The Having worked with the United Nations High Commissioner for Refugees (UNHCR) to provide medical care to refugees, Paul Spiegel, MD, knows a lot about the professional and ethical responsibilities of caring for refugee and migrant populations. So he paid particular attention to the wording of a job ad he recently saw in several medical journals. A government contractor working in the Customs and Border Patrol (CBP) detention centers was looking to hire a physician “for quite a good sum of money,” Spiegel said. But it was what he read between the lines that vexed him.