How many non-elderly Latinos don't have health insurance?
According to a study done at UCLA, 15.7 percent of non-elderly Latinos in either fair or poor health, who are covered under MediCal or Healthy Families (both California low-income health insurance programs), report having no usual source of care but rather obtain their clinical health care on an ad-hoc basis, if at all. 11
Where do Latinos get their health care?
Some Latinos find their health care in non-clinical places, relying on folk medicine and traditional healers. This reliance does not necessarily replace modern biomedicine; rather, herbal remedies and other non-allopathic treatments often are utilized in conjunction with Western medical care.
How will the Affordable Care Act affect latino health care?
However, even with the ACA, it is expected that Latinos will continue to have problems accessing and using high-quality health care, especially in states that are not expanding Medicaid eligibility as provided by the ACA.
Do Latinos have a difficult time talking to doctors?
In fact, compared to both white Americans and African-Americans, Latinos generally report feeling less listened to and understood by their doctors, as well as less able themselves to understand their doctors; and they are twice as likely to leave a doctor's office with unasked questions.
How do Hispanics deal with health care?
Hispanics expect health care personnel to be warm and personal and express a strong need to be treated with dignity. Older person should be addressed by their last name. Avoid gesturing, some may have adverse connotations. necessary so that best care can be planned.
What is the Hispanic health paradox?
The Hispanic paradox is an epidemiological finding that Hispanic Americans tend to have health outcomes that "paradoxically" are comparable to, or in some cases better than, those of their U.S. non-Hispanic White counterparts, even though Hispanics have lower average income and education.
Which demographic group is most affected by not having health insurance?
Young Adults (Ages 18 Through 24 Years) Almost three out of every ten young adults do not have health insurance. Members of this age group are nearly twice as likely to be uninsured compared to members of the general population under age 65.
How many Hispanics are on Medicare?
Currently, Medicare covers a portion of the health care costs of over 61 million Americans, including approximately 5 million Latino Americans.
Does the Hispanic paradox still exist?
Yes, the Latino mortality advantage is often referred to as the “Hispanic Paradox” or the “epidemiological paradox.” The word “paradox” is used because Latinos (a term often used interchangeably with “Hispanics”) are less educated, have lower income and wealth, and have much poorer access to health insurance than non- ...
What is the Hispanic paradox and why is it important?
Ortega attributes the "Hispanic paradox" to the fact that Latinos who migrate into the US tend to be younger and healthier than the average population, and so they require less medical attention.
Why do minorities have less access to healthcare?
Compared with white persons, black persons and other minorities have lower levels of access to medical care in the United States due to their higher rates of unemployment and under-representation in good-paying jobs that include health insurance as part of the benefit package (Blendon et al., 1989; Trevino et al., 1991 ...
Which minority group is at the greatest risk of being uninsured and why?
Trends in Uninsured Rates by Race/Ethnicity, 2010-2019 People of color were at much higher risk of being uninsured compared to White people, with Hispanic and AIAN people at the highest risk of lacking coverage (Figure 1).
What race uses Medicaid the most?
WhitesAn estimated 47.3% of Whites, 40.0% of African Americans, and 30.0% of Native Americans met new eligibility criteria for Medicaid, compared with 81.1% of Asian Americans, 57.0% of Latinos, and 55.1% of individuals of more than 1 race.
What race uses Medicare the most?
In 2019, nine percent - or around 5.06 million - of all Medicare beneficiaries in the United States were Hispanic....Distribution of Medicare beneficiaries in 2019, by ethnicity.EthnicityPercentage of total Medicare beneficiariesWhite74.8%Black10.4%Hispanic9%3 more rows•Sep 8, 2021
What percent of Latinos have health insurance?
In 2019, 36.3 percent of all Hispanics had Medicaid or public health insurance coverage, as compared to 34.3 percent for non-Hispanic whites. Public health insurance coverage varied among Hispanic subgroups: 36.4 percent of Mexicans, 43.7 percent of Puerto Ricans, 33.7 of Cubans, and 33.0 percent of Central Americans.
Who uses the most Medicare?
The majority (83%) of Medicare beneficiaries are ages 65 and older, while 17 percent are under age 65 and qualify for Medicare because of a permanent disability. However, a much larger share of black (31%) and Hispanic beneficiaries (23%) than white beneficiaries (14%) are under age 65 and living with disabilities.
Why is the National Committee against cutting Medicare?
The National Committee opposes proposals to cut Medicare benefits, repeal the Affordable Care Act and reduce federal funding of Medicaid, particularly since these actions would disproportionately affect communities of color, including Latino Americans. Requiring seniors to pay more for health care services than they already do could lead many to forgo necessary care, which could lead to more serious health conditions and higher costs. Given the lower incomes and poorer health of communities of color, including Latino, benefit cut proposals would have a disproportionate effect on them.
How long does Medicare cover?
Medicare provides health coverage for most Americans when they reach age 65 or have been receiving Social Security disability benefits for 24 months. Currently, Medicare covers a portion of the health care costs of over 59 million Americans, including approximately 4.8 million Latino Americans.
