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Updated: Aug 6, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
[Caring for illegal immigrants within the public hospital: the need for an urgent solution]
1Department of Internal Medicine E, Tel Aviv Sourasky Medical Center & Sackler School of Medicine, Tel Aviv University.
Insights
Many foreign laborers in Israel lack work permits and medical insurance, leading to poor access to healthcare. This situation creates significant practical and ethical challenges for both undocumented workers and medical professionals in public hospitals.
Area of Science:
- Public Health
- Medical Ethics
- Immigration Studies
Context:
- Over 250,000 foreign laborers work in Israel.
- A significant portion of these laborers lack essential work permits and medical insurance.
- This demographic faces substantial barriers to accessing ambulatory medical care.
Purpose:
- To highlight the challenges faced by undocumented foreign laborers seeking medical treatment.
- To examine the practical and ethical dilemmas encountered by healthcare providers in public hospitals.
- To review case studies illustrating these complex issues.
Summary:
- Foreign laborers in Israel often work without permits or insurance, resulting in limited access to healthcare.
- Public hospitals grapple with practical and ethical issues when treating this population.
- Case examples demonstrate the risks to medical ethics and public facility integrity.
Impact:
- Raises awareness of healthcare disparities for vulnerable migrant populations.
- Informs policy discussions regarding migrant worker rights and healthcare access.
- Underscores the ethical considerations for healthcare systems serving undocumented individuals.
Abstract:
There are a quarter of a million or more foreign laborers that work in Israel. Most of these foreign laborers lack a work permit and medical insurance. Hence, this population has low access to ambulatory medical care, with obvious consequences. When being treated in the public hospital, these illegal immigrants and the doctors caring for them face many problems, both practical and ethical. We review a number of cases illustrating some of these problems, and the danger they present to the work ethics and integrity of the public medical facility.
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