Introduction
The production of agricultural products in the United States is dependent on the hand labor provided by migrant agricultural workers. However, this population is at higher risk for certain chronic illnesses that must be monitored frequently. With most of them working long hours, English illiterate and living in a poor socioeconomic status, access to preventive health care services becomes very challenging. Different solutions to tackle this challenge have been proposed, including mobile clinics as well as clinics devoted to providing medical care to this population. Both still face significant barriers in delivering health care services to agricultural migrant workers (AMWs). Building upon an idea proposed at the Finding
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Migrant Clinicians Network, a non-profit organization working on strengthening the infrastructure for health care facilities serving farmworkers and mobile populations, defines migrant farmworker as: “an individual who is required to be absent from a permanent place of residence for the purpose of seeking employment in agricultural work”. In both cases the definitions implies mobility and job instability (high turnover?). The term Migrant and Seasonal Farmworkers (MSFWs) is used by the DOL to refer to the sum of multiple AMWs groups like farmworkers of perishable crops, workers in dairy and poultry farms, meat packers, cattlemen, tobacco fields and plant nurseries.
Estimates of the numbers of AMWs in the United States vary enormously. This is probably due to the different definitions followed for the census or the nature of their mobile lifestyle, but also because some counts consider only workers on payroll while others includes all migrant family members (e.g. dependents). Data from the National Agricultural Workers Survey estimates there are over 3 million migrant and seasonal farmworkers in the US, with 75% of them born in Mexico and around 42% entered the US within the 5 years prior to survey. These waves of Hispanic migrant workers follow certain routes or streams outlined in Fig.1 by the National Migrant Resource Program. The Midwest route starts in Mexico and travels through Texas, Arizona, Colorado Kansas and Missouri to Minnesota, Wisconsin
It is no secret that the cost of American healthcare is becoming increasingly more expensive. However, the issue of the rising cost of healthcare and its severity needs to be recognized as a major problem. Health prices are steadily increasing in the United States, and there is no sign of it stopping. Since 1970, spending on American health care has grown 9.8%, which is a rate that is growing faster than the economy (“New Technology”.) Furthermore, health insurance premiums are also increasing at a rate five times faster than American salaries, which makes it difficult for families to afford health care coverage (Zuckerman 28). Therefore, it has become an obligation to address why the cost of American health care is soaring and to seek out a solution to lower the cost. Many would jump to the conclusion that the United States simply charges too much for their medical services, but there are deeper influences that need to be analyzed. The causes of the rising cost of health care are people not using preventive health care, the development of modern technology, and the treatments being overprescribed. A possible solution is to have preventive health care services available in clinics of low-income areas.
The life of a migrant worker in the 1930s were very depressing one. The Great Depression cause many workers to move from place to place for jobs. Most of these migrant workers are alone with no friends or family and unable to trust people. Some Just like George and Lennie from the book Of Mice Of Men travel together. Of Mice and Men is a story about two men the The Great Depression
Despite the countless advanced in technology and the abundance of health care organization popping up all over the place, whether they are free standing clinics, hospitals, urgent cares or etc, many people still lack the ability to receive quality health care. This has become a concern throughout the world, but especially a more vocal concern for residents of the United States in the past few years. In this paper we will discuss the reasons preventing access to quality health care and how we can overcome the many obstacles that stand in our way to provide quality health care to many who lack it today.
