Navigating health care: brokerage and access for undocumented Latino immigrants under the 2010 Affordable Care Act

ABSTRACT

Brokerage is a prominent mechanism that explains access for Latino immigrants to many American institutions. However, few studies examine the dual nature of brokerage in answering questions on access to health care for undocumented Latino immigrants. The growing importance of Federally Qualified Health Centers (FQHCs) and ethnic navigators connecting immigrants to health care under the 2010 Affordable Care Act calls attention to the duality of brokers and its role in access. The study draws from 44 in-depth interviews with providers, clinic directors, navigators, and immigrant patients and two years of fieldwork in FQHCs in California’s San Francisco Bay Area (2011–2013). Results show that brokers enable access through coaching and myth-busting but they also hinder it through scrutiny and bureaucratic filtering. The widespread dependence on brokerage, I argue, leads to ersatz brokerage, such as when providers navigate the health-care system for the undocumented without the appropriate linguistic resources or coordination. Furthermore, the study shows that the duality in brokerage generates misinformation, churning, and alienation. Understanding the relational processes that both include and exclude vulnerable populations from needed services enhances theories of immigrant integration and can help design more efficient policies and address inequalities related to documentation status.     

Social structure,relationships and reproduction in quasi-family networks: brokering circular migration of Vietnamese sex workers to Singapore

This article proposes an ethnographic examination of the inner workings of unsanctioned informal networks that facilitate the circular migration and labour of Vietnamese sex workers to Singapore. These operations are coordinated by brokers who sell migration services to their clients. I conceptualise them as ‘quasi-family networks’ because kinship bonds, the fact that brokers (‘mothers’) and sex workers (‘daughters’) operate under the framework of a family ethos which allows them to establish intimate and unequal relationships, and socialising and reproductive processes inscribed in the family form, are defining structural features. The study of these organisational and operational traits allows us to consider a new network model in the field of transnational unsanctioned migration for sex work, and to discuss issues of network structure, adaptability and reproduction in repressive market environments in relation to the family form.     

The social quarantining of migrant labour: everyday effects of temporary foreign worker regulation in Canada

Low-wage migrant workers in wealthy nations occupy an ambiguous social and legal status that is inseparable from global economics and politics. This article adds to the growing and diverse literature on temporariness in labour and citizenship by reviewing Canada’s internationally recognised ‘model’ programme, the Seasonal Agricultural Worker Program (SAWP). Specifically, we present research on a small but rapidly growing peripheral pocket of workers in Nova Scotia, a less populated and more economically depressed province. Interview with former SAWP participants demonstrate how the uncertainty characterising the legal, immigration, and employment status of seasonal agricultural workers is socially practised and individually experienced. In particular, we show how specific elements of current migrant labour regulation have everyday effects in organising and delimiting non-work dimensions of migrant workers’ lives. In attending to the spatio-temporal dimensions of migrant workers’ lives we develop the concept social quarantining as a characteristic feature of former workers’ experiences ‘on the contract’.     

Oiling the wheels? Flexible labour markets and the migration industry

ABSTRACT

The growing commercialisation of migration, often through a multiplicity of labour market intermediaries, is an issue of increasing academic interest. We seek to contribute to an emerging research agenda on the migration industries by exploring how one of the key actors that constitutes it, recruitment agencies, sits at the nexus between flexible labour market structures and migrant labour. Interviews with U.K. labour providers and low-wage employers form the evidence base for an analysis of the strategies developed by recruiters to derive commercial gain from connecting the so-called ‘supply’ and ‘demand’ sides of the flexible international labour market. We seek to contribute to understandings of the analytical categories within migration systems by illustrating how the migration industry interacts with other key stakeholders to structure international migration.     

Unequal among equals: lessons from discourses on ‘Dalit Muslims’ in modern India

Questioning ‘Dalit Muslims’ as an authentic social group, the authors enumerate the challenges inherent in presupposing that clearly delineated social groups exist and challenge the efficacy of designating such groups as discernible and cohesive. An interdisciplinary critique that draws on history, religion and social sciences, reveals a pervasive, yet ambiguous, group consciousness shaped by two prevalent discourses: social stratification among Muslims in India; and emerging activist platforms claiming to represent a Dalit Muslim polity. The ways in which ‘Dalit Muslims’ are reified as a presumably singular social group are highlighted (and disputed) in order to further scholarly debate regarding dynamics of group formation and definition. The analysis shows that, given similar social, economic and political experiences of some segments of the population, ‘Dalit Muslims’ may be treated (cautiously) as a social category for purposes of discussion. Nevertheless, despite enduring discourses about social hierarchy and socio-political activism, and a generalized have-nots versus elite rhetoric that underlies assertions of community coherence and demands for amelioration, no established, homogeneous group appropriate for either scholarly investigation or policy planning can be identified. Rather, diversity, status ambiguity and ongoing change processes provide the most cogent characterization of Dalit Muslim communities in India today.     

Navigating the migration industry: migrants moving through an African-European web of facilitation/control

ABSTRACT

This paper approaches the African-European migration industry as a complex web of relations in which different actors liaise, objectives oppose each other, and roles overlap. Starting from this notion, the question emerges: How do migrants navigate this fuzzy web of migration facilitation/control? To answer this question, this paper uses a ‘trajectory ethnography’ that follows the im/mobility processes of migrants from West – and Central Africa to, and inside, Europe. In so doing, it particularly focuses on two practices that are related to the concept of social navigation. First, it concerns débrouillardise, a term that points to the power of improvisation, creativity and hustling. Second, it regards social negotiation, a term referring to the process of how migrants ‘massage’ their relations with important actors in the field. The findings stress the relational dimension of the migration industry in the sense that the functioning of one actor depends so much on the intentions and efforts of others. I conclude that we could enhance our knowledge on migration industries with studies that constantly shift between the perspective of the migrant, the social network, the facilitator and controller. Such a dynamic approach unpacks further the multiple efforts that produce migrant im/mobility.     

Local deprivation and the labour market integration of new migrants to England

ABSTRACT

Using data on new migrants to England from the Quarterly Labour Force Survey, we show how a key component of migrant integration - labour market progress in terms of wages and unemployment rates – is broadly positive in the early years after arrival across a range of migrant groups and across gender. However, the precise level of labour market success achieved varies considerably across groups reflecting both the initial entry-level and labour market trajectories after migration. Migrants from Western Europe and the Old Commonwealth countries have unemployment rates (wages) which are generally lower (higher) than other groups, particularly non-white groups, while migrants from the Accession countries experience relatively low unemployment but also low wages. Groups which have better outcomes on entry also tend to experience higher rates of progress over time in England. However, the extent of multiple deprivation in the local authority where migrants reside interacts with years since migration to dampen wage trajectories for some groups and accounting for deprivation highlights the importance of internal migration for access to employment. The results emphasise structural explanations for patterns of labour market integration of new migrants to England.     

‘You build your house,we'll build ours’: The Attractions and Pitfalls of Dalit Identity Politics

Dalit (ex-Untouchable) movements across Tamilnadu are struggling to achieve equality, justice and an end to caste based discrimination. Over the past decades they have succeeded in entering parliamentary politics in the state. Many of the movements that have contributed to the current profile of Dalit politics organized on the basis of a ‘Dalit’ identity. Increasingly, however, Dalit activists in Tamilnadu have come to stress more parochial and ‘primordial’ identities and adopt ever more specific objectives. The premise of identity politics is that social categories can and should represent themselves and assert their own priorities and agendas, but who defines the category and how representative are they? This paper teases out the contradictory aspects of such mobilization and interrogates the strategies of Tamil Dalit movements before considering whether the discourse of human rights can help transcend the impasse of identity politics.     

Framing competitiveness: the advocacy of migration as an essential human resources strategy in Europe

ABSTRACT

This paper examines how competitiveness has been framed rhetorically and politically by interested actors in France, Germany, and the UK. Skilled rhetorical advocacy clothes particular political demands in the language of competitiveness and purported exigencies of the global economy, thus advancing political goals more easily that might otherwise encounter significant political opposition. In theoretical terms, the paper analyses the ideational framing of policy discourses. Empirically, the emphasis rests on exploring how governments, organised business, and business think tanks have attempted to advance demands for liberalised labour migration schemes in Europe by linking them rhetorically to the prerogative of economic competitiveness. Despite an adverse political climate, sceptical public opinion, and persistent unemployment, it has thus been politically possible to liberalise the regulation of labour migration considerably.     

Facilitating labour migration from Latvia: strategies of various categories of intermediaries

ABSTRACT

Within the broad category of migration industries, we focus on intermediaries between employers in Norway requiring migrant labour, and suppliers of Latvian workers willing to migrate. Mediation of labour power is a regulated domain in both countries, but regulations may change: regulations in Latvia have become more lenient, whereas in Norway, they have become stricter in response to increased migration. Intermediaries must be responsive to fluctuations in labour supply and demand, as well as to changing regulations. Today, destination countries are experiencing an overabundance of available migrant labour. This buyer’s labour market represents a challenge for intermediaries, spurring adjustments and side-stepping of regulations. Formal temp agencies are supplemented by informal ones, challenging the conceptualisation of intermediaries. Also work migrants may become agents, shaping new forms of intermediation and expanding the concept of ‘migration industry’ to encompass facilitation of labour migration through social networks. In this article, we construct typologies inductively, establishing categories meaningful in the complex context of labour migration from Latvia to Norway. We distinguish between mediation through formal versus informal agencies, establish characteristics of agencies versus individual social network-based mediation and discuss mediation through the posting of workers by companies.     

Employer-sponsored temporary labour migration schemes in Australia,Canada and Sweden: enhancing efficiency,compromising fairness?

For governments concerned with enhancing labour market efficiency, employer-sponsored temporary labour migration schemes have become increasingly popular. However, the equity implications of these arrangements, which constrain the mobility of migrant workers, have largely been ignored. This paper assesses the factors affecting the vulnerability of employer-sponsored migrant workers and addresses the question of whether these schemes comply with ethical principles relating to fair treatment. It draws upon migration ethics, political economy and socio-legal perspectives to evaluate visa schemes in Australia, Canada and Sweden. The paper argues that there is an ethically justifiable case for selectively restricting certain rights of migrant workers within clearly defined parameters. However, policies facilitating worker mobility, restricting sponsorship to higher-skilled occupations, promoting enforcement and worker representation, and providing accessible opportunities for permanent residency and citizenship help to ensure that employer-sponsored temporary labour migration schemes comply with ethical principles relating to the fair treatment of workers.     

Becoming cosmopolitan: encountering difference in a city of mobile labour

ABSTRACT

Many who move countries today do so for work, and labour mobility – both temporary and permanent – is the mechanism by which countless people (both movers and stayers) come into contact with cultural difference. The domain of mobile labour is thus an important context through which to consider the transformative possibilities of encounters with racial and cultural difference. Situated within debates on everyday multi-culture and vernacular cosmopolitanisms, this essay considers the question of intercultural encounter at work in relation to the layered histories of race and variegated citizenships of mobile labour in Singapore. Exploring the micro-nature of cosmopolitan practices, the paper considers under what labour conditions might an outward-looking cosmopolitan sensibility and a convivial openness to otherness emerge among migrant workers, as against a set of survival-based intercultural capacities. I reflect specifically upon two cases of ‘incongruous encounter’ in workplaces reliant on precariously employed migrant labour: a mainland Chinese man and a Filipina woman who, because of Singapore’s racialised system of work visas, find themselves working in South Asian restaurants in Singapore’s Little India. They both engage ‘cosmopolitan practices’, yet their sensibilities differ sharply. Their stories highlight how, in a place like Singapore, the ‘encounter’ needs to be understood within a regime of mobile labour, situated racial hierarchies, and a highly stratified system of work visas. I further suggest that situational factors such as the nature of work including its spatial and temporal qualities, the mixture of co-workers, and recognition relations with superiors all mattered in framing the affective atmospheres of encounter. In a context of forced encounter, I argue that learnt capacities to function and interact across difference should not necessarily be romanticised as a cosmopolitan sensibility.     

