Traducendo Co. Ltd (asker) Nov 13, 2008:

!!! finalmente se me da la posibilidad de dar clarificaciones!no me salia el enlace...
yo creo que se trate de una persona que tiene una parte médica y se presenta en un hospital para ser internado.
Os doy todo el párrafo:

As Mister XXX reported, it is often the doctor who decides whether to accept children for care or not; in many cases this decision is made at the hospital reception desk based strictly on financial concerns. “If you are an undocumented child, they send you to a house doctor. The general practitioner makes his evaluation; if possible he provides treatment, if not he issues a referral. So that is already the judgment of a doctor. But the medical necessity is being established by the general practitioner and then the specialist on his level can decide if specialist care is necessary. In theory it can never be the case that because of financial reasons a ***referred patient*** is refused because he cannot pay. But this happens, of course. The majority of the cases we learned of last year showed that the problem is at the level of the financial desk at the hospital. It is a financial problem. So the financial desk won’t refer the patient.”

Muchas gracias, de verdad. Irene