Barriers to Care

The Impact of Inequality on Immigrant Health Outcomes

Abstract

Many undocumented immigrants come to the U.S. seeking a better life for their children and families, but this is often not the reality. Although 61% of Hispanic immigrants report having no issues in doctor’s offices or hospitals, these individuals are generally documented, speak English almost fluently, and can afford the high cost of health insurance. This leaves the remaining percentage who face significant barriers to accessing healthcare due to financial insecurity, fear of undocumented status issues, and limited English proficiency (LEP).

These immigrants often work in jobs such as construction, personal and laundry services, and clothing manufacturing, which typically do not provide health insurance. Noncitizen immigrants also face limitations on eligibility for federally funded health coverage. Due to these restrictions, state-level policies play a crucial role: immigrant adults in states with more inclusive coverage policies are less likely to be uninsured.