UK hospital fees left more than 900 migrants without treatment

UK hospital fees left more than 900 migrants without treatment
A person walks past images of National Health Service (NHS) workers displayed on hoardings outside a temporary field hospital at St George's Hospital. (File/Reuters)
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Updated 20 August 2023
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UK hospital fees left more than 900 migrants without treatment

UK hospital fees left more than 900 migrants without treatment
  • NHS trusts in England have required upfront payment before treating certain migrants with elective care

LONDON: Over 900 migrants in the UK have declined medical treatment after being required to pay upfront fees over the last two years, The Guardian reported on Sunday.

According to data obtained under the Freedom of Information Act, 3,545 patients across 68 hospital trusts in England have been told they must pay upfront costs totaling £7.1 million ($9 million) since January 2021. Of those, 905 patients did not proceed with treatment.

Since October 2017, NHS trusts in England have required upfront payment before treating certain migrants with elective care. This applies to foreign visitors and migrants who have been determined ineligible for free healthcare, such as unsuccessful asylum applicants and those who have overstayed their visas. 

In 2018, The Guardian reported the case of 71-year-old cancer patient Elfreda Spencer, who died after being denied chemotherapy for a year. 

Before having a stroke, personal trainer Simba Mujakachi was rejected treatment for a blood-clotting disease in 2019 due to the upfront fee policy. 

“The hospital told me I had to pay thousands of pounds before I came in for surgery and that having a debt could affect my asylum application, so I didn’t go, even though I knew I needed it,” he told The Guardian. 

Mujakachi continued: “I didn’t have that kind of money and I was not allowed to work. And then, just before I turned 30, I had a brain hemorrhage and a stroke that left me disabled.

“The inhumane treatment I have been subject to under the hostile environment over the past 10 years was the cause of my life-changing stroke. I think about what would have happened if I had been able to get the treatment I needed like everyone else.”

Oke, who moved to the UK from Nigeria in 2007, was diagnosed with Fabry disease in 2020 after suffering a stroke, kidney failure, and infection with COVID-19. He needed enzyme replacement therapy to help avoid future organ damage and strokes, but it was not available unless he could either legalize his immigration status or pay.

Oke involved the medical group Doctors of the World, his MP Afzal Khan, and the parliamentary and health service Ombudsman in his case during three years of increasing pain. A week later, the hospital trust agreed to provide ERT. 

“I felt like I was being treated like an animal, not a human being,” said Oke. 

“It’s been awful, because apart from the physical pain there’s also the mental pain, not knowing what’s going on, what could happen next. It’s been a nightmare,” he added.

Although the policy is not supposed to cover urgent or “immediately necessary” treatment, The Guardian reported several cases of people wrongly denied treatment. 

“Access to healthcare to all living in the UK, including secondary care, where we often see the most pressing health issues, should and can be equal, based on need and never dependent on someone’s financial or immigration status,” Amardeep Kamboz, head of services at Doctors of the World UK, told The Guardian.

A Department of Health and Social Care spokesperson told The Guardian: “The NHS is a residency-based healthcare system, and entitlement to free hospital care is based on being lawfully and properly settled in the UK. 

“People who are not ordinarily resident here must contribute to the cost of their care unless exempt from charge, such as refugees.

“Payment is only required upfront in non-urgent cases when the care can safely occur after the patient’s departure from the UK. 

“Immediately necessary or urgent care must never be withheld or delayed pending payment, as charges for this care can be recovered afterwards by installments or written off as unrecoverable if the patient cannot pay.”
 


Macron discusses MidEast crisis with Israel’s Netanyahu, Egypt’s El-Sisi

Macron discusses MidEast crisis with Israel’s Netanyahu, Egypt’s El-Sisi
Updated 15 sec ago
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Macron discusses MidEast crisis with Israel’s Netanyahu, Egypt’s El-Sisi

Macron discusses MidEast crisis with Israel’s Netanyahu, Egypt’s El-Sisi
  • Macron had also reiterated to Netanyahu that France wanted an immediate and lasting ceasefire in Gaza

PARIS: French President Emmanuel Macron held phone calls on Monday with Israel Prime Minister Benjamin Netanyahu and Egyptian President Abdel Fattah El-Sisi to discuss ways of avoiding an escalation in the Middle East crisis, said France and Egypt.
The French presidency said Macron, in his call with Netanyahu, had reaffirmed Paris’s desire to avoid an escalation in the Middle East and to stand up to what it said were Iran’s efforts to destabilize the region.
The French presidency added that Macron had also reiterated to Netanyahu that France wanted an immediate and lasting ceasefire in Gaza and said Paris was working to ease tensions arising from clashes on the border between Israel and Lebanon.
In a separate statement, Egyptian presidential spokesperson Ahmed Fahmy said Macron had also discussed the Middle East crisis with the Egyptian leader and that both Macron and El-Sisi had agreed on the need to avoid further regional escalation.


