Plan Of Action Plan Analysis

Aubrey Malphurs is the author of Advanced Strategic Planning and has written over two dozen ministry articles and books. Mr. Malphurs received a PhD in 1981 from Dallas Theological Seminary where he is senior professor of Educational Ministries and leadership and pastoral ministry, he is also the founder and president of the Malphurs Group where he serves as a trainer and consultant to various ministry organizations. Malphurs is a visionary leader committed to the call of equipping and inspiring others in the areas of church planting, leadership development and church growth.

     Illegal immigrants usually hold jobs that have bad conditions and worse pay.  Oftentimes, these jobs are found in sectors such as agriculture, construction, food-handling and manufacturing (Dwyer).  Unfortunately for the illegal individuals who acquire these jobs, they have no access to comprehensive health care, though their line of work tends to demand it.  Although illegal immigrants are consequently strapped for cash, many of them will not visit primary care physicians for fear of being deported.  This sets up a vicious cycle: individuals get sick yet ignore the signs.  When illnesses get remarkably worse and are too severe to treat at doctors' offices, the individuals then go to emergency rooms, where the cost is considerably greater.  More often than not, the immigrants cannot afford to pay their hospital bills.  The cost is then covered by the medical institutions and tax-payer dollars (Wolf).  While some argue that illegal migrants do not

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.

In an article that looked at the immigrant healthcare needs of the United States, Dudas (2012) found that

The film showed that some health care providers might mistreat patients because they do not have insurance. Also, they do not have the means to pay their expensive health care bill. The emergency room is the least effective in caring for undocumented immigrants and people in general. Much less, it does not provide an effective way in managing individual health care needs. The film also showed that undocumented immigrants may be afraid of reporting mistreatment from hospitals and employers because they are concerned about being deported.

Situations like Maria’s have become fairly common here in the United States. In 2014, Pew research estimated that there are 11.3 million unauthorized immigrants in the United States (Krogstad & Passel). In 1986, the Emergency Medical Treatment and Active Labor Act (EMTALA) made it possible for unauthorized citizens to qualify for Emergency Medicaid. Moreover, any hospital which is eligible to receive Medicaid reimbursements is required to treat ANY patient with emergency medical treatment (Sultan). Prior to the Affordable Care Act (ACA), hospitals could also receive reimbursements for patients who those who needed non-emergent

The ACA was created to help insure a larger portion of the nation’s population and give people access to affordable and higher quality care. Unfortunately, the ACA completely excludes undocumented immigrants from the eligibility of the program, even though this population consists of 11 million, which is a huge chunk of the nation’s population. As a result, the undocumented population is left with Emergency Medicaid, which is a program that is a part of ACA. This program gives some limited assistance to undocumented individuals in a case of an “emergency” or pregnancy related issues. Emergency Medicaid does not cover any type of prevention care or offer primary physicians to patients. It is also important to note that if the hospital determines that the visit was not an emergency, then the patient is left with a high medical bill that they would not be able to afford possibly leading to bankruptcy.

Many hospitals and long-term facilities depend on the funds that the federally funded Medicare program delivers and accepts this “community service obligation” of providing culturally and linguistically services when needed (Hood-Brown, n.d.). The many establishments that participate and accept Medicare have the duty to provide culturally quality care and provide the necessary resources to accomplish this goal. In my opinion, Medicaid has played an important part in providing culturally competent care to the population of American Indians and Alaska natives in the United States.

Over the past few years, many issues have surfaced regarding illegal immigrants and health care access. Imagine your heart beating and blood rushing as quickly as possible through your veins. Then, someone knocks at the door, “rapido, escondete” (quickly hide); the silence takes over the house; the fear of what would happen next is quickly pounding hard through your head. That’s the fear that some people have to live in. It’s the fear of getting deported at any time or getting separated from family. The fear of being deported and separate from their love ones are also part of the fears and barriers that immigrants face that enable them from accessing health care.

But for the rest of the population substantial disparities still exist. This problem not only affects the uninsured population and the communities they live in, but the entire nation's economy. Dozens of hospitals in Texas, New Mexico Arizona, and California, have been forced to close or face bankruptcy because of federally mandated programs requiring hospitals to provide free emergency room services to illegal aliens. Safety net hospitals continue to operate under a heavy burden of providing care to this largely uninsured population (Torres, Steven, & Wallace, 2013). Having access to healthcare is a necessity in maintaining the good health of these undocumented immigrants. Several solutions have been proposed to overcome the barriers affecting undocumented immigrants. One solution would be to expand the coverage of the Affordable Health Care Act for this population. Another solution would be to approve an amnesty bill to alleviate the undocumented immigrants' situation in the United Sates, which would allow them to access public health

An 85 year old, Hispanic, female patient was admitted in the adult intensive care unit (AICU), with the diagnosis "stroke." Prior to the patient’s admission into the regional medical center, the patient had a history of heart and pulmonary problems, and lung cancer, which was successfully treated by surgery and radiation ten years ago. Tests conducted during the patient’s admission revealed early stage liver cancer. The patient has been in a comatose state ever since admission, and has been unable to communicate or move, and due to her being unable to breathe on her own, she is on a ventilator (Belhaven University, 2015). The patient has been receiving local news coverage. As a result, “the state governor has come out publicly stating that illegal aliens are a drain on our state 's resources and should be sent back to their countries of origin” (Belhaven University, 2015). The governor’s challenger, whose also the daughter of the patient and a nursing student in a AICU, says there is a moral duty to care for everyone.

Illegal immigration has become a hot international issue over the past years. Often, Canadians scoff at the topic and innocently boast about our self-righteous Canadian superiority suggesting that it is not a problem at home. However, it is a problem—a big problem. There are well over 500,000 undocumented immigrants in Canada, many of whom, like David, had no say in the matter (1). These residents are one of the most vulnerable in the country as their illegal status makes them susceptible to exploitation at work, exclusion in society, and adverse health consequences. Physicians are placed in a tough situation. On one hand they have the moral responsibility to help anyone in need regardless of immigration status. On the other hand, this goodwill can be seen as encouraging illegal migration—a selfish, unfair, and dangerous behaviour that perhaps does merit some of its consequences. The problem is that not everyone who is an illegal resident chose to be one. Further, even the individuals that willingly chose this path for themselves are not entirely to blame: there is a driving force that fuels this migration and includes everyone from the businesspeople that hire them to those that rent them an apartment. As long as this driving force persists so too will the migration problem and society has an

There are many different people who experience disparity in health care services. In 2005 a Latino family struggled

“The Mission of Clinicas del Camino Real, Inc. is to provide quality, comprehensive and preventative, health care services to Ventura County’s community. It is the explicit mission of Clinicas to save lives and restore good health to the underserved population of the county at rates that are consistent with a client’s ability to pay. Moreover, Clinicas’ bilingual and bicultural staff delivers its services on a personal and humane basis, and especially reaches out to members of the community who are traditionally underserved due to limited income, resources, cultural and language barriers. Clinicas del Camino Real, Inc. shall also serve as a voice for

Poor medical care offered to undocumented immigrants in detention has resulted in the death of seven immigrants in detention. This is according to the reports from two human rights groups, Community Initiatives for Visiting Immigrants in Confinement (CIVIC) and Human Rights Watch (HRW). The findings claim that the immigrants in detention are not being given adequate medical attention.