Sanchez Gabriel R, Sanchez-Youngman Shannon, Murphy Amelia A, Goodin Amy Sue, Santos Richard, Valdez R Burciaga
Department of Political Science, University of New Mexico, NM, USA.
J Health Care Poor Underserved. 2011 May;22(2):683-99. doi: 10.1353/hpu.2011.0043.
While the recent passage of health care reform is estimated to provide millions of currently uninsured Americans with access to health coverage, undocumented immigrants are excluded from federal mandates. Since federal reform excludes undocumented immigrants, state governments will largely decide the fate of this vulnerable population. This article investigates public support for including undocumented immigrants in state health care reform efforts in New Mexico. Understanding the public's perception of extending health coverage to this population is important because public opinion influences health policy formation at the state and federal levels. Our results suggest that there is little support for including undocumented immigrants (or recent migrants from other parts of the United States) in state health care reform, particularly when compared with other segments of the New Mexican population, such as the homeless or unemployed. Our discussion highlights the economic and public health consequences of excluding undocumented immigrants from coverage options.
虽然近期通过的医疗改革预计将使数百万目前没有医保的美国人获得医保覆盖,但非法移民被排除在联邦强制医保范围之外。由于联邦改革将非法移民排除在外,州政府将在很大程度上决定这一弱势群体的命运。本文调查了新墨西哥州公众对将非法移民纳入州医疗改革努力的支持情况。了解公众对将医保覆盖范围扩大到这一群体的看法很重要,因为公众舆论会影响州和联邦层面的卫生政策形成。我们的结果表明,几乎没有支持将非法移民(或来自美国其他地区的新移民)纳入州医疗改革,特别是与新墨西哥州其他人群,如无家可归者或失业者相比。我们的讨论强调了将非法移民排除在医保选项之外的经济和公共卫生后果。