India’s Kohli fined for angry outburst at IPL umpires

India’s Kohli fined for angry outburst at IPL umpires
Updated 22 April 2024
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India’s Kohli fined for angry outburst at IPL umpires

India’s Kohli fined for angry outburst at IPL umpires
  • Kohli fell early in Royal Challengers Bengaluru’s chase after he was caught by Kolkata Knight Riders Harshit Rana
  • Visuals on social media showed Kohli having discussion with umpire after the match as pundits weighed in on dismissal

NEW DELHI: India star Virat Kohli has been fined half his match fee for an angry outburst in response to his dismissal from an Indian Premier League match, the league said Monday.

Kohli fell early in Royal Challengers Bengaluru’s chase on Sunday after he was caught and bowled by Kolkata Knight Riders pace bowler Harshit Rana and his team went on to lose by one run at Kolkata’s Eden Gardens.

But the former India captain looked confident the high full-toss was above his waist as the umpires checked for a no-ball.

TV umpire Michael Gough declared it out after technology suggested the trajectory of the ball dipped below the waist of the batsman, who returned furious after exchanging words with the on-field officials.

“Kohli committed a Level 1 offense under Article 2.8 of the IPL’s Code of Conduct,” an IPL statement said.

“He admitted to the offense and accepted the Match Referee’s sanction.”

Visuals on social media showed Kohli having a long discussion with an umpire after the match ended and pundits weighed in on the dismissal.

Former India batsman Navjot Singh Sidhu slammed the call and asked for the “rules to be changed“

Ex-India quick Irfan Pathan said on X, formerly Twitter, “if Virat Kohli was standing at the popping crease the ball would have been lower than his measured waist height, making it a legal delivery.”

Kohli has been the top run-getter in the T20 tournament so far with 379 runs in eight matches but his team Bengaluru remains bottom of the 10-team table with just one win.


Philippines, US forces to take military drills into disputed South China Sea

Philippines, US forces to take military drills into disputed South China Sea
Updated 22 April 2024
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Philippines, US forces to take military drills into disputed South China Sea

Philippines, US forces to take military drills into disputed South China Sea
  • More than 16,000 Filipino, American soldiers are involved in the annual exercises this year
  • Beijing, Philippines have overlapping claims in the resource-rich South China Sea

MANILA: Filipino and US forces began their annual joint military drills on Monday, segments of which will, for the first time, take place outside of the Philippines’ territorial waters following a string of maritime clashes between Manila and Beijing in the disputed South China Sea.

The exercises, known as Balikatan — Tagalog for shoulder-to-shoulder — will run up until May 10 and involve over 16,000 military personnel, along with more than 250 Australian and French forces.

For the first time since the annual drills started over 30 years ago, the Philippines and the US will conduct joint naval drills beyond the 12 nautical miles (22.2 km) of the Philippines’ territorial waters, in parts of the open sea claimed by China.

“This exercise represents the essence of unity, collective responsibility, and enduring partnership between the Republic of the Philippines and the United States of America and other partners,” Philippines’ military chief Gen. Romeo Brawner Jr. said during the opening ceremony.

“It is not a partnership of convenience but rather a clear reflection of our shared history, unwavering commitment to democracy and respect for international law in our pursuit of peace and security in the Indo-Pacific region.”

Throughout the three-week exercise, soldiers from the two militaries will operate out of a joint command center to perform four major activities with a focus on countering maritime, air, land, and cyber attacks.

“It’s the first time that we are going beyond our (12) nautical miles,” Maj. Gen. Marvin Licudine, Philippines exercise director, told reporters.

The Balikatan training operations are not directed at a particular country, he said, but are more focused on the “development of interoperability,” with an increased complexity of the drills and scenarios to let soldiers learn more from one another.

The joint exercises take place as Philippine and Chinese coast guard and other vessels have featured in a series of increasingly tense territorial face-offs since last year, including Chinese use of water cannons against a Philippine vessel in the South China Sea last month, causing damage and injuries.

