NURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant Population Current Policies for Providing Health Care to Immigrants and Refugees

When they are granted entry into the country, refugees or immigrants receive admittance to:

• Medicaid, 
• the Children’s Health Insurance Program (CHIP), 
• Refugee Medical Assistance (RMA),
• the Health Insurance Marketplace. (ACOG, n.d.).

Immigrants who are in the country legally are eligible for Medicaid as well as CHIP. Generally, permanent legal citizens or “green card” bearers have to wait half a decade following attaining qualifying status before their enrollment in Medicaid or CHIP. Governments may waive the five-year waiting period for adolescents and pregnant women to offer insurance to legitimately existing immigrants despite qualifying conditions. Most states have chosen this option for January 2022 (Kaiser Family Foundation, 2020). 

Immigrants who are legally in the United States may be able to receive subsidies while purchasing insurance via the ACA Marketplaces. Those without access to forms of insurance who earn between 100% and 400% of the federal poverty level (FPL) may qualify for these subsidies (Kaiser Family Foundation, 2020).

Assumptions and biases associated with a particular immigrant or refugee

Prejudices affect how we perceive our surroundings and think, including what we witness. Generalizations, stereotypes, and perceptions of particular social groupings influence several of our prejudices. There are several stereotypes, like immigrants bringing crime and terror into the USA, becoming an economic burden to society, and many more. 

People dread immigrants because they impair social cohesiveness, erode cultural norms, segregate themselves, exacerbate economic problems, and harbor hostility and terrorism. According to a recent study, 34% of American citizens believe that immigrants are lowering economic and ethical standards within the country (Suárez-Orozco & Suárez-Orozco, 2018).

Assumptions and Biasness Associated with Somali Refugees

Somali Refugees belonging to Africa share a dark complexion, with a muscular build, hence several times, the citizen of the U.S hold prejudice against them; the most appropriate word would be racism, assuming worse that they are thieves or are the reason why crime rates are increasing in the areas where there is a vast population of Somali refugees. They are sometimes treated as illiterate and uneducated because they speak the Somali language and are not well-conversed in English. Due to this, they cannot access or demand medical facilities (Warsame, n.d.). NURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant Population

Influence Of Cultural and Linguistic Differences on Access to Care

Patients from heterogeneous cultures and languages encounter various obstacles, like communicational challenges, regulatory constraints, or disparities in medical views, and thus use medical services relatively less frequently than the hosting communities. The provision of adequate healthcare, ensuring the safety of patients, and reaching significant satisfaction between clinical staff and patients are all hampered by language problems. Several more extensive medical facilities offer translators to solve these issues and boost interaction, patient engagement, and access to health care. Unfortunately, these offerings increase the price and length of the therapy. 

As per research conducted by Al Shamsi, they used the PubMed and Medline databases and found the effects of language barriers in healthcare. Fourteen studies that matched the criteria for inclusion were included. Although most of this research originated in the United States, it was carried out in several countries around the globe.  There were 300 918 individuals throughout the 14 trials. Uneven access to healthcare and disparate health outcomes are linked to health inequalities, such as differential treatment due to linguistic limitations (Al Shamsi et al., 2020).

The U.S. Health Care Policies, National Initiatives, Pieces of Legislation 

The most recent measures to aid immigrants and refugees were implemented in 2017. New regulations were approved by the American Medical Association (AMA) in a resolution intended to safeguard and enhance the healthcare of immigrants and refugees in the country. The AMA is against family immigration detention, separating children from their parents or guardians, and intentions to build additional detention facilities. 

The detention facilities operated by U.S. Immigration and Customs Enforcement (ICE) have inadequate availability of high-quality medical assistance. However, they have also been unable to stop human rights violations an