Mass migrations of people are occurring at unprecedented rates. Half of the 27.1 million refugees worldwide are aged <18. Less than 1% of refugees are resettled in a third country offering permanent residence and a pathway to citizenship.

In 2020, the United Nations High Commissioner for Refugees (UNHCR) and the International Organization for Migration launched an initiative to support third-country resettlement programs and complementary pathways that maintain international protections yet increase capacity.3,4  Complementary pathways include humanitarian admissions and visas, community sponsorship, family reunification, and third-country employment and educational opportunities.

Currently, most third-country resettlement by UNHCR occurs in the United States, Canada, Sweden, France, and Germany. Each country has a different health care system and resettlement process. The US Refugee Admissions Program, an interagency partnership of government and nongovernmental agencies overseas and in the United states, coordinates US resettlement of refugees. During the past...

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