Source: Amnesty International –
The Dominican Republic has among the lowest levels of public investment in health in Latin America and the Caribbean. But instead of strengthening its system, the government has blamed the population perceived as Haitian and has introduced a protocol in public hospitals that ties care to migratory status and puts these people at risk of being arrested and deported, Amnesty International warned today in the report Health without stigma: How the Dominican Republic’s migration policies affect the right to health.
“This protocol is a smokescreen used by President Luis Abinader to try to hide the fact that his administration and the ones before it have not invested enough to guarantee the right to health”, said Ana Piquer, Americas Director at Amnesty International. “Dominican hospitals should be places of care and protection, not spaces of fear and surveillance. The government must invest sufficient resources in health and immediately roll back all measures that scare people away from getting medical care because of their nationality or migratory status“, she added.
This protocol is a smokescreen used by President Luis Abinader to try to hide the fact that his administration and the ones before it have not invested enough to guarantee the right to health
Ana Piquer, Americas Director at Amnesty International.
On 6 April 2025, President Luis Abinader implemented a set of migration-related measures, including the “Procedure for the management of health services for foreign patients.” This protocol requires foreigners to present identification, a passport with a valid visa, a work card issued by the Directorate of Migration, and proof of home address as requirements for hospital admission. Foreigners who do not present these documents face being arrested and deported after receiving care. According to the president, these measures aim to “control the surge of patients in public hospitals” and guarantee the rights of Dominicans.
Amnesty International has analysed this issue using data from Dominican National Health Service facilities and household surveys, as well as from interviews with experts and health service users. According to the information the organization examined, health care access and availability issues in the country are not caused by Haitian refugees overwhelming the services. Rather, they can be explained by the state’s gradual failure to invest in health, in spite of its international obligations to use the maximum available resources possible to guarantee the right to health.
Amnesty International also finds that implementing the protocol impedes Haitians’ right to health, increasing inequality in access to health and limiting public health efforts for the country’s entire population.