This current letter to the editor reflects on a series of papers published in Clinical Social Work Journal (1-3) or refugees and migrants health care during the new 2015 – 2018 crisis: The unpreparedness of most non-Doctor Health Care Workers solve health and social problems migrants and refugees due to the lack of language and education in migrant/refugee health and related topics. The Majority of V4 + Austria countries deal with but very few also teach socio-legal problems of children and mothers, reunifications of families, humanitarian deals, tropical diseases and other subjects which appeared from the praxis during these four years of migrant crisis in Greece/Italy, where 1.5million per year of immigrants and refugees escaped via Balkan or Mediterranean Route and potential V4 – citizens.