
It Shouldn't Be This Hard For Immigrants to Access Health Care
11/20/18 • 34 min
2 Listeners
For clarity, these show notes and this podcast episode will be inclusive of undocumented immigrants and immigrants with legal status.
In the United States today, there are more than 8 million citizens who live with at least one family member who may be undocumented. Yesenia Chavez with the National Latina Institute for Reproductive Health (NLIRH) and Jaclyn Dean with the National Asian Pacific American Women’s Forum (NAPAWF) talk to us about the fight for access to healthcare for immigrants.
Children make up the majority of the millions of citizens who live with at least one family member. In fact, 6 million of these citizens are children. This means that many types of immigration enforcement actions come with severe emotional, mental, developmental, physical and financial repercussions for both the children and the undocumented individuals.
Immigrants are not able to legally access public benefit programs until they have proven their permanent resident status, and only after five years of having that status. These programs can help provide housing, food, and health security to these communities. It is important to note that this same five-year bar also prevents access to the Affordable Care Act insurance marketplace. This means that opportunities for immigrant individuals and families are already limited, and immigrants often rely on a patchwork of insurance sources to cover healthcare. If their employer does not cover insurance or if they do not qualify for Medicaid, then immigrants often have to turn to paying for emergency care out of pocket, or seeking help through a community health center.
46% of immigrant, non-citizen women of reproductive age in the U.S. are privately insured, 19% rely on Medicaid for their insurance, and 34% are completely uninsured. The uninsured rate for immigrant women of reproductive age who are living in poverty is 48%. Nearly half of all immigrants in the U.S. are women and children.
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Thanks for listening & keep fighting back!
For clarity, these show notes and this podcast episode will be inclusive of undocumented immigrants and immigrants with legal status.
In the United States today, there are more than 8 million citizens who live with at least one family member who may be undocumented. Yesenia Chavez with the National Latina Institute for Reproductive Health (NLIRH) and Jaclyn Dean with the National Asian Pacific American Women’s Forum (NAPAWF) talk to us about the fight for access to healthcare for immigrants.
Children make up the majority of the millions of citizens who live with at least one family member. In fact, 6 million of these citizens are children. This means that many types of immigration enforcement actions come with severe emotional, mental, developmental, physical and financial repercussions for both the children and the undocumented individuals.
Immigrants are not able to legally access public benefit programs until they have proven their permanent resident status, and only after five years of having that status. These programs can help provide housing, food, and health security to these communities. It is important to note that this same five-year bar also prevents access to the Affordable Care Act insurance marketplace. This means that opportunities for immigrant individuals and families are already limited, and immigrants often rely on a patchwork of insurance sources to cover healthcare. If their employer does not cover insurance or if they do not qualify for Medicaid, then immigrants often have to turn to paying for emergency care out of pocket, or seeking help through a community health center.
46% of immigrant, non-citizen women of reproductive age in the U.S. are privately insured, 19% rely on Medicaid for their insurance, and 34% are completely uninsured. The uninsured rate for immigrant women of reproductive age who are living in poverty is 48%. Nearly half of all immigrants in the U.S. are women and children.
Find Intersectionality Matters where ever you get your podcasts: https://pod.link/1441348908
Follow Us on Social:
Twitter: @rePROsFightBack
Instagram: @reprosfb
Facebook: rePROs Fight Back
Bluesky: @reprosfightback.bsky.social
Email us: [email protected]
Rate and Review on Apple Podcast
Thanks for listening & keep fighting back!
Previous Episode

Sexual and Reproductive Health and Rights Hero Origin Stories
This week we are doing something a little different. We talked to a number of amazing SRHR heroes to hear their story of how they got into working in the reproductive justice or sexual and reproductive health and rights space.
We talked with:
Bergen Cooper, Center for Health and Gender Equity (CHANGE)
Jennie Wetter, rePROs Fight Back and Population Institute
Jonathan Rucks, PAI
Yesenia Chavez, National Latina Institute for Reproductive Health
Mimi Spalding, Planned Parenthood Federation of America
Jaclyn Dean, National Asian Pacific American Women's Forum
Rebecca Dennis, PAI
Jamila Taylor, Center for American Progress
Jenny Vanyur, Planned Parenthood Federation of America
Preston Mitchum, Advocates for Youth
Kirsten Sherk, ICRW (International Center for Research on Women)
Rachel Fey, Power to Decide
Find Intersectionality Matters where ever you get your podcasts: https://pod.link/1441348908
Follow Us on Social:
Twitter: @rePROsFightBack
Instagram: @reprosfb
Facebook: rePROs Fight Back
Bluesky: @reprosfightback.bsky.social
Email us: [email protected]
Rate and Review on Apple Podcast
Thanks for listening & keep fighting back!
Next Episode

#HandsOffIX: Proposed Changes to Title IX Fail Sexual Assault Survivors
Betsy DeVos, the United States Secretary of Education, has proposed changes to Title IX, a federal civil rights law which is meant to protect students from sex discrimination within education programs. These changes would severely undermine the rights of sexual assault survivors. Shiwali Patel with National Women’s Law Center helps us understand the dangers these changes to Title IX may bring.
