Access to healthcare can be determined by several factors (i.e. geographical location, income, insurance)–being an immigrant, especially a recent immigrant to the U.S., is one of these factors. In Albany, NY, the immigrant population has grown over the past few years and currently, 13.2% of the population consists of individuals that were not born in the U.S. (1). Coming to a new country presents many unique challenges, but access to healthcare is one that can prevent individuals from adjusting well and living a safe and healthy lifestyle.
Health Insurance
Due to their lack of citizenship after first moving to the U.S., health insurance options can be limited for immigrants, especially for undocumented immigrants (2). This limits access to many providers who only accept patients with insurance, and while undocumented immigrants can sometimes receive care from community health centers, this care is often only basic primary care or to be used in emergencies (2).
In New York state, all children can receive the Child Health Plus plan, regardless of their immigration status. This plan is comprehensive and includes preventative care, well-child visits, and emergency services (3). Additionally, pregnant women can receive Medicaid regardless of immigration status and some documented immigrants may qualify for the Essential Plan soon after they move to NY (2). However, if an individual does not fit into these categories, the only services that an undocumented immigrant may receive are emergency services (2). While this is beneficial, it leaves out the preventative care and services that can treat symptoms before they worsen beyond control.
Translation Services & Health Literacy
Many immigrant families, especially when they first immigrate to the U.S., are considered to have low English proficiency (LEP). This makes communication in healthcare settings a challenge and can be a barrier to receiving quality care, as the patient and provider cannot have a direct, fluid conversation. Some health care settings in New York have put up this ‘Language Identification Tool Poster’ that allows patients to point to their language, so that appropriate translation services may be provided. A portion of the poster is shown below, with a link to the full poster here:
While resources such as this poster can help, patients and providers would still not be able to speak directly to each other, and would only be able to communicate through a translator.
Additionally, understanding health insurance options can also be difficult when there is a language barrier, as there are different requirements for each plan. A search engine can be found here for in-person help. This search engine consists of a directory of in-person helpers that can assist individuals in navigating the health system and health insurance plans specifically. While only eight languages are supported, including English, this service can benefit some individuals in understanding how to receive health services for themselves and their families.
COVID-19
With the current pandemic, language barriers present a unique challenge in being able to transmit public health information clearly to the general population. As immigrants make up a large portion of the population, it is essential that they understand basic information about the virus and are able to practice appropriate measures to limit the spread of the virus. Valleywise Health Medical Center in Arizona has made a series of videos available on Youtube that describe what COVID-19 is and what to do if you are sick. These videos have been made available in 12 languages, one of which can be played below.
These videos can be incredibly helpful for individuals that may not understand what is happening in their local communities as a result the virus, but coming across these videos may not be common for many immigrants, as they require some searching. It would therefore be helpful for similar resources and information to be sent to or made available to local communities, either in the style of videos or in pamphlet form.
While many resources exist to help immigrants navigate the healthcare system and obtain information about resources, these resources are not always used or made readily available to immigrant families. Many require searching and prior knowledge about websites and organizations that usually provide public health, insurance, and language services. In the future, it would be important to ensure that immigrants are aware of the resources that exist so that they can have access to the healthcare that they might need. What are some ways this could be done?
46,527 thoughts on “Access to Healthcare for Immigrants”
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If you are chasing your dreams in a foreign land, deep in the night when everything is at rest, and you want to send a letter to your lover in your hometown, if you want to express your thoughts in a somewhat old-fashioned but romantic way, you may need a global forever stamp on the envelope to cross the ocean. Do you not know what global forever stamps are? It does not matter because after reading this article, you will easily understand what a global forever stamp is.What is a Global Forever Stamp?The Global Forever® stamp, also called the international forever stamp, is characterized by a round border and always bears the inscription ‘Global’ and ‘Forever’, which can be easily distinguished from other forever stamps. 