Community Health Center for the Uninsured and Undocumented Immigrants

It is well known that the United States is made up of several different cultures and the health care system delivers care to a very diverse population. However, depending on ones culture-receiving care may be a challenge at times. In this paper we are going to take a closer look at the culture of Hispanic Americans. The Hispanic population has grown to over 55 million residents with in the United States in 2015, with an estimated growth rate of 2.1% per year (Krogstad & Lopez, 2015). Making this minority group on of the fastest growing populations within the United States (DeNisco & Barker, 2016).

A Community health center can be defined as a center where high quality primary and preventive healthcare is provided regardless of the ability of the patient’s financial situation. There are some basic characteristics a community health center must possess to be fully functional. Some of which are:

America needs comprehensive health care reform, and immigrants should be a part of the movement.  But many American citizens might ask that pertinent question: why should they cover the expense for illegal immigrants to access health care?  The answer is plain and simple: until congress passes immigration laws that work, people are going to migrant here illegally.  And to deny migrants access to affordable health care, Americans are not only denying them their human right, they are also putting individual and national health at risk.  I believe that this country – which has the medical advancements and the facilities to ensure the health of its citizens – should reach out to its non-citizens, legal and illegal, until it

A key goal of the Affordable Care Act (ACA) was to decrease the number of uninsured individuals, many of whom are in low-income families and are minorities (Kaiser Family Foundation 2016). Under the ACA, immigrants who are in the U.S. legally are eligible for coverage through the health insurance marketplace but undocumented immigrants are not (HealthCare.gov) even when using their own money to purchase. There are estimates of 11.1 million undocumented immigrants in the country as of 2014 (Krogstad, Passel, & Cohn 2016). It is estimated that California was home to more than two million undocumented immigrants in 2013. In 2016, California passed SB 10, a bill that would require the California Health Benefit Exchange, which facilitates the enrollment of qualified individuals into health plans, to apply to the United States Department of Health and Human Services for a waiver to allow individuals who are not eligible to obtain health coverage through the Exchange because of their immigration status to obtain coverage from the Exchange (California Legislative Information). This paper will explore California’s SB 10 legislation, its purpose, and how it will seek to serve its undocumented immigrant population and their health needs.

Christopher Columbus landed on the shores of America back 500 years ago in the year 1492. Were he and his crew the first illegal immigrants in America? The land was occupied by another group of people that didn’t grant these explorers the right to have whatever they please without acquiring some kind of legal status. The topic of legal status might have been irrelevant back in those days but it surely is an issue that is widely talked about in today’s America. The issue of illegal immigrants has been a hot topic especially when it comes to discussing whether these people should be allowed to have health care provided by a government that doesn’t recognize their

Financial barriers to access health care are common in a low-income family when they are uninsured or underinsured. Many uninsured and undocumented immigrant received federal and state health care coverage. Latinos and African American are the ethnicities that are disproportionally get affected. Limited access to a doctor when they are sick, taking non-prescribed medication and holding off recommended treatment is only some of the problems they encountered (Carrillo et al., 2011).

The availability of healthcare is an extremely important issue in the United States. There are millions of Americans that are uninsured in the U.S. A high amount of uninsured people are from minority groups such as Hispanics and African-Americans. High deductible payments, the cost of prescription drugs, and lack of health insurance coverage cause many Americans to choose to live without insurance to save money for everyday expenses beside healthcare. Without health insurance, people do not have access to quality healthcare. Most citizens are aware of the issues in the healthcare system, but the disagreement comes when discussing how the best approach on ameliorating the system. Some believe that a more public and universal healthcare system is the best approach. Others believe that America works best through free enterprise and private institutions, and believe health insurance should be more privatized. However, health care has been shown to work best and be more available through proper public government control as it will allow for all Americans to have access to equal healthcare, in which money does not dictate health.

With the economy of the United States in shambles, illegal immigration and the effects it has on health care can no longer be ignored. America has a whole needs to be concerned and well informed of the issues rather than collecting information piecemeal by way of media or other biased groups. If illegal immigration stays its present course the American tax-payer will continue to fund the well being of individuals who have broken federal rules and regulations and are being supported by law abiding citizens. This argument is not about individual rights to live and prosper. It is not about race or discrimination of any sort. It is only about the effects on health care that I am addressing.