The changes being proposed to Title IX would make schools more dangerous for students, tilting the scales in favor of named harassers if the school would decide to investigate.
Find Intersectionality Matters where ever you get your podcasts: https://pod.link/1441348908
Follow Us on Social:
Twitter: @rePROsFightBack
Instagram: @reprosfb
Facebook: rePROs Fight Back
Bluesky: @reprosfightback.bsky.social
Email us: [email protected]
Rate and Review on Apple Podcast
Thanks for listening & keep fighting back!
rePROs Fight Back - It Shouldn't Be This Hard For Immigrants to Access Health Care
Transcript Summary
In the podcast episode "It Shouldn't Be This Hard For Immigrants to Access Health Care," host Jennie Wetter discusses the challenges immigrant communities face in accessing healthcare. Yesenia Chavez, an immigrant women's health and rights policy analyst, and Jaclyn Dean, a policy manager, shed light on the barriers immigrants encounter, including a five-year ban on public benefits and limited insurance access. Uninsured immigrant women, particularly Asian American and Pacific Islander immigrants, face language barriers, cultural differences, and mistrust in Western medicine. Stigma surrounding reproductive health in Asian cultures makes it difficult for Asian Americans to seek services. Targeted stereotypes affect trust in the medical community, and Latinx and AAPI communities share similar healthcare challenges. Hispanics, especially undocumented Latinas, fear repercussions related to their immigration status when seeking healthcare, impacting their overall well-being. The proposed rule expansion of the public charge, a legal determination affecting reliance on government support, would force immigrants to choose between their health and immigration status. Factors considered include education, income, English proficiency, and family size. The burden falls disproportionately on immigrants to prove they aren't a public charge. Medicaid, included in the public charge test, would jeopardize immigrant women's access to reproductive health services. SNAP, the largest anti-hunger program, would also affect immigrants, forcing them to choose between feeding their children or risking their immigration status. Immigrants with disabilities who rely on Medicaid would be severely impacted. Removing the five-year waiting period for benefits and supporting legislation like the HEAL for Immigrant Women and Families Act are necessary steps to ensure access to affordable healthcare. Sensible locations should be protected to provide healthcare without fear of immigration enforcement. Protecting the Affordable Care Act and funding community health centers are crucial, as public programs should be expanded instead of restricted for improved immigrant healthcare access. Advocacy is encouraged to delay the implementation of the proposed rule, and the public comment period is open until December 10th.
Transcript
Welcome to rePROs Fight Back a podcast on all things repro. I'm your host Jennie Wetter. In each episode, I'll be taking you to the front lines of the escalating fight over our sexual and reproductive health and rights at home and abroad. Each episode, I will be speaking with leaders who are fighting to protect our reproductive health and rights to ensure that no one's reproductive health depends on where they live. It's time for repros to fight bac
It Shouldn't Be This Hard For Immigrants to Access Health Care Top Questions Answered
How do immigrants face challenges when accessing healthcare?
Immigrants face challenges accessing healthcare due to limited access to public benefit programs and healthcare services, as well as language barriers and cultural differences.
What is the impact of limited access to healthcare for immigrant women?
Immigrant women, particularly those living in poverty, have high rates of uninsurance, which can have profound health impacts.
What are some barriers to accessing healthcare for AAPI immigrants?
AAPI immigrants face barriers such as language barriers, limited English proficiency, cultural differences in health beliefs, and stereotypes that worsen trust in seeking healthcare.
Why do Latinx and AAPI communities face difficulties when seeking healthcare?
Latinx and AAPI communities face difficulties due to stereotypes, fear related to immigration status, limited access to employer-sponsored coverage, and cultural barriers to discussing reproductive healthcare.
What is the public charge policy and how does it affect immigrants' access to healthcare?
The public charge policy is a determination used by US immigration officials to assess if an immigrant will heavily rely on government support. The proposed rule expands this policy to include Medicaid and SNAP, impacting access to reproductive health services and food assistance for immigrant women and families.
How would the proposed expansion of the public charge rule impact immigrants?
The proposed expansion would force immigrants to choose between their wellbeing and their immigrant status, creating fear and uncertainty among immigrant communities. It could also target immigrants with disabilities who rely on Medicaid.
What are some steps being taken to improve access to healthcare for immigrants?
Efforts include the removal of the five-year waiting period for immigrants to access benefits, legislation like the HEAL for Immigrant Women and Families Act to repeal the waiting period, and protecting and expanding the Affordable Care Act (ACA) and funding for community health centers.
How can people oppose the proposed public charge rule?
People can oppose the proposed rule by submitting comments through the Protecting Immigrant Families website. Each submitted comment delays the implementation of the rule and provides immigrant families with one more day of security.
What can healthcare providers do to support immigrant patients?
Healthcare providers can inform immigrant patients that the rule is not yet in effect, reassure them that they are not alone in the fight against it, and continue providing necessary care and support.
Where can I find more information and resources on immigrant healthcare access?
More information and resources on immigrant healthcare access can be found through organizations like the National Latina Institute for Reproductive Health and the National Asian Pacific American Women's Forum, as well as the Protecting Immigrant Families website.
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