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what do you recommend hispanic patients who need medical care but can not use medicare

by Judson Stracke Published 3 years ago Updated 2 years ago

Are Hispanic physicians more likely to care for Hispