What the previous government learned about birth tourism: My article in Policy Options

Excerpt are my concluding observations:

All this being said, the number of births by foreign mothers should be monitored. Statistics Canada numbers may not present an accurate picture. The number of births to foreign women in Richmond was reported as 394 in 2016-17, greater than the 313 that Statistics Canada reported for the whole country for 2016 (see table above). The Richmond numbers showed a steady increase from 2010, compared with the flatter trend in national numbers. Statistics Canada and IRCC need to work with provincial health ministries to ensure more reliable and consistent data.

More focused measures need to be considered to reduce or contain birth tourism. Options include making it more expensive by increasing the deposit that mothers pay hospitals; making suspected birth tourism grounds for visa refusal; and banning or regulating “birth tourism hotels,” places catering to pregnant foreign women and the consultants who help make the related arrangements.

These concrete actions would be a more proportionate response to the concerns raised by politicians and their constituents, and one that should be pursued by any government to improve the integrity of the citizenship program and address public concerns about fraud and abuse.

It is also important that the motivation behind discussion and debates on birthright citizenship not be labelled as racist, xenophobic or anti-immigrant. The fundamental issue remains fraud and misrepresentation, not discrimination.

What the previous government learned about birth tourism

Richmond Hospital reports more “non-resident, self-pay” births than the provincial government reports “non-resident” births, due to birth registration discrepancy

An older article from June 29 this year that was brought to my attention following the CBC article thanks to Ian Young of the SCMP that helps explain the discrepancy between the vital statistics data collected by Statistics Canada and local reports:

The frequency by which birth tourism may be occurring in B.C. and across Canada is significantly underreported, however health officials in this province are near to closing a glaring reporting loophole.

For instance, a discrepancy between how births by non-residents are reported at Richmond Hospital and how they are reported to the B.C. Ministry of Health could soon be rectified by provincial health officials, according to a ministry spokesperson.

“In the past, the Ministry of Health has tracked non-resident births by the address listed by parents on a baby’s birth registration, which could be local or international. Hospitals will typically go by whether or not patients are paying out-of-pocket for services to determine if someone is a resident of British Columbia,” stated spokesperson Laura Heinze, via email last week, to the Richmond News.

“We are currently in the process of aligning these reporting methods in order to get a more accurate picture of non-resident births across British Columbia,” Heinze added.

The existing reporting system can create significant discrepencies in tracking because many of the non-resident women who give birth at the Richmond Hospital list their address as the “birth house” where they may be living at the time.

In Richmond, Chinese nationals are known to stay at such houses, of which there are dozens identified by the provincial government and numerous advertised online both in China and Canada. As part of advertised month-to-month accommodation packages, birth house operators typically assist women with anything from tour guides, passport applications, doctor appointments, some pre- and post-natal care as well as hospital registration.

And so, should the birth house operator list the address of their home business at the hospital’s registration desk, the ministry would not count the baby as a non-resident. Only when the true address of the mother is registered, does the birth become a non-resident in the eyes of Vital Statistics B.C., noted Heinze.

Whereas Richmond Hospital reported 299 “self-pay” births from non-resident mothers in the 2015-16 fiscal year and 379 in the 2016-2017 fiscal year, Statistics Canada only reported 99 births in B.C. in 2016 where the “Place of residence of [the] mother [is] outside Canada.”

Across Canada there were only 313 such births reported in 2016.

Statistics Canada told the News the Canadian Vital Statistics Birth Database collects demographic data annually from all provincial and territorial vital statistics registries on all live births in Canada.

“To the best of our knowledge, there is currently no government department or agency tasked with identifying and collecting data on births to non-resident mothers,” noted Statistics Canada spokesperson France Gagne.

From 2004 to 2010 the hospital helped birth, on average, 18 new Canadians per year from non-resident mothers. Numbers rose dramatically in 2014 and have risen steadily since, to the point where one in five births in Richmond are to foreign nationals.

While immigration lawyer Richard Kurland notes not all non-resident births are necessarily a result of birth tourism, Richmond may be at the epicentre of a burgeoning, and legal, birth tourism industry, whereby visiting foreign nationals seek to have “anchor babies,” who automatically become Canadian citizens under Canada’s citizenship laws.

