A Nation of Uninsured Immigrants

2017 ◽  
Author(s):  
Patricia Illingworth ◽  
Wendy E. Parmet
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care System ◽  
Access To Health Care ◽  
Developed Countries ◽  
The United States ◽  
Public Benefits ◽  
Access To Health ◽  
Treat All ◽  
Care System

The United States is unique among developed countries in not providing health insurance to all of its citizens. But newcomers, both legal and undocumented, are far more likely to be uninsured than natives. This chapter reviews US law, including the Affordable Care Act, regarding immigrants’ access to health insurance, exposing the conflicting and inconsistent policies towards including immigrants within the nation’s health care system. These policies not only reduce immigrants’ access to health care, they add significant complexity to the US health care system, and create a range of health and economic costs to immigrants and natives alike. The chapter focuses in particular on the practice of medical repatriation, whereby hospitals send seriously ill immigrants to their countries of origin, explaining how the conflicting edicts of US health law encourage the practice by requiring hospitals to treat all emergency patients regardless of citizenship or insurance status, while denying many immigrants public benefits for nonemergency care.

Health Care Reform and the Health of Performing Artists in the US

2009 ◽  
Vol 24 (4) ◽  
pp. 155-156
Author(s):  
Ralph A Manchester
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Access To Health Care ◽  
Developed Countries ◽  
The United States ◽  
Performing Artists ◽  
Access To Health ◽  
The Us ◽  
The World ◽  
Critical Problems

Health care in the United States is beset by three critical problems: cost, quality, and coverage. We have by far the most expensive health care in the world, spending about 17% of our Gross Domestic Product, or over $7,000/person; most other developed countries spend about 8 to 10% of their GDP on health care.1 Despite spending that much money, the health status of Americans is far from the best in the world, whether one looks at infant mortality,2 life expectancy,3 or survival among people with various diseases. 4 Underlying both problems is the fact that over 15% of the US population does not have health insurance,5 which means they do not have access to health care when it can be delivered most effectively at the lowest cost. While this should be of great concern to anyone who lives in this country, those of us who are invested in the health of performing artists should be especially interested in this issue. For a variety of reasons, performing artists are probably more likely to lack health insurance than is the case for the population at large.

scholarly journals Satisfaction with health care system: A comparative study between market-based insurance model of the United States and “out-of-pocket” model in developing and low-income countries

2020 ◽  
Vol 6 (1) ◽  
pp. 41
Author(s):  
Ram Lakhan ◽  
Sean Y. Gillette ◽  
Sean Lee ◽  
Manoj Sharma
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care System ◽  
Undergraduate Students ◽  
Low Income ◽  
Access To Health Care ◽  
The United States ◽  
Low Income Countries ◽  
Healthcare Needs ◽  
Care System

Background and purpose: Access to healthcare services is an essential component for ensuring the quality of life. Globally, there is inequity and disparities regarding access to health care. To meet the global healthcare needs, different models of healthcare have been adopted around the world. However, all healthcare models have some strengths and weaknesses. The purpose of this study was to examine the satisfaction among a group of undergraduate students from different countries with their health care models namely, insurance-based model in the United States and “out-of-pocket” model prevalent in low-income countries.Methods and materials: The study utilized a cross-sectional research design. Undergraduate students, representing different nationalities from a private Southeastern College, were administered a researcher-designed 14-item self-reported electronic questionnaire. Independent t-test and χ2 statistics were used to examine the differences between two health care systems and the qualitative responses were analyzed thematically.Results: Satisfaction towards health care system between the United States and low-income countries was found significantly different (p < .05). However, students in both settings experienced an inability toward affording quality healthcare due to economic factors and disparities.Conclusions: There is dissatisfaction with health care both in the United States and low-income developing countries among a sample of undergraduate students representing these countries. Efforts to ensure low-cost affordable health care should be a global goal.

