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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]An unregulated immigration system simply provides entry to anybody who has the opportunity or resources to cross the border, regardless of what they can contribute, whether they are the best person to do that, and their likelihood of being able to integrate.

A regulated immigration system should (ideally) identify those people who can best contribute to a country.  It should identify skill gaps and ways to assess the best people to fill these. It should also screen for any medical conditions or health issues.

For example, ideally you want anybody immigrating to a country to be a healthcare worker to have verifiable qualifications and to be screened for TB, HIV, maybe syphilis, etc. [/quote]

Healthcare workers are not routinely screened for HIV for hiring - only if they had an accident resulting in their own exposure to a patient's blood/bodily fluid.

Syphilis? Hahaha no we are not screened for that. TB, yes. Measles/MMR, varicella, sure, we are screened for immunity/prior vaccination. [/quote]

I think you misunderstood. I’m saying a healthcare worker applying to immigrate to the US should be screened, not that healthcare workers already here are screened. Is that not the case? [/quote]

Hospitals do that screening, yes, I was clarifying what they screen for. Thr Syphilis suggestion was kind of funny.

Anyhow, hospitald screen the same no matter if you are a US citizen or not, so for that particular job, the government does not need to handle screening. You would not be barred from the job if not immune, just vaccinated for what you are missing. My hospital has an entire occupational health department that oversees that.

TB would really be the one concern, but we don't have an adequate vaccine for it. There is a BCG vaccine for TB in some countries but it is kind of irrelevant as it is mostly done for prevention of TB meningitis in children, but does not adequately prevent pulmonary TB (which would be the contagious form). We would check for latent TB (not contagious) and treat it and screen to ensure it is not active/pulmonary TB. But again, that screening is done by hospitals for US citizens as well as we still have TB in the US and healthcare workers are already higher risk. [/quote]

So a doctor or nurse immigrating from sub-Saharan Africa where there is a much higher risk of HIV or AIDS wouldn’t be screened before being permitted to immigrate? Shouldn’t this be a disqualifying factor?[/quote]

Healthcare workers work with HIV every day in our country. No, not a disqualifying factor, does not put patients at risk.  Hospitals do not screen for HIV ln hiring practices.

And again, what is it to you if they work legally and buy their own health insurance to cover their own meds?

TB is a concern to screen for but as I stated, hospitals screen for this anyway. As a general public health concern, yes we should screen immigrants for TB, and it does not need to prevent them from immigrating here for work. [/quote]

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