Kurland said the key to good data is determining immigration/visitor status of the mom.

A national, public petition penned by Richmond resident Kerry Starchuk and sponsored by Steveston-Richmond East Liberal MP Joe Peschisolido aims to officially condemn birth tourism and study remedies to what Peschisolido describes as an abuse of the immigration system.

“Underground and unregulated ‘for profit’ businesses have developed both in Canada and ‘countries of origin’ to facilitate the practice of ‘Birth Tourism’; and the instances of ‘Birth Tourism’ are increasing in multiple cities across Canada,” the petition notes online.

Peschisolido disagrees with Conservative counterparts who have called for an end to birthright citizenship.

It’s fraudulent’: Former immigration official says action needed on ‘passport babies’

This CBC story, for which I did an interview, provides a good overview. Interesting to see just how much attention this story has and continues to receive (The National did a short report in which I was interviewed among others: The National Version):
A resolution passed during the Conservatives’ weekend policy convention calls for a future Tory government to end the practice of granting citizenship to babies born in Canada to non-resident parents. (Tom Hanson/Canadian Press)

One of Canada’s former top immigration officials says so-called passport babies are a genuine problem in some Canadian locales and closing a loophole being exploited by pregnant foreign tourists is required to curtail the fraudulent practice.

But Andrew Griffith, a former director general at Citizenship and Immigration, said that a policy resolution passed by Conservatives this weekend to end the practice of giving citizenship to anyone born in the country may be akin to “using a hammer to squash a fly.”

Delegates at the Conservatives’ policy convention in Halifax endorsed a resolution to end the policy of birthright citizenship, with backers contending too many foreigners are travelling to Canada solely to give birth to secure status for their children.

Party members voted to call for a key section of Canada’s nationality law to be rewritten, endorsing a policy that would remove citizenship rights for children born in Canada to non-Canadian (or non-permanent resident) parents. The resolution is, however, non-binding on a future government.

“It’s basically using fraud to get citizenship for a child. People are coming on a visa under false pretences and just coming for the opportunity to provide citizenship for their kid. I can understand the motivation, but it’s really not what the policy was designed for and it’s a form of fraud and misrepresentation,” said Griffith in an interview with CBC News.

Proponents of the change, introduced by delegates from Newfoundland and Labrador, said such a move is necessary to crack down on foreigners travelling here for the sole purpose of securing perks and privileges for their children that come with being Canadian.

The change would upend a section of Canadian law that has been largely intact since the advent of a distinct Canadian citizenship decades ago.

Conflicting statistics

Canada — along with some other nations in the Americas, including the U.S. — is among a few developed countries that grant citizenship to any child born on its soil, regardless of the immigration status of their parents.

There are a few exceptions, notably the children of foreign diplomats are excluded, but generally the principle of jus soli, Latin for “right of the soil,” is applied.

The Conservative party’s resolution on birthright citizenship, as adopted by a majority of delegates on Saturday. (Conservative Party of Canada)

Some have suggested this is a solution looking for a problem as, according to Statistics Canada, just 313 babies were born in this country in 2016 to non-Canadian mothers, out of the 383,315 children born here that year.

But other data suggests the phenomenon is more common. Richmond Hospital in Richmond, B.C., a city near Vancouver, recorded 383 births to non-resident mothers in 2016-17 — representing 17.2 per cent of all births at the hospital.

Last year, the number rose to 469, or 22.2 per cent of all births — according to statistics provided by the Vancouver Coastal Health Authority to CBC News. The authority said the majority were to Chinese nationals.

“It’s arguably crowding out [hospital] space and facilities for residents of Canada. So, there’s a real issue there in Richmond, B.C. and other localities,” said Griffith.

But Griffith questioned whether the Conservative solution is workable, noting former Conservative citizenship minister Jason Kenney pursued a policy change while in governmentonly to find the numbers relatively small and the cost to provinces — which issue birth certificates — prohibitive.

“I don’t want to see [birth tourism] happen, but on the practical side as to what you do about it, abolishing birthright citizenship is using a hammer to squash a fly, because if the numbers are small … do you really want to inconvenience literally millions of Canadians to address a relatively small problem? Are there other ways one can address the issue?”

