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Ethical aspects of medical age assessment in the asylum process: a Swedish perspective.

https://arctichealth.org/en/permalink/ahliterature295503
Source
Int J Legal Med. 2018 May; 132(3):815-823
Publication Type
Journal Article
Date
May-2018
Author
Erik Malmqvist
Elisabeth Furberg
Lars Sandman
Author Affiliation
Department of Culture and Communication, Linköping University, 581 83, Linköping, Sweden. erik.malmqvist@liu.se.
Source
Int J Legal Med. 2018 May; 132(3):815-823
Date
May-2018
Language
English
Publication Type
Journal Article
Keywords
Age Determination by Skeleton - ethics
Confidentiality
Humans
Minors
Personal Autonomy
Privacy
Professional Role
Public Policy
Refugees
Sweden
Abstract
According to European regulations and the legislations of individual member states, children who seek asylum have a different set of rights than adults in a similar position. To protect these rights and ensure rule of law, migration authorities are commonly required to assess the age of asylum seekers who lack reliable documentation, including through various medical methods. However, many healthcare professionals and other commentators consider medical age assessment to be ethically problematic. This paper presents a simplified and amended account of the main findings of a recent ethical analysis of medical age assessment in the asylum process commissioned by the Swedish National Board of Health and Welfare. A number of ethical challenges related to conflicting goals, equality and fairness, autonomy and informed consent, privacy and integrity, and professional values and roles are identified and analysed. It is concluded that most of these challenges can be met, but that this requires a system where the assessment is sufficiently accurate and where adequate safeguards are in place. Two important ethical questions are found to warrant further analysis. The first is whether asylum seekers' consent to the procedure can be considered genuinely voluntary. The second is whether and how medical age assessments could affect negative public attitudes towards asylum seekers or discriminatory societal views more generally.
Notes
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PubMed ID
29129020 View in PubMed
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