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The stamps ordered online are only available in sheets, and a sheet of 20 stamps costs about $12.2.Amazon/eBay/Shopping website.Search for “Global forever stamps” on a shopping website, and you will find a wide selection of stamps and collectibles.3.Other retailers that deal in philately.There are many online stores such as Forever Stamp (foreverstampstore.com), Delivery Stamp (deliverystamp.com) and others. Also, if you want to buy a special stamp on a particular subject, you can visit the website and look around. Usually, you can find a variety of themes on the website, such as animals, vacations, landscapes, sports and more. The price for 5 books of 20 is about $40.How many Forever Stamps do I need for Global?The Global Forever Stamps are of course only valid for the 1 ounce. If an envelope is heavier (and/or exceeds certain dimensions regardless of weight), different postage rates apply! Go to the usps.com website and always let the rate calculator show you the best route for you based on the weight, size and shape of your mail piece.You can use any valid U.S. postage stamp (that’s more than 99% of all stamps issued after the Civil War!) to pay for postage as long as the rate is correct.If you are sending anything other than standard letters (e.g., “merchandise”), a customs form may also be required (but only if it is “merchandise”). So you’d better check with the post office, and on their website, you can find out if there are any restrictions on the type of items that can be sent to that country.Also, remember that most shipments overseas NOT can be tracked unless you opt for the much more expensive “Registered Mail” option and/or use the “Priority Mail International” or “Express Mail” options.Can I use global stamps to send something to the U.S.?The short answer is yes. You can use Forever Stamps for international shipments. Since international prices are higher than domestic prices, you must apply additional postage, which means it is cheaper to buy an internal stamp than to use the more expensive global stamp. The value of the Forever Stamp is the price in effect on the day of use for a domestic First-Class Mail letter.My foreign mail was sent some time ago, but it has not reached its destination. What is the cause of the delay?Leprechauns and lazy elves aside, global events may affect the delivery of your mail and packages from the United States. Fortunately, the USPS provides up-to-date service announcements at USPS.com. How many Global Forever Stamps has the USPS issued?The first Forever stamp was issued in 2007, and after the popularity of the domestic Forever stamps, the first global Forever stamp was introduced after 6 years for Earth Day on January 28, 2013.In honor of the 50th anniversary of Earth Day, the Earth Day Forever stamp features a painting by USPS art director Antonio Alcalá that surrounds the Earth with small green lines, painted with gouache (a type of watercolor with opacity) on watercolor paper. The “Earth Day Global Forever Stamp” had a face value of $1.10.On October 24 of the same year, the Postal Service™ issued a Global Forever®: Evergreen Wreath international (Forever First-Class Mail priced at $1.10), featuring a wreath of evergreen branches, pine cones, Nandina berries and a red ribbon bow designed by Alan Talley. Whether symbolizing victory, the changing of the seasons, or religious celebrations, wreaths bring joy and good cheer, especially during the Christmas season.The third Global Forever stamp was inspired by an NOAA (National Oceanic and Atmospheric Administration) model of Earth’s climate. In 2014, The Global: Sea Surface Temperatures Forever stamp was issued on April 22 and served as an iconic image, said Joshua Colin, vice president, area operations, U.S. Postal Service. “It symbolises the important role science plays in understanding the Earth and our climate.”Like the 2013 stamp, the second Global forever stamp was released for the 2014 holiday season. The Global: Silver Bells Wreath Forever® International Price stamp features a circle of tightly packed bells against a deep green background, with a red bow at the top of the wreath. As we all know, silver bells have long been associated with the Christmas season.The stamp features a detailed photo of the moon, capturing the shiny surface of Earth’s only natural satellite. The global Forever stamp of 2016, the New Moon stamp, was out of this world on February 22. The moon and its regular phases have also had important social, spiritual and mythological influences on various peoples throughout history. The full moon holds a special allure for many cultures and is the subject of various folktales. The use of the moon as a design element for international stamps is romantic and appropriate.The Green Succulent Global Forever international rate stamp was issued on April 28, 2017, and features a photo of an Echeveria, a succulent native to the Americas.The 2018 Global Forever Stamp – Poinsettia features a photo of a poinsettia. The bright red plant was introduced to the American gardening public in 1829 at the Pennsylvania Horticultural Society’s first exhibition – now known as the Philadelphia Flower Show – and soon became associated with the holidays in the United States.The 2020 International Chrysanthemum stamp features a bird’s-eye view of a pink chrysanthemum, showing the intricate design of the flower. The “Queen of Fall Flowers,” as the chrysanthemum is popularly known, is one of Americans’ favorite garden, cut and potted plants that not only looks beautiful, but can also be used as a medicinal agent to make drinks that are good for the human body. Blooming in autumn, chrysanthemum symbolizes joy and optimism in view of the upcoming winter months, and the flowers are popular all over the world. http://www.foreverstampstore.com
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The car in the stamp was actually an electric car serving as a taxi at the early stage, with a speed of 40 kilometers per hour. It can travel approximately 120 kilometers on a single charge. In the car are the driver and the representative from the taxi company.Although electric cars at that time dad already traveled around the city like New York and Washington. But in the early 20 century, there were steam, gasoline, and electric cars.So why was the electric car chosen as the image of these Commemorative Stamps？Well, because among all these, electric cars were the most advanced without noise, violent vibration, and smelly scent. In another word, electric cars in the US recorded the world’s advancement.And what makes the stamps special is that they are one of the first which used two colors overprinting (Overprint is when one color object overlaps another and is normally only used for special effects within a design).Now, you can only get them from stamp dealers.Antique Automobiles (1995)In 1995, a set of 5us postage stampsnamed Antique Automobiles were issued, including different types of cars, even covering the earliest gasoline vehicle – DURYEA. Duryea Brothersinvented the first gasoline-powered automobile in America. In 1896 they assembled 13 cars like this and set up their own factory to produce the cars. http://www.foreverstampstore.com
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