Even with Medicaid expansion, legal and undocumented immigrants would be left behind | Opinion
Medicaid expansion
naturally draws a lot of attention. While such a move could provide millions with affordable health care, there is a very large population of Texans who would not be helped: undocumented and legal immigrants. As a physician in a large safety net hospital in Dallas County, I frequently care for uninsured, immigrant patients with complex health conditions. While those who live in Dallas County can access a health care network through the county’s robust safety net health care program, federal and state policies make it nearly impossible for immigrant Texans to obtain health coverage.
The lack of public insurance options in Texas means that many of my patients will never have access to necessary specialized care but will continue to be hospitalized when their conditions are not well-managed in the outpatient setting. It is disheartening to discharge patients knowing they will soon return with avoidable complications of their diseases.
Since 1996, undocumented immigrants — including those with Deferred Action for Childhood Arrival status —from receiving federal benefits, including Medicaid and Medicare. By extension, undocumented immigrants are also unable to receive tax subsidies to purchase private health insurance plans set up by the Affordable Care Act. Even green card holders face restrictions accessing public benefits. These “qualified immigrants” must wait five years after the date of entry into the U.S.
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