Department of Family Medicine, School of Medicine, University of California, Irvine, California
Department of Family Medicine, School of Medicine, University of California, Irvine, California.
Ann Fam Med. 2020 Sep;18(5):458-460. doi: 10.1370/afm.2572.
As the US federal government pursues immigration reform, changes to the federal public-charge rule have triggered confusion and concerns among patients who are immigrants. Although federal judges temporarily blocked implementation, a decision by the Supreme Court in January 2020 allowed the proposed changes to take effect. These policy changes have resulted in many legal immigrants and their family members becoming more reluctant to apply for health insurance, food, housing, and other benefits for which they are qualified. This article summarizes the changes and exclusions. Family physicians can effectively respond to patient and immigrant community concerns about these changes by providing outreach education, access to primary health care, and referrals to legal and social services.
随着美国联邦政府推进移民改革，联邦公共负担规则的变化引发了移民患者的困惑和担忧。尽管联邦法官暂时阻止了该规则的实施，但最高法院在 2020 年 1 月的一项裁决允许拟议的改革生效。这些政策变化导致许多合法移民及其家庭成员更不愿意申请他们有资格获得的医疗保险、食品、住房和其他福利。本文总结了这些变化和排除项。家庭医生可以通过提供外展教育、获得初级医疗保健以及转介法律和社会服务，有效地回应患者和移民社区对这些变化的关切。
