Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

The value of an immigrant child

Traci Furbert Gardner, MD
Physician
December 22, 2018
Share
Tweet
Share

Stefania was a 17-year-old Russian girl who presented herself to a port of entry in the United States seeking asylum. Stefania’s journey to this point was an unimaginable one. In her home country of Russia, she was a happy high school student living with her mother. Her father died of a heart attack six months prior. Then one day on her way home from school, she was kidnapped by the Russian mafia and forced into sex trafficking.

However, Stefania would probably tell you she was one of the lucky ones because, after four days of captivity, one of the mafia members had pity on her and helped her escape. Her mother, fearing she wasn’t safe in their small town, decided to send Stefania unaccompanied to the United States with the hope of her reuniting with her mother’s sister who had established herself in the United States five years prior. The other real concern for her mother was that the mafia gang members knew exactly where she lived. She was deeply concerned it wouldn’t take long before they began harassing Stefania’s mother for her whereabouts. Stefania and her mother both understood very clearly that this decision was a matter of life and death. Unfortunately for Stefania she also turned 18 years of age one day after reaching the border and needed to be processed as an adult. The question we are asking ourselves today is should Stefania be granted asylum in the United States knowing the grave situation she has found herself in?

Now, what if I told you that Stefania wasn’t Russian but Salvadorian and this happened in El Salvador and not Russia. If there is a change in the place of origin, identity of oppressor, or ethnicity of the adolescent, is there a deviation in your mindset and empathy towards her? This is what is at the heart of the immigration crisis and what is going on at the border. We are literally battling over which children and adolescents have more worth to us as a country. Are we a country that only cares about the sexual assault, violence or kidnapping of children that look like us or speak the same language as we do?

El Salvador, for example, has one of the highest rates of gender-based violence. It continues to be a very dangerous place for women and girls and is listed as one of the world’s deadliest countries for women. We turn on our television and watch what appears to be the new culture in America when it comes to immigrants. Over the past 10 years, I have listened to and watched children of all ages attempt to reach their parents and family members who left long ago for a better life or just a chance at the American dream through education and hard work. Many of these children risk life and limb to escape the pressures and torture of gang members, poverty and complex politics.

The journey for these women and girls from El Salvador, as well as other Central American countries, doesn’t begin at the border. It is riddled with traumas that start in the home country. They have to make the decision to take a journey across various terrains, deserts, and rivers that can take 2 to 3 weeks. Most girls know that along the way sexual assault may be a hazard of the journey in the hope of reaching this land of perceived dreams and opportunities, only to find the third phase of migration trauma: the capture by Border Patrol with possible temporary placement. It is a journey of trauma, necessity, resiliency, and childhood all wrapped into images of immigration at the southern border.

In Stefania’s story, she turned 18 one day after arriving at the border making her ineligible to be categorized as an unaccompanied child under Health and Human Services. So what happens to Stefania if she is not given the mere opportunity to seek asylum in a court of law in the same country that prides itself on the words scrolled across the Statue of Liberty? Is there any difference developmentally between the age she is today and the one she was yesterday? The notion that there is an arbitrary legal difference when there isn’t a developmental one has always seemed absurd and becomes even more preposterous in stories like Stefania’s. Anyone who is a parent or guardian may often ponder about these ambiguous timelines of legality since they’re truly not based on science, medicine; understand of cognitive growth or development. Truthfully any child’s age that still has “teen” at the end of it should never find themselves in a jail with adults 25 years of age and older.

There needs to be a team of experts as part of the immigration conversation around children and adolescents. Or are we really saying the value of children doesn’t matter if the place or origin, identity of oppressor, or ethnicity somehow doesn’t meet our valued scale of humanity. The truth is everyone can’t be permitted admission freely into any country including the United States of America. However, there must be an unbiased process of law that doesn’t lack humanity, especially towards children. Each mother and each child is an individual person with an individual story that brings them to this moment of time. We have to decide whether a history of bias and historical trauma towards specific groups, slavery, internments, and new prison pipelines are still who we are in 2018.

Traci Furbert Gardner is a pediatrician and director of community engagement, New York Medical College, Valhalla, NY.

