Expanded Resources for New Challenges
The Undocumented Patients project public database and other project resources have expanded
in response to federal policy changes introduced by the Trump administration that affect,
in addition to undocumented immigrants, legally present immigrants and asylum seekers.
- Population health among settled immigrants and citizen children in the US is being damaged by pervasive fear, chilling effects, and household disruption (Kaiser Family Foundation 2017).
- The Trump administration has expanded the list of benefits that, if accessed by green card applicants, will reduce their chances of achieving citizenship.
- The benefits accessed which make someone a public charge, previously only cash benefits, now include accessing healthcare through Medicaid or SNAP.
- This redefinition of the Immigration and Naturalization Act’s “public charge” clause, currently paused through a preliminary injunction, has lead to a chilling effect, reducing healthcare use by noncitizen and citizen immigrants alike (Katz and Chokshi 2018).
- Fears regarding impacts of the public charge rule overlap with fears regarding detention and deportation.
- Low-income population with limited access to jobs offering health insurance. Excluded from federally funded insurance (Medicare, Medicaid).
What We Do
ANALYSIS
- “‘Getting Creative’: From Workarounds to Sustainable Solutions for Immigrant Health Care,” Journal of Law, Medicine, and Ethics, 2019.
- “The Illness Experience of Undocumented Immigrants with End-stage Renal Disease,” JAMA Internal Medicine, 2017.
- “Knowledge is Key for Safety-Net Providers,” Health Progress, 2017.
- “Undocumented Immigrants and Access to Rehabilitation Services: Safety and Harm in the Aftermath of Occupational Injury,” Physical Medicine & Rehabilitation, 2017.
- Issue Brief: Migrants’ Lives, Immigration Policy, and Ethics Work (2018)
- Issue Brief: Shocking the Conscience: Justice Department versus the Health of Immigrant Women and Children (2018)
- Issue Brief: Beyond Breaking News: Ways of Seeing Migrants and Their Children (2018)
SOLUTIONS
- “Creating Systems of Safety for Immigrant Health,” a practitioner-led initiative to explore how health systems in collaboration with other sectors should respond to policy changes with negative health consequences for immigrants and their families.
- A 2014 convening in partnership with the New York Immigration Coalition produced recommendations for a direct-access approach to health care for uninsured undocumented immigrants.
- These recommendations were subsequently piloted and fully implemented in the municipal health system in New York City.
- State Policy Solutions: The Illness Experience of Undocumented Immigrants With End-stage Renal Disease (JAMA Internal Medicine, 2017)
- Local Policy Solutions: Undocumented Immigrants and Access to Health Care in New York City (2015)
TOOLS
- Searchable Database: Journal Articles, Reports, and Reporting on Undocumented Immigrants and Health Care Access
- NEW: Resource about Immigrant Health Care: Resources for Teaching and Learning About Immigrant Health Care in Health Professions Education (January 2019)
- Quick Guide to National, State, and County-Level Data and Resources: Undocumented Patients in the Local Safety-Net
- Immigrants and Refugees at Risk: Knowledge is Key for Safety-Net Providers