The Great Departure: Rethinking National(ist) Common Sense

This article argues that, in order to overcome the national(ist) common sense that continues to haunt everyday political and scholarly interpretations of mobility, scholars need not diagnose nationalism with greater vigour, but should rather move beyond facile diagnoses of nationalism. The article calls for a meticulous tracing of relations and practices of emplacement and displacement that ubiquitous national(ist) interpretive frames both co-opt and exceed simultaneously. The argument is elaborated on the basis of an analysis of historical articulations of emplacement and displacement in Latvian understandings of ‘the good life’. The article pays particular attention to the ways in which the figure of the migrant has emerged historically as an aberration to Latvian understandings of the good life. It also considers how this ethical configuration is being unsettled through massive labour migration to Western Europe—or ‘the Great Departure’.     

Student-workers and tourist-workers as urban labour: temporalities and identities in the Australian cosmopolitan city

ABSTRACT

Ethnic and cultural difference have long been regularly encountered and produced in Australian cities. However, these processes have predominantly been understood through the lens of permanent ‘settler’ migration. Recent migration policies are seeing increasing numbers of transnational workers residing in Australia with various noncitizen statuses and uncertain temporal horizons. Among these are student-workers and tourist-workers, who, although constructed through transient mobilities of education and leisure travel, play increasingly important roles in Australian cities as migrant labour. Drawing on fieldwork with student-workers and tourist-workers in Melbourne and Sydney, this paper seeks to examine how the temporal and legal status of these mobile subjects is entangled in complex ways with particular sites of production, consumption and labour within the cosmopolitan urban environment. It looks in particular at how the identities of student-workers and tourist-workers are constructed through specific temporal and spatial boundaries within urban space as well as how they are implicated within hierarchies of labour and spaces of cosmopolitan consumption. This highlights some of the complex socio-spatial relationships between and citizen and noncitizen subjects both within and across ethnic boundaries in the cosmopolitan city.     

New directions in exploring the migration industries: introduction to special issue

ABSTRACT

This Special Issue explores the directions through which we can take research on the migration industries. In this introduction, we review existing research on migration industries to look at how this explores questions on how migration industries foster, assist and constrain migration. In doing so, we argue that these questions have primarily been approached from three different perspectives: structuralist, labour market and mobilities, but these perspectives often speak past rather than to one another. In highlighting how these approaches can work together, the question that the Special Issue explores becomes how do the migration industries function and when/where/how do they intersect with other domains of migration. In highlighting the contributions that each paper in the special issue makes to answering this question, we show how an understanding of the migration industries is not just a research field in itself, but can strengthen our understanding of migration.     

The making of ‘skilled’ overseas Koreans: transformation of visa policies for co-ethnic migrants in South Korea

This paper investigates a transient border between the temporary and (potentially) permanent migration schemes, by reviewing the changes in migration policies relating to Korean-Chinese (Joseonjok) co-ethnic migrants in South Korea in the last 10 years. We pay attention to Working Visit Status and Overseas Korean Status and the fluidity between the two visa streams, to argue that the government utilises the arbitrary notion of ‘skilledness’ as an indicator to distinguish the temporary from the non-temporary migrants. To interrogate how the visa system operates, this paper reviews politics between and within the government, the market and the migrants. Although the government rhetorically uses visa policies as a quality-control mechanism to selectively accept a desirable population, it can only do so by relying on the market to ‘evaluate’ migrants. However, Korean-Chinese migrants are welcomed in the low-skilled employment market to fill labour shortages, and they also contribute to the expanding migration industry as consumers, which stand at odds with the government’s effort to limit ‘unskilled’ migration. The relegation of the state’s responsibility to the market provides an opportunity for migrants to contest the border and negotiate with the state. However, their negotiation comes at the expense of precarisation of their legal status.     

Incongruent migration categorisations and competing citizenship claims: ‘return’ and hypermigration in transnational migration circuits

ABSTRACT

Recent scholarly interventions propose that the principle of jus nexi (effective connections) or jus domicile (domicile) should replace birthright or birthplace considerations when assigning citizenship status and political membership. Nonetheless, both views privilege notions of territorial presence and the ideal of political community. This paper focuses on Mainland Chinese return migration from Canada to metropolitan cities in China. The dual citizenship restriction enforced by China means those that naturalised in Canada have relinquished their right to Chinese citizenship. Should they be considered returnees, immigrants or transnational sojourners in their ancestral homeland? It is this incongruence in migration categorisations compared to migrant life-worlds that this paper aims to examine. The paper also highlights the interface of competing claims to citizenship in the context of Chinese internal migration and new (African) immigration in China, as well as the returnees’ own transnational migration across the lifecourse. It argues that the ordering mechanisms that characterise normative conceptions of citizenship focus on isolated types of migration trends whereas what confronts us more urgently are intersecting migration configurations that underline the incongruence of migration categorisations and the complexity of competing citizenship claims spatially and temporally.     

Imagining mobility: the prospective cognition question in migration research

Most migration research is focused on migrant experiences after mobility and settlement. We argue that empirical researchers would benefit from studying how cognitive migration, the narrative imagining of oneself inhabiting a foreign destination prior to the actual physical move, influences migration behaviour. This article notes a gap in our current understanding of the process by which individuals decide to cross international borders and offers an agenda for remedying this. The interdisciplinarity of migration research has not fully extended to social psychology or cognitive social sciences, where a dynamic research agenda has examined human decision-making processes, including prospection and the connections between culture and cognition. The study of socio-cognitive processes in migration decision-making has been largely overlooked because of the after-the-fact nature of data collection and analysis rather than an aversion to these approaches per se. We highlight a number of strategic findings from this diverse field, provide examples of migration scholarship that has benefited from these insights, and raise questions about the sides of migration process that have received insufficient attention. A more nuanced understanding of prospective thinking—imagining potential futures—can shed light on the classic puzzle of why some people move while others in comparable situations do not.     

Social reproduction in Sicily’s agricultural sector: migration status and context of reception

This article illuminates the social reproductive experiences of migrants labouring in Sicily’s (Italy) greenhouses. Current global transformations in agricultural production are intersecting with longstanding local economic and social realities, as well as with the 2007 Global Financial Crisis and EU enlargement, to make migrants, male and female, indispensable to a sector resorting to intensified informality in pursuit of flexible and cheap workers. Understanding social reproductive experiences as configured by migrant status and context of reception, the article includes analysis of interview and observational data with two nationalities of migrants – Tunisians and Romanians – occupying different positions in Italy’s migration regime. The article concludes that the harsh context of reception posed by labour market conditions, alongside a familialistic Italian welfare regime, largely precludes opportunities for proximate social reproduction for Tunisians and Romanians. In response, migrants develop transnational resilience strategies resting on cross-border actions combining market-, family-, community and State-based practices, to navigate the social reproductive challenges encountered. Such strategies, however, are less feasible for irregular migrants whose socio-legal position exposes them to the most exploitative working arrangements, denies them access to State welfare and renders them immobile. Moreover, for some regular migrants, such transnational resilience strategies are not their strategies of choice.