Image credit: Shutterstock.com

Prev

What my first patient in medical school taught me

December 22, 2018 Kevin 0
…
Next

Electronic health records: Separating the signal from the noise

December 23, 2018 Kevin 3
…

Tagged as: Pediatrics

Post navigation

< Previous Post
What my first patient in medical school taught me
Next Post >
Electronic health records: Separating the signal from the noise

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

Related Posts

  • The effect of rescinding DACA on immigrant communities

    Isha M. Di Bartolo, MD
  • A physician’s addiction to social media

    Amanda Xi, MD
  • Bullying immigrant children in the name of politics

    Linda Girgis, MD
  • How being an immigrant shaped my approach to patient care

    Monia Sigle
  • If your child is ever prescribed an opioid, read this post first

    Michael Milobsky, MD
  • My child wants to be a doctor

    Robin Dickinson, MD

More in Physician

  • The man in seat 11A survived, but why don’t our patients?

    Dr. Vivek Podder
  • When did we start treating our lives like trauma?

    Maureen Gibbons, MD
  • Medicalizing burnout misses the real problem

    Jessie Mahoney, MD
  • Why some doctors age gracefully—and others grow bitter

    Patrick Hudson, MD
  • The hidden incentives driving frivolous malpractice lawsuits

    Howard Smith, MD
  • Mastering medical presentations: Elevating your impact

    Harvey Castro, MD, MBA
  • Most Popular

  • Past Week

    • Why removing fluoride from water is a public health disaster

      Steven J. Katz, DDS | Conditions
    • When did we start treating our lives like trauma?

      Maureen Gibbons, MD | Physician
    • When the diagnosis is personal: What my mother’s Alzheimer’s taught me about healing

      Pearl Jones, MD | Conditions
    • 2 hours to decide my future: How the SOAP residency match traps future doctors

      Nicolette V. S. Sewall, MD, MPH | Education
    • Why physician voices matter in the fight against anti-LGBTQ+ legislation [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why being a physician mom is harder than anyone admits

      Cynthia Chen-Joea, DO, MPH | Physician
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Bureaucracy over care: How the U.S. health care system lost its way

      Kayvan Haddadan, MD | Physician
    • Why we fear being forgotten more than death itself

      Patrick Hudson, MD | Physician
    • Why recovery after illness demands dignity, not suspicion

      Trisza Leann Ray, DO | Physician
  • Recent Posts

    • Why physician voices matter in the fight against anti-LGBTQ+ legislation [PODCAST]

      The Podcast by KevinMD | Podcast
    • The man in seat 11A survived, but why don’t our patients?

      Dr. Vivek Podder | Physician
    • Why gambling addiction is America’s next health crisis

      Safina Adatia, MD | Conditions
    • When did we start treating our lives like trauma?

      Maureen Gibbons, MD | Physician
    • How robotics are reshaping the future of vascular procedures

      David Fischel | Conditions
    • Medicalizing burnout misses the real problem

      Jessie Mahoney, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why removing fluoride from water is a public health disaster

      Steven J. Katz, DDS | Conditions
    • When did we start treating our lives like trauma?

      Maureen Gibbons, MD | Physician
    • When the diagnosis is personal: What my mother’s Alzheimer’s taught me about healing

      Pearl Jones, MD | Conditions
    • 2 hours to decide my future: How the SOAP residency match traps future doctors

      Nicolette V. S. Sewall, MD, MPH | Education
    • Why physician voices matter in the fight against anti-LGBTQ+ legislation [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why being a physician mom is harder than anyone admits

      Cynthia Chen-Joea, DO, MPH | Physician
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Bureaucracy over care: How the U.S. health care system lost its way

      Kayvan Haddadan, MD | Physician
    • Why we fear being forgotten more than death itself

      Patrick Hudson, MD | Physician
    • Why recovery after illness demands dignity, not suspicion

      Trisza Leann Ray, DO | Physician
  • Recent Posts

    • Why physician voices matter in the fight against anti-LGBTQ+ legislation [PODCAST]

      The Podcast by KevinMD | Podcast
    • The man in seat 11A survived, but why don’t our patients?

      Dr. Vivek Podder | Physician
    • Why gambling addiction is America’s next health crisis

      Safina Adatia, MD | Conditions
    • When did we start treating our lives like trauma?

      Maureen Gibbons, MD | Physician
    • How robotics are reshaping the future of vascular procedures

      David Fischel | Conditions
    • Medicalizing burnout misses the real problem

      Jessie Mahoney, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...