Griffith suggested hospitals could require higher deposits from non-residents to cover medical expenses, or there could be changes to how visas are granted to pregnant women to allow border officials to refuse entry if they suspect a person is travelling to Canada to give birth.

He also said the clear discrepancy between StatsCan data and information supplied by just one B.C. hospital suggests the government needs to “get its act together … to get a real handle on what exactly the numbers are.”

B.C. ‘birthing houses’

The South China Morning Post, Hong Kong’s newspaper of record, has also documented a rise in the number of “birthing houses” in B.C. that host pregnant tourists looking to give birth to a Canadian baby.

That paper found dozens of such houses catering to pregnant foreign women who come to B.C. specifically to give birth to Canadian citizens.

“Can’t we do some regulation around these birthing houses? Or ban them?

“It is an abuse of the system, it’s an abuse of the policy but I think the measures need to be more focused and targeted rather than just wholesale change,” Griffith said.

Conservative B.C. MP Alice Wong, who has introduced a petition in Parliament on the issue, railed against the current policy, saying “passport babies take away the resources from our system.”

“It is dangerous to the mother and the child themselves. The Liberals support it. They do not support a fair citizenship system — we should fight for our own babies,” she told the convention Saturday.

Conservative Leader Andrew Scheer walks off stage after speaking to delegates at the Conservative national convention in Halifax Saturday. Scheer defended the party’s resolution on birthright citizenship Monday.(Darren Calabrese/Canadian Press)

Another delegate said citizenship should only be inherited from a Canadian parent.

“Justin Trudeau would tell you that Canada has no nationality and I think everybody here would disagree with that. I think our nationality runs in our culture, our land, our blood from Juno Beach to Vimy Ridge. We have a culture, we have a nationality, there’s no reason to arbitrarily hand out citizenship to whoever happens to be on vacation here,” the delegate said.

Liberal officials were quick to pounce on the Conservative resolution, suggesting it could allow future governments to strip immigrants of their status.

Stripping citizenship?

Gerald Butts, the prime minister’s principal secretary, said it was “remarkable … they committed to give the government the power to strip people born in Canada of Canadian citizenship,” while linking to a series of tweets from a Somali refugee who was born stateless.

NDP Leader Jagmeet Singh went even further, “unequivocally” condemning the “division and hate being peddled by @AndrewScheer & the Conservative Party of Canada.”

Conservative Alberta MP Deepak Obhrai also spoke out against the change, suggesting a birthright ban could be open to abuse.

“Any person who is born in Canada by law is entitled to be a Canadian; we cannot choose who is going to be a Canadian and who is not going to be a Canadian,” he said at the convention. “This is a fundamental question of equality.”

Conservative Leader Andrew Scheer defended the adoption of the resolution Monday.

“Conservatives recognize there are many Canadians who have been born in Canada by parents who have come here to stay and have contributed greatly to our country. I will not end the core policy that facilitates this. Unlike Justin Trudeau, I will safeguard it against abuse. A Conservative government will restore order, fairness, and compassion to Canada’s immigration system,” he said in a statement.

Howard Anglin, a top legal adviser and deputy chief of staff to former prime minister Stephen Harper, said the Liberals were whipping up fear among immigrants for political purposes.

“Here we see openly the beginning of a plan to mischaracterize another policy proposal, which would align us with virtually all our peer countries and allies (and which, of course, is not yet in an election platform) to stoke fear and alienation in ethnic communities,” he tweeted.

“No one will be stripped of citizenship, which is what [Butts’s] tweet said. It’s not retroactive. The proposal is that children of tourists, visitors, & others temporarily in the country or here illegally, will no longer automatically become citizens (just like in our peer countries).”

But Janet Dench, executive director of Canadian Council for Refugees, said Monday there is no meaningful data to suggest “birth tourism” is an actual problem and that if the measure came into force, “the vast majority of people affected would not at all be people who come for birth tourism reasons.”

Dench told The Canadian Press it would impact many women who give birth in Canada while they are waiting for permanent residency status, refugee claimants and others in limbo.