As Block, Bustamante, de la Sierra and Cardoso (2014) point out, there are more than 12 million Mexican immigrants in the U.S. who have no realistic access to affordable care, as nearly half of them are uninsured. Indeed, access to quality care is next to impossible for all groups with a low-socioeconomic background (Sherrill, Crew, Mayo et al., 2005). The Affordable Care Act (ACA) was meant to provide greater access to care for low income populations; however, it “does not address lack of insurance for some immigrants, and the excluded groups are a large proportion of the Mexican–American community” (Block et al., 2014, p. 179). Block et al. (2014) suggest that the solution to this problem should be an innovative new form of health insurance coverage, such as bi-national health insurance—but they note that their research indicates such a concept is unlikely to find traction among an overwhelming majority of Americans, and neither would such a solution solve the problems inherent in the ACA itself regarding eligibility of specific immigrant populations for health care. Marshall, Urrutia-Rojas, Mas and Coggin (2005) present a similar problem for undocumented Hispanic immigrants (i.e., illegal immigrants in the U.S.) who have no insurance coverage and virtually no access to affordable care. Their study found that undocumented Hispanic women “were less likely to report having health insurance and a regular health care provider, and reported lower education and income” (p. 916). The proposed solution of Marshall et al. (2005) was to suggest “providing immigrant women with health services such as health fairs, affordable health insurance programs, community health services, and increased opportunities for participation in federal and state programs” (p. 916)—though this too raises the question of who will pay for these services and where the funds will come from. Should taxpayers shoulder the cost for undocumented immigrants’ health care services? This question is divisive and polarizing for people across the political spectrum, particularly for individuals who feel that universal health care is a step towards socialism—and they see countries like Venezuela on the verge of collapse and believe that is what would happen to the U.S. should it begin adopting socialistic practices. Marshall et al. (2005), like Block et al. (2014) offer up a solution, therefore, that is unlikely to gain traction in the U.S. as the issue of health care and who should...
References
Block, M. A. G., Bustamante, A. V., de la Sierra, L. A., & Cardoso, A. M. (2014).
Redressing the limitations of the Affordable Care Act for Mexican immigrants through bi-national health insurance: a willingness to pay study in Los Angeles. Journal of Immigrant and Minority Health, 16(2), 179-188.
Brown, H. S., Wilson, K. J., & Angel, J. L. (2015). Mexican immigrant health: health
insurance coverage implications. Journal of Health Care for the Poor and Underserved, 26(3), 990-1004.
Marshall, K. J., Urrutia-Rojas, X., Mas, F. S., & Coggin, C. (2005). Health status and
access to health care of documented and undocumented immigrant Latino women. Health Care for Women International, 26(10), 916-936.
Ramos, I. N., Appana, S. N., Brock, G., Kalbfleisch, T., He, Q., & Ramos, K. S. (2015).
Health Status, Perceptions and Needs of Hispanics in Rural Shelbyville, Kentucky. Journal of Immigrant and Minority Health, 17(1), 148-155.
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