It has been a rough year for immigrants in number of areas, especially in terms of legislative proposals. Migrant Clinicians Network has just signed on to a letter to Congress asking them to treat immigrants with dignity and fairness. The letter addresses numerous health care policies dealing with immigrants. While I fear that such a letter will have limited impact, I feel strongly that the health care community, so often silent, must speak up to protect the vulnerable. Accessing health care is a human right and if clinicians remain silent on this topic, who is going to speak up? If you’re interested in having your organization sign on to this letter send an email to pat.reuss@now.org [2] at the National Immigrant Rights Center in Washington DC.