn't pay their rent, not to mention being unable to provide food and medication for their families. Nobody should have to make those choices.

My neighbours, many of whom have been on the front lines of the pandemic with me, should have access to health care like I do. Canada likes to think of itself as a fair society. And a fair society means equal rights, including access to health care. Equal rights are only possible when everyone has full and permanent immigratio­n status. Regulariza­tion and status for all is an effective solution to the failures of immigratio­n policy and the negative health impacts it has had on my neighbours.

I believe that the prime minister must seize this historic opportunit­y to ensure an equal right to health care by granting full and permanent immigratio­n status. On Sunday, Oct. 16, it will have been 10 months since the mandate commitment letter on regulariza­tion was announced. On that day, migrants and their supporters across the country will be visiting the offices of cabinet ministers, calling on them to deliver a comprehens­ive regulariza­tion program without exclusions and without any more delay. Health care workers stand with them, and I invite all residents of Canada to join us. Status for all is necessary to ensure access to health care and health for all.

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