Caring for hospitalized patients in US immigration and customs enforcement custody.

Mastalerz, Katarzyna A; Knees, Michelle; Raffel, Katie E · J Hosp Med · 2026

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Abstract

Given the recent expansion of US immigration and customs enforcement (ICE) detention facilities and the growing number of people in immigration detention, hospitalists are increasingly likely to provide care to immigrant detainees. These patients face distinct ethical, legal, and structural challenges that can affect clinical care. In this perspective piece, we outline practical strategies for hospitalists to support patient-centered, equitable care for this population, emphasizing approaches that align with ethical and legal principles, mitigate bias, and respect patient autonomy.

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