What is the Medicare Savings Program?
Medicare Savings Program. Some low-income Medicare beneficiaries may be eligible for assistance to help cover their health care costs. The Medicare Savings Program, administered by the states, helps people with limited income and savings with some or all of their Medicare premiums, deductibles and coinsurance expenses.
What is the cost of Medicare Part B and D?
The cost of Medicare Part B and D premiums and cost sharing as a percentage of the average Social Security benefit increased from seven percent in 1980 to 14 percent in 2000 and to 24 percent in 2020. Out-of-pocket costs are a great burden for many elderly Latinos who are living on low incomes mostly made up of Social Security benefits.
What is Medicare Part D subsidy?
The Low-Income Subsidy (LIS), also known as “Extra Help,” assists some low-income seniors (annual income less than $19,380 for an individual or $26,100 for a couple) with their Medicare Part D prescription drug costs. In 2020, low-income seniors may qualify for a subsidy if they have combined savings, investments and real estate not worth more than $29,160 for a married couple or $14,610 for a single person. (These amounts do not include a home, vehicles, personal possessions, life insurance, burial plots, irrevocable burial contracts or back payments from Social Security or Supplemental Security Income.)
What is Medicaid insurance?
Medicaid, a joint federal and state program, provides health insurance to over 71 million low-income individuals in the United States. This includes coverage for seniors, people with disabilities, children and some low-income adults. Medicaid is an especially important source of health insurance for low-income Latinos.
Does Medicare cover out of pocket costs?
Out-of-Pocket Costs. Medicare’s guaranteed health care coverage is crucial to Latino Americans; however, it does not pay the full cost of hospital and doctor care, prescription drugs and other health services. Medicare beneficiaries must pay for Medicare premiums, coinsurance and copayments, plus health care services not covered by Medicare, ...
What is CMS in healthcare?
The Centers for Medicare and Medicaid Services (CMS) is making sure that Latino/Hispanic Americans have access to quality health insurance and health care through national and local organizations. CMS provides its resources in multiple languages for our partners to communicate to their audiences to better serve individuals and families who qualify for Medicare, need health insurance, wellness and prevention information.
How to order a CMS publication?
You can order CMS publications by creating an account in the CMS Product Ordering System: https://productordering.cms.hhs.gov
What is the Marketplace for Health Insurance?
The Health Insurance Marketplace helps uninsured people find health coverage. When you fill out the Marketplace application, we’ll tell you if you qualify for Private insurance plans or Medicaid or CHIP. You might qualify for lower costs based on your household size and income.
When does Medicare Part B start?
However, if you don’t enroll in Medicare Part B during your initial enrollment period, you have another chance each year to sign up during a “general enrollment period” from January 1 through March 31. Your coverage begins on July 1 of the year you enroll. Read our Medicare publication for more information.
How to contact HealthCare.gov?
Plans cover essential health benefits, pre-existing conditions, and preventive care. To enroll and for more information, go to www.HealthCare.gov , https://www.cuidadodesalud.gov/es/ or call 1-800-318-2596. TTY users can call 1-855-889-4325. Customer service representatives are available 24 hours a day, 7 days a week.
Is Medicaid a dually eligible program?
They are called Dually Eligible. Medicaid may also cover services not normally covered by Medicare (like long term supports and services and personal care services). For more information on the difference between Medicare and Medicaid, see our fact sheet: https://www.medicare.gov/Pubs/pdf/11306.pdf.
Which group is worse for Medicare?
Saint Louis University research has found that Medicare patients who belong to racial or ethnic minority groups (Black, Hispanic, Asian/Pacific Islander, or Native American) experience worse access to and quality of ambulatory or out-patient medical care than Medicare patients who are White or multiracial, regardless of whether they may be enrolled in Medicare Advantage or traditional Medicare.
How do health inequalities affect the United States?
One of the key signs of this is reduced access to ambulatory care. The individuals who lack access to such care are more likely to experience preventable complications of health conditions, leading to higher rates of hospitalization and death.
Is Medicare Advantage heterogeneous?
Limitations on the study include the fact that Hispanic and Asian/Pacific Islander patient populations couldn’t be further disaggregated; diagnosis upcoding in Medicare Advantage can make beneficiaries appear sicker than they are; Medicare Advantage plans selectively enter local markets; and both Medicare Advantage and traditional Medicare are heterogeneous programs.
Does Medicare Advantage have quality measures?
The study found Medicare Advantage enrollment rates have grown substantially and as quality measures have been implemented in both Medicare Advantage and traditional Medicare over the past decade these patterns persist.
Is Medicare Advantage better for minority patients?
The research also found that minority Medicare patients enrolled in the Medicare Advantage program, which increased access to healthcare overall, experience better out-patient care access and quality than minority patients enrolled in the traditional Medicare program. Those patients still have less access than White or multiracial patients.
Locations
While it is anticipated that most students participate at the West Lafayette campus, some experiences can be made available remotely.
Curriculum and Timeline
Through coursework and Spanish-speaking experiences in medical settings, students explore cultural competencies, special issues in communication and medical Spanish fluency. Students further develop and demonstrate their knowledge through the scholarly project and product.