One area where access to care is a problem is in the rural communities. Healthcare professionals including physicians, nurse practitioners, and nurses all affect the quality and cost of care (Derksen, & Whelan, 2009). Going forward importance needs to be placed on using recourses more efficiently and effectively; these resources include but are not limited to tests, prescriptions,
Despite harsh working conditions, farmworkers have worked constantly for years due to the need of necessities for their families along with themselves. After thorough investigation, I have come to a conclusion that even after so many years of protesting as well as working diligently, farmworkers still have experienced unacceptable working conditions, however they were not as bad as the past. There was a definite need for a drastic change due to the working conditions of the farmworkers. Conditions may have improved due to the social justices that Cesar Chavez including The 5 Year Strike has gained. As I was comparing both working conditions of today’s farmworkers with farmworkers of other times in history, I have come to find many differences
Undocumented farm workers are specially in a vulnerable position to receive illnesses (physical or mental or both). This is due to the various structures
Traditionally, it is custom that patients to travel to the provider. Although it is possible to create an establishment for patients to visit providers, Mullin & Stenger (2013), advise patients choose home care in which the provider travels to them. According to Buchan, Couper, Tangcharoensathien, Thepannya, Jaskiewicz, Perfilieva, & Dolea (2013), the World Health Organization provides favorable recommendations to procure health care professionals into the rural environment. These recommendations include providing further education opportunities, improved living conditions, career development programs, incentives such as public recognition, and a safe and supportive work environment. Another essential recommendation is to implement jobs for multiple scopes of practices and varieties of health care workers. It is important that health care providers have the support of a multidisciplinary work staff to implement safe and efficient
The Mexican Migrant Farm Workers’ community formed in Southern California in the 20th century because of two factors that came together: farming emphasized by migrations like the Okie farmers from the East and Mexicans “imported” to the U.S. because of the need for cheap labor as a replacement of Americans during World War II. The migrant labor group formed after an already similar group in the U.S had been established in California, the American farm workers from the East, known as the Okies. The Dust Bowl of the 1930s caused the movement of the Okies to the West and was followed by the transition from American dominant farm labor to Mexican migrant labor. The Okies reinforced farming in California through the skills they took with them,
The book Fresh Fruit, Broken Bodies: Migrant Farmworkers in the United States illustrates the fieldwork of the author Seth M. Holmes by explaining the myriad aspects of migrant workers’ lives in the U.S.—from the politics to the social environments to the physical body. By not only studying, but living, the lives of these migrant workers, Holmes brings the reader a view unseen by the vast majority and provides the opportunity for greater understanding through the intense details of his work. The voices of vastly different characters—real people—are captured and expounded on without judgment but with deep consideration for all factors that contribute to each person’s life, opinions, and knowledge. Ultimately, a picture of intersectionality is painted in the colors of migrants, mothers, fathers, children, doctors, soldiers, executives, the poor, the rich, and more.
Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongst the nation’s political and healthcare leaders. The aging baby-boomers and the increased number of uninsured people add to the equation of population growth which results in limited access to primary healthcare for the entire public. On the
stools, so they wouldn’t fall into the fire place. Pioneers who lived on the Midwestern plains put babies in wooden boxes then secured them to the poles of their plows. Southern dirt farmers put pegs into the ground at the edge of the field they were working on and tied their children to the pegs to prevent them from running too far. African American mothers often had to take care of the white children along with their own which often led to the older black children helping to take care of their younger siblings. The African mothers would sing white babies to sleep while their own children had to comfort themselves. Migrant labor mothers had to give their babies shade in the beet fields where they were working, they would make tents for them.
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
In the novel The Grapes of Wrath by John Steinbeck, Steinbeck portrays the lives of migrant workers as a difficult life. The migrant workers Steinbeck’s novel are described as facing constant struggle, fear, and discrimination. Steinbeck’s portrayal of migrant workers in the 1930s can be compared to the lives of of migrant workers today. Migrant workers today also face fear, discrimination and a constant struggle to survive. Although certain aspects of migrant workers has changed since the 1930s, Steinbeck’s portrayal of the lives of migrant workers in The Grapes of Wrath is consistent with the lives of migrant workers today.
In order to achieve the perfect selection of produce that the American consumer has come to expect, a high price must be paid by the laborers who make it possible. At the top of the list is their physical and mental well-being. Migrants and their dependents experience more frequent and more severe health problems than the general population. Their illnesses are often caused by poor nutrition, lack of resources, lack of education, or infectious diseases from overcrowding and poor sanitation. However, the health problems migrants and their families face because of their low-income status and unfamiliarity with the culture are compounded by a migratory lifestyle and the inherent dangers and health risks involved in their occupations. Stress and depression is a concern among migrants which may be related to isolation, economic hardship or the environment which can hinder their productivity. The pressure imposed on laborers by their employers, often as a result of their own economic pressure, to continue working despite chronic pain or illness begins to take its toll on their overall health. The stress they experience can contribute to the development of other health problems. The worker’s physical well-being is challenged as well. Health problems inherent in this population can include back
A challenge that many rural communities are dealing with is the lack of primary care physicians, specialist, understaffed hospitals, and transportation. “Only about ten percent of physicians practice in rural America despite the fact that nearly one-fourth of the population lives in these areas” (National Rural Health Association [NHRA], n.d., para. 2). Although, there are programs designed to improve patients access to hospitals and physicians in rural areas, provider access for these patients remains a barrier. Technology can bridge some of the gaps of care for these patients and it can be beneficial in many ways. With enhanced technology, primary care physicians and patients will be able to have support, access to quality care, improvement in self-management skills, which ultimately, will improve a patient’s health. To assist physicians with delivery of optimal care and for patients to be able to go to scheduled wellness visits with physicians, a new approach to solving rural health barriers are needed.