Change in health perceptions during immigration process a group of Syrian refugee women: analysis within the framework of transition theory of meleis

2019 ◽  
Vol 2 ◽  
pp. 6-12
Author(s):  
M. Korkmaz ◽  
IA. Avci
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Access To Health Care ◽  
Health Perception ◽  
Transition Theory ◽  
Health Perceptions ◽  
Refugee Women ◽  
Immigration Process ◽  
Access To Health ◽  
Care System

<b>Purpose:</b> Migration is a complex situational transition that rarely occurs in isolations. Use of the transitions framework allows for recognition of the complex, longitudinal, and iterative components and processes of migration. Refugees experience a long and anduous transition. Refugees may experience significant changes in health status. The study purpose to investigate the change in health perception of refugee women within the framework of transition theory. <br><b>Materials and methods:</b> This study is a qualitative study. Data were collected with a semi-structured interview form at in-depth interviews. Obtained data were analyzed with inductive content analysis. Analysis of interview data provided by thirty Syrian refugee women. <br><b>Results:</b> The refugee women’s changing in health perception were found to comprise the following themes "pre-migration access to health care system and medical practise", " experiences of immigration process", "access to health care system in Turkey and medical practice,” and “change in health perception" and subthemes. <br><b>Conclusions:</b> Health perception for Syrian refugees women is status of well-being or not. Health status of refugees women got worse during immigration process and postmigration process. Because of refugee women in the face of some problems such as language barriers, lack of socio-economic situation, inadequacy of access to health care system all of these cause to be negatively change in health perceptions.

scholarly journals P1.06-020 Unequal Access to Health Care System Have a Higher Impact in Upgrading Staging for 8th TNM Ed

2017 ◽  
Vol 12 (11) ◽  
pp. S1993
Author(s):  
M.T. Ruiz Tsukazan ◽  
A. Vigo ◽  
L. Lago ◽  
G. Lenz ◽  
V. Duval Da Silva ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Access To Health Care ◽  
Access To Health ◽  
Unequal Access ◽  
Care System

Symbols, Rationality, and Justice: Rationing Health Care

1992 ◽  
Vol 18 (1-2) ◽  
pp. 1-13 ◽  
Author(s):  
Daniel Callahan
Keyword(s):  
United States ◽  
Health Care ◽  
Health Insurance ◽  
Health Care System ◽  
The United States ◽  
Universal Health Care ◽  
Universal Health Insurance ◽  
Ration Health Care ◽  
Universal Health ◽  
Care System

Proposals to ration health care in the United States meet a number of objections, symbolic and literal. Nonetheless, an acceptance of the idea of rationing is a necessary first step toward universal health insurance. It must be understood that universal health care requires an acceptance of rationing, and that such an acceptance must precede enactment of a program, if it is to be economically sound and politically feasible. Commentators have argued that reform of the health care system should come before any effort to ration. On the contrary, rationing and reform cannot be separated. The former is the key to the latter, just as rationing is the key to universal health insurance.

scholarly journals Intersection of Migration and Access to Health Care: Experiences and Perceptions of Female Economic Migrants in Canada

2020 ◽  
Vol 17 (10) ◽  
pp. 3682
Author(s):  
Solina Richter ◽  
Helen Vallianatos ◽  
Jacqueline Green ◽  
Chioma Obuekwe
Keyword(s):  
South Africa ◽  
Health Care ◽  
Access To Care ◽  
Health Care System ◽  
Access To Health Care ◽  
Social Connectedness ◽  
Reproductive Age ◽  
African Countries ◽  
Access To Health ◽  
Care System

More people are migrating than ever before. There are an estimated 1 billion migrants globally—of whom, 258 million are international migrants and 763 million are internal migrants. Almost half of these migrants are women, and most are of reproductive age. Female migration has increased. The socioeconomic contexts of women migrants need investigation to better understand how migration intersects with accessing health care. We employed a focused ethnography design. We recruited 29 women from three African countries: Ghana, Nigeria, and South Africa. We used purposive and convenient sampling techniques and collected data using face-to-face interviews. Interviews were audio-recorded and transcribed verbatim. Data were analyzed with the support of ATLAS.ti 8 Windows (ATLAS.ti Scientific Software Development GmbH), a computer-based qualitative software for data management. We interviewed 10 women from both South Africa and Ghana and nine women from Nigeria. Their ages ranged between 24 and 64 years. The four themes that developed included social connectedness to navigate access to care, the influence of place of origin on access to care, experiences of financial accessibility, and historical and cultural orientation to accessing health care. It was clear that theses factors affected economic migrant women’s access to health care after migration. Canada has a universal health care system but multiple research studies have documented that migrants have significant barriers to accessing health care. Most migrants indeed arrive in Canada from a health care system that is very different than their country of origin. Access to health care is one of the most important social determinants of health.

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