Recommended Pathway
Students determine if a concentration pathway will fit in their schedule by contacting concentration co-directors.
Scholarly Project Topic Examples
Students work with faculty to complete a project in a relevant topic based on student interests. Students are welcome to come up with their own project idea. Potential project topics include, but are not limited to:
Concentration Co-Directors
Students should reach out to co-directors with any questions about this concentration.
What do Latinos use for health care?
Some Latinos find their health care in non-clinical places, relying on folk medicine and traditional healers. This reliance does not necessarily replace modern biomedicine; rather, herbal remedies and other non-allopathic treatments often are utilized in conjunction with Western medical care.
What percentage of Latinos speak Spanish?
First among these, of course, is a language barrier. Although most Latinos living in the U.S. do speak at least some English, 60 percent of Latino adults speak primarily Spanish at home. 6 According to the U.S. Census, more than half of U.S. Latino residents age 5 and older speak English "very well," but a nevertheless significant number of Latino adults speak English "not well" or "not at all." 7 In the context of a hospital or medical clinic, where medical terminology can be complicated and communication often takes place quickly and amidst elevated emotions, this language barrier can be especially problematic. In fact, compared to both white Americans and African-Americans, Latinos generally report feeling less listened to and understood by their doctors, as well as less able themselves to understand their doctors; and they are twice as likely to leave a doctor's office with unasked questions. They are also far more likely than whites to feel that they are treated unfairly by providers or by the medical system. 8
Why is family centered decision making important in Latino culture?
The value of familismo perhaps deserves to be emphasized for the important role it plays for many Latino patients. Generally speaking, Latino cultures include a more family-centered decision making model than the more individualistic or autonomy-based model embraced by modern mainstream biomedical culture in the United States. Rather than operating on the ideal of an informed, active individual who makes decisions based on his or her own personal good, many Latino cultures consider as paramount the individual's obligation to the family and broader community. Hence, the individual's good cannot be neatly separated from his or her community. Moreover, the family itself can play an enormously important role in supporting and empowering the patient within the medical setting. In one survey of Mexican American nurses, family support was identified as one of the most important areas to which health care providers should attend while caring for Latino patients. Additionally, within this family-centric decision making structure, there may be particular gender-based roles. For instance, Latino mothers may determine when medical care is warranted for a family member, though a male head of household may formally make the decision to send the family member to a medical center. 16
Why are Latinos better off than other ethnic groups?
3 Latinos are less likely than non-Hispanic whites and African-Americans to suffer from heart disease (which is nevertheless the leading cause of death in all three groups). Yet Latinos are at particular risk for diabetes mellitus, tuberculosis, hypertension, HIV/AIDS, alcoholism, cirrhosis, and death from violence. 4 There is also a disproportionately high prevalence of acute care in the treatment of Latinos; that is, too often patients delay medical care until their conditions worsen and necessitate immediate attention. There are likely many possible reasons for this, including poverty and lack of health insurance, and thus at best irregular access to health care; cultural factors that might cause patients to delay seeing a doctor, for example, the expectation that one should tolerate pain without complaint; and a belief that certain conditions (such as pregnancy) are natural and do not require medical attention.
What is culturally competent care?
The material in this section is part of a larger project by the Markkula Center for Applied Ethics on culturally competent care; that is, health care that is sensitive to the differing values and needs of cultural subgroups within our pluralistic society. These materials focus on the challenges that can confront Hispanics in American health care settings.
Do people in Brazil speak Spanish?
1 The term does not refer only to Spanish speakers, however; many people usually thought of as "Hispanic"-the people of Brazil, for instance, or those from indigenous Mexican communities-often do not speak Spanish at all, or at least not as their primary language.
Can Latino mothers decide when medical care is warranted for a family member?
For instance, Latino mothers may determine when medical care is warranted for a family member, though a male head of household may formally make the decision to send the family member to a medical center. 16. These broad generalizations are just that: broad generalizations.
WHY MEDICAL SPANISH?
This program will enable students to learn from and with other excited students, as well as native Spanish speakers with experience in the medical field. Luis Garcia, a LSA Qualified Medical Interpreter, and EdOdyssey’s study abroad cultural advisor in Lima, Peru, will guide students through the cultural module of the program.
What is the Latinx patient program?
A key goal of The Latinx Patient: Spanish and Culture for Healthcare program is to provide students with the knowledge and preliminary resources to best serve patients or clients who are part of the growing Spanish-speaking population in the United States. While the annual growth of the Hispanic population in the US has slowed since 2015, “Latinos remain an important part of the nation’s overall demographic story”, making up about 18% of the total U.S. population, according to PEW research .
Is cross cultural medicine a language barrier?
In a publication by UMASS Medical school about cross-cultural initiatives, it states that “in many situations, it is not just a language barrier that needs to be breached. Different cultures have different expectations and requirements when it comes to health care,” according to Migration Policy. Health care providers that have background knowledge of different cultures and customs, in addition to Spanish fluency, will best be able to cross common barriers between patient and provider.