Anti-immigrant rhetoric is often discussed as a political issue. As a refugee who became an NHS doctor, I see its consequences elsewhere too – in our hospitals, our communities and our mental health, says Waheed Arian J ust before the local elections last month, Nigel Farage stood at a podium and claimed that Britain’s brilliant young people were being “replaced” by goat herders from Afghanistan. Putting aside the inaccuracy of the statement itself, I immediately understood what he was implying: