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A6   U.S. NEWS
                 Monday 22 January 2018





























             Deportation fears have legal immigrants avoiding health care



            By KELLI KENNEDY                                                                                                    of  a  compromise  agree-
             Associated Press                                                                                                   ment, Trump now isn’t sup-
            MIAMI (AP) — The number                                                                                             porting  a  deal  to  support
            of  legal  immigrants  from                                                                                         young  people  who  identi-
            Latin   American    nations                                                                                         fied themselves to the fed-
            who  access  public  health                                                                                         eral  government  so  that
            services  and  enroll  in  fed-                                                                                     they  could  qualify  for  pro-
            erally  subsidized  insurance                                                                                       tections  against  deporta-
            plans  has  dipped  substan-                                                                                        tion despite being brought
            tially  since  President  Don-                                                                                      to  the  U.S.  illegally  as  chil-
            ald  Trump  took  office,                                                                                           dren.
            many of them fearing their                                                                                          Last  fall,  Border  Patrol
            information could be used                                                                                           agents followed a 10-year-
            to identify and deport rela-                                                                                        old immigrant with cerebral
            tives living in the U.S. illegal-                                                                                   palsy  to  a  Texas  hospital
            ly, according to health ad-                                                                                         and  took  her  into  custody
            vocates across the country.                                                                                         after  the  surgery.  She  had
            Trump based his campaign                                                                                            been  brought  to  the  U.S.
            on  promises  to  stop  illegal                                                                                     from Mexico when she was
            immigration  and  deport                                                                                            a toddler.
            any immigrants in the coun-                                                                                         And  in  Okeechobee,  a
            try illegally, but many legal                                                                                       small  rural  city  about  an
            residents  and  U.S.  citizens   In this Dec. 27, 2017, photo, Community Council health care navigator Fidel Castro Hernandez,   hour and a half north of Mi-
            are losing their health care   center, listens to legal U.S. resident Maria Ana Pina, left, as she signs up for the Affordable Care   ami  that  is  home  to  many
            as a result, advocates say.  Act with her son Roberto Pina at the Community Council offices in Dallas.              immigrant  farm  workers,
            After Trump became presi-                                                                          Associated Press  green-and-white-striped
            dent a year ago, “every sin-  fearing immigration officials  treatment  when  they’re  Hispanic; the report did not  immigration  vehicles  were
            gle day families canceled”  will  use  her  enrollment  to  sick, Bouton and others say.  describe ethnicity.       spotted   driving   around
            their  Medicaid  plans  and  track  down  her  husband,  “One  social  worker  said  Enticing  Hispanics  to  take  town  and  parking  in  con-
            “people  really  didn’t  ac-  who  is  in  the  country  ille-  she  had  a  client  who  was  advantage  of  subsidized  spicuous  places  last  spring
            cess any of our programs,”  gally.  She’s  also  consider-  forgoing   chemotherapy  health  care  has  been  a  and  summer.  After  a  few
            said  Daniel  Bouton,  a  di-  ing  not  re-enrolling  their  because  she  had  a  child  struggle  that  began  long  immigrants were picked up
            rector  at  the  Community  children,  15  and  18,  in  the  that was not here legally,”  before Trump’s presidency.  and  deported,  health  ad-
            Council,  a  Dallas  nonprofit  Children’s Health Insurance  said Oscar Gomez, CEO of  Hispanics  are  more  than  vocates said patients can-
            that  specializes  in  health  Program,  or  CHIP,  even  Health Outreach Partner, a  three  times  as  likely  to  go  celed  their  appointments,
            care  enrollment  for  low-in-  though  they  were  born  in  national training and advo-  without  health  insurance  waiting  until  immigration
            come families.               the U.S.                     cacy organization.           as are their white counter-  officials  left  to  reschedule
            The  trend  stabilized  a  bit  “We’re  afraid  of  maybe  My  Health  LA  provides  pri-  parts, according to a 2015  them.
            as the year went on, but it  getting  sick  or  getting  into  mary  care  services  in  Los  study  by  Pew  Research  In  Washington  state  and
            remains  clear  that  the  in-  an  accident,  but  the  fear  Angeles  County  to  low-in-  Center. Whites represented  Florida,  health  workers  re-
            creasingly  polarized  immi-  of  my  husband  being  de-  come  residents  and  those  63  percent,  or  3.8  million,  port  that  immigrant  pa-
            gration debate is having a  ported is bigger,” the wom-   who  lack  the  documents  of those who signed up for  tients  start  the  enrollment
            chilling  effect  on  Hispanic  an,  who  declined  to  give  to  make  them  eligible  for  Affordable Care Act plans  process, but drop out once
            participation in health care  their names for fear her hus-  publicly   funded   health  last  year  compared  to  15  they are required to turn in
            programs,  particularly  dur-  band  could  be  deported,  care  coverage  programs,  percent, or just under a mil-  proof of income, Social Se-
            ing  the  enrollment  season  said through a translator in  such  as  state  Medicaid.  lion,  Hispanics,  according  curity  and  other  personal
            that ended in December.      a telephone interview.       According to its annual re-  to  the  Centers  for  Medi-  information.
            Bouton’s       organization  Hispanic  immigrants  are  port,  189,410  participants  care  and  Medicaid  Ser-     The annual report from My
            has  helped  a  52-year-old  not  only  declining  to  sign  enrolled  in  the  program  vices. The reasons vary, but  Health LA noted that it de-
            housekeeper from Mexico,  up  for  health  care  under  during  Fiscal  Year  2017,  some  have  always  feared  nied  28  percent  more  ap-
            a legal resident, sign up for  programs  that  began  or  but  44,252,  or  about  23  deportation,  regardless  of  plicants in Fiscal 2017 than
            federally  subsidized  health  expanded  under  Barack  percent,  later  dis-enrolled.  who is in office.           it  had  the  year  before,
            insurance for two years. But  Obama’s    presidency   --  It’s not clear how many of  Recent  events  have  not  mostly  due  to  incomplete
            now  she’s  going  without,  they’re  also  not  seeking  those who dropped out are  helped. Despite initial signs  applications.q
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