Ryan Savage Comparison of the Immigrant Integration Policies of Sweden and Finland in Light of
Immigrant Policies in the U.S. · 2019-07-16 · Social/ psychological impact of experiences –...
Transcript of Immigrant Policies in the U.S. · 2019-07-16 · Social/ psychological impact of experiences –...
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Immigrant Policies in the U.S.
Steven P. Wallace, PhDProfessor Dept. of Community Health SciencesAssoc. Director, UCLA Center for Health Policy
Research
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Brief overview of immigrant demographyCurrent (hot) policy issuesLong trendsWhat to do about it– Research– Advocacy
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Where do CA immigrants come from, 2017?
6.4%39.7%
1.7%
0.9%
Mexico38.5%
8.3%2.6%
0.7%
Canada1.2%
https://www.migrationpolicy.org/data/state-profiles/state/demographics/CA
2.7%
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More Asians than Latinos now arriving each year
2015=37.4%
2015=28.0%
https://www.pewhispanic.org/2019/06/03/facts-on-u-s-immigrants/
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Number of unauthorized immigrants living in the U.S.
https://www.pewresearch.org/fact-tank/2019/06/12/us-unauthorized-immigrant-population-2017/
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(1) 2020 CensusAdd citizenship?– Already in ACS
So why not in full census?[hint: It’s all about politics]
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(2) Public ChargePersons who rely on government cash assistance (SSI or TANF) can now be denied entry/ green cardsProposal to expand to any use, add SNAP, Medicaid, housingChilling effect will drive US-citizen children away from needed programs
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(3) Affordable housingPublic housing to evict families w/ unauthorized members~25k households impacted w/ 55k citizen children1.2 million in public housing nationally https://www.nytimes.com/2019/05/10/us/politics/h
ud-public-housing-immigrants.html
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(4) 2020 ElectionsDebate #1 (6/27/19)“Raise your hand if your government plan would provide coverage for undocumented immigrants”
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The economic case for coverageAlmost all unauthorized immigrants in working families– Keeping healthy helps econ
Early intervention can cost less than late Prevents medical bankruptcy– Impacts entire household +
creditors
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Paying for health care
27.6%
34.6%
42.8%
Ever unable to pay basic needs due to medical debt
US-born Naturalized NonCitizen
9.7%
7.3%
8.9%
Problem paying medical bill past year
US-born Naturalized NonCitizen
Source: California Health Interview Survey 2017
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The ethical case for coverageUndocumented pay taxes, should receive servicesReduces the “chilling effect”Universal declaration of human rights– Health care as human
right– We’re all in this together
https://www.vaticannews.va/en/pope/news/2019-05/pope-francis-message-world-day-migrants-refugees-full-text.html
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California CoverageMedi-Cal for low-income– PRUCOL/DACA– All pregnant women– All youth through age 25– LPR here <5 years
Covered CA subsidy– LPR <5 years
County plans for undoc– E.g. Healthy San Francisco– Most w/caps (Fresno=400!)
Emergency Medi-Cal
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Headlines vs. long trends
Headlines = acute stressDifferential opportunities = chronic stress/ life chances
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Mechanisms linking policy to health impacts?
Social/ psychological impact of experiences – most likely to have “spill over” effects across policies/domainsStructured opportunities (rights, eligibility)– Interactions with other structural factors, e.g.
poverty, residential segregation, political disenfranchisement, etc.
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Racialization of immigrationPolitical rhetoric makes brown = undocumented immigrant = undesirable2/3 of Latinos are US-bornResult is “spill-over” of anti-immigrant to anti-Latino politics
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Research, action
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Study on Immigrant Health
Funded by NIH/NIMHD grant #R01MD012292
http://healthpolicy.ucla.edu/RIGHTS
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Health in all policies!
Wallace SP, Young MT, Rodríguez MA, Brindis CD. A social determinants framework identifying state-level immigrant policies and their influence on health. SSM PopulHealth. 2018 Nov 2;7:016-16. http://dx.doi.org/10.1016/j.ssmph.2018.10.016
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Knows someone personally who has been deported, CA 2018
4%
32%
42%
Asian language (301) English (373) Spanish (386)
Source: RIGHTS study, first 1060 Latin American and Asian immigrant interviews in 2018, preliminary data not for citation
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Public Charge ConcernWas there ever a time when you decided not to apply for one or more non-cash government benefits, such as Medi-Cal, food stamps, or housing subsidies, because you were worried it would disqualify you, or a family member, from
obtaining a green card or becoming a U.S. citizen?
9.6%
16.3%
25.4%
Asian language (301) English (373) Spanish (386)
Source: RIGHTS study, first 1060 Latin American and Asian immigrant interviews in 2018, preliminary data not for citation
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Reports immigrants get same level of health care as everyone else
10% 11% 9%5%
17%10%
9%
33%35%
0%10%20%30%40%50%60%70%80%90%
100%
Asian language English Spanish
alwaysusuallysometimesrarelynever
Source: RIGHTS study, first 1060 Latin American and Asian immigrant interviews in 2018, preliminary data not for citation
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Action
Public comments on regulatory changes https://protectingimmigrantfamilies.org/Connect with community organizationsEvery person makes a difference– Decline Real ID & get regular driver’s license– Decline to answer citizenship question (if
added)Of course, vote
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Policies to promote!Protect: University/ employer as sanctuary; inform all of rightsPromote Integration: ESL, worker rights, language accessHealth insurance for all CaliforniansPass: Comprehensive immigration reform
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Thank you
http://healthpolicy.ucla.edu/rights