Abstract
Immigrants and family members in the home and host societies experience inequalities in access to social protection. Focusing on healthcare, we demonstrate that immigrant families today respond to healthcare needs of family members here and there through four cross-border strategies. We show that immigrants select and articulate these different strategies to assemble transnational health care arrangements. Using an intersectional approach, we argue that heterogeneity markers such as gender, race, class, and levels of transnational engagement determine the choice between different types of arrangements. We support our argument with ethnographic data collected with 48 members of 10 Andean transnational family members during fieldwork in Belgium, Colombia, and Peru.
Highlights
The nexus between migration, healthcare, and social protection has received significant scholarly attention over the past decades
We argue that heterogeneity markers such as gender, race, class, and levels of transnational engagement determine the choice between different types of arrangements
Beyond the classic “gender, race and class trilogy” adopted in intersectional studies, we argue that a thorough understanding of transnational health care arrangements by immigrant families need to take in consideration additional heterogeneity markers such as religiosity, generation and their level of transnational engagement
Summary
The nexus between migration, healthcare, and social protection has received significant scholarly attention over the past decades. On the other hand, have had an interest in immigrants as care providers in destination countries and its impact both on family ties across borders (Baldassar & Merla, 2014) and on the availability of care in the Global South (Isaksen, Devi, & Hochschild, 2008). Overall, because these academic conversations have developed separately, scholars have for the most part neglected the fact that the immigrant families organize their own access to health across borders. Adopting a transnationalintersectional lens (Anthias, 2008; Mahler, Mayurakshi, & Vrushali, 2015), we argue —in the second part of the paper— that these avenues are not open to all immigrants as their availability is determined by various heterogeneity markers such as gender, race, class, and levels of transnational engagement
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