The United States has had an immigration issue for many years that serves some people, practically enslaves others and causes many others to get angry. Of course, this issue concerns illegal immigration and legal Hispanic farm workers. The population who is best served by the influx of workers are the farms in the central valley of California and other areas that use these individuals to harvest crops. The workers in the United States illegally are in constant fear of being discovered, and they are often exploited because of their immigration status. Legal citizens are, in large part, angry with the situation because of the cost incurred by so many people entering the country and not contributing to the tax burden imposed on citizens of the country. The issue for this paper though is what type of healthcare women in this situation are getting, and whether it is sufficient. This paper contends that this population is underserved for many reasons, and this group was chosen for that reason. One solution is to develop a cultural competence by understanding the population's culture, how they see healthcare workers, and to determine what their healthcare needs are.

Hispanics are one of the largest groups in the United States that are uninsured. Additionally, the Hispanic population is one of the fastest growing ethnic groups in the U.S. The Hispanic population is estimated to increase over the next 25 years to 32 million out of a total of 72 million of the US population (Brice, 2000). The U.S. health care system is facing one of its most notable societal issues in years in reference to its ability to provide access to medical care for the millions of Americans who do not have health care, for whatever cause. The Affordable Care Act was signed into law on March 23, 2010, for the purpose of reducing inequalities in insurance coverage and to provide access to health care for all. A vital goal of the

In the area of healthcare, the influx of illegals has proven to put a huge burden in all areas of the system. In California over the last decade many hospitals and emergency rooms have closed due to the illegals being treated there and not being able to pay the bills from the hospital. Right now, California out of the 50 states is last in the number of emergency rooms per million people (Jones, 2012, #6.). The insurance premiums for citizens keep increasing because when the illegal’s go to an emergency room

Undocumented immigrants should not be included in the ACA because it will lead to an increase of overcrowding in healthcare facilities. Admittance availability at healthcare facilities is limited due to the closure of hospitals and insufficient amounts of available beds. According to Maurio & Corzine (2013), the number of hospitals in California has decreased by 5%, while state population has expanded by 8%. A patient’s waiting period to see a physician in healthcare facilities care can take hours. The average waiting period in most emergency departments is eight hours and 17 minutes per person (Lin, 2010). With the current average

Expanding Medicaid under the new Affordable Care Act, or Obama Care as it has been dubbed, is a serious issue affecting not only the 47.5 million citizens on it according the to the U.S. Census Bureau (2012), but also 5.7 million more struggling United States Citizens needing medical care (2014). By expanding Medicaid, it would mean access to affordable health insurance, preventative care and new jobs created. On An 6-3 decision, those incomparable court upheld a discriminating some piece of the moderate mind Act, memorable human services change that the President marked under theory five a considerable length of time agnus dei. Now, a large number about Americans who got secured over wellbeing protection marketplaces could sit tight

The Affordable Care Act completely changed the patient landscape of health care safety nets with its implementation in 2010. In particular, its expansion of Medicaid significantly shifted uninsured patient healthcare provider utilization, from emergency departments and free clinics, towards community health centers and federally qualified health centers. Yet major gaps in healthcare coverage persist due to states choosing not to expand Medicaid, exclusion of undocumented immigrants, and misunderstandings of the ACA. Health care safety net providers must understand their changing demographics and the needs of vulnerable uninsured patient populations. In doing so, healthcare safety net providers will be better informed in regards to necessary changes needed to thrive in the post-ACA era.

In 2010, ANA released a brief stating their stance on access to health care for both documented and undocumented immigrants residing in the states. In the brief, the group asserts that health care is a basic human right. They state that “immigrants, whether documented or not, should have access to quality health care including the opportunity to purchase insurance” (Godfrey, 2010). Undocumented immigrants do not seek medical assistance to manage chronic illness for fear of deportation and cost. This means their health status will continue to deteriorate and the cost to provide treatment will skyrocket. “Limiting adequate health care leads to increases in health care costs and possible health risks” (Godfrey, 2010). At this time, this population is only eligible to apply for charity care at local acute care facilities and one time only emergency Medicaid, burdening the taxpayer. Allowing people to purchase their own health insurance will lower the cost in health care (Godfrey,