After the incident, Philippine President Ferdinand Marcos Jr. said his government would take countermeasures against “illegal, coercive, aggressive, and dangerous attacks” by the Chinese Coast Guard.

“We seek no conflict with any nation, more so nations that purport and claim to be our friends but we will not be cowed into silence, submission, or subservience,” Marcos had said in a statement.

The Philippines and China, along with several other countries, have overlapping claims in the resource-rich waterway, where a bulk of the world’s commerce and oil transits.

Beijing has been increasing its military activity over the past few years, with the Chinese Coast Guard regularly encroaching on the Philippine part of the waters, the West Philippine Sea, despite a 2016 ruling by an international tribunal in The Hague dismissing China’s expansive claims.

Don McLain Gill, an international studies lecturer at De La Salle University in Manila, said the scope of this year’s Balikatan is a “clear reflection of Manila’s commitment to exercise its sovereignty and sovereign rights within its exclusive economic zone.

“This year ’s exercise will also involve complex maritime security issues such as simulations of recovering islands from hostile forces, which add a practical dimension to collective self defense efforts by the like-minded partners,” he told Arab News.

“Clearly, securing the WPS based on international law will not bode well for China’s expansionist interests. While the Balikatan is aimed at improving joint preparedness amidst emerging challenges in the region, the challenge posed by China's expansionism is clearly one of the critical factors that provoke regional security.”


Suspected extremists abducted over 110 civilians in Mali: sources

Suspected extremists abducted over 110 civilians in Mali: sources
Updated 22 April 2024
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Suspected extremists abducted over 110 civilians in Mali: sources

Suspected extremists abducted over 110 civilians in Mali: sources

DAKAR: Suspected extremists in central Mali are holding more than 110 civilians whom they abducted six days ago, local sources told AFP on Monday.
Three buses carrying the civilians were stopped on April 16 by “jihadists,” who forced the vehicles and the passengers to head toward a forest between Bandiagara and Bankass, a local group of associations and an elected official said.’

“We demand the release of more than 110 passengers of three buses abducted on Tuesday by jihadists,” a member of the group, Oumar Ongoiba, told AFP.

An elected official from Bandiagara, who wanted to remain anonymous for security reasons, said, “The three buses and the passengers, more than 120, are still being held by jihadists.”

Mali has since 2012 been ravaged by different factions affiliated to Al-Qaeda and the Daesh group, as well as by self-declared, self-defense forces and bandits.

The worsening security situation has been compounded by a humanitarian and political crisis.

The violence spilled over into neighboring Burkina Faso and Niger, with all three countries seeing military regimes seize power.


With homelessness on the rise, US Supreme Court will weigh bans on sleeping outdoors

With homelessness on the rise, US Supreme Court will weigh bans on sleeping outdoors
Updated 22 April 2024
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With homelessness on the rise, US Supreme Court will weigh bans on sleeping outdoors

With homelessness on the rise, US Supreme Court will weigh bans on sleeping outdoors

WASHINGTON: The Supreme Court will consider Monday whether banning homeless people from sleeping outside when shelter space is lacking amounts to cruel and unusual punishment.
The case is considered the most significant to come before the high court in decades on homelessness, which is reaching record levels in the United States.
In California and other Western states, courts have ruled that it’s unconstitutional to fine and arrest people sleeping in homeless encampments if shelter space is lacking.
A cross-section of Democratic and Republican officials contend that makes it difficult for them to manage encampments, which can have dangerous and unsanitary living conditions.
But hundreds of advocacy groups argue that allowing cities to punish people who need a place to sleep will criminalize homelessness and ultimately make the crisis worse.
The Justice Department has also weighed in. It argues people shouldn’t be punished just for sleeping outside, but only if there’s a determination they truly have nowhere else to go.
The case comes from the rural Oregon town of Grants Pass, which started fining people $295 for sleeping outside to manage homeless encampments that sprung up in the city’s public parks as the cost of housing escalated.
The measure was largely struck down by the San Francisco-based 9th Circuit Court of Appeals, which also found in 2018 that such bans violated the 8th Amendment by punishing people for something they don’t have control over.
The case comes after homelessness in the United States grew a dramatic 12 percent, to its highest reported level as soaring rents and a decline in coronavirus pandemic assistance combined to put housing out of reach for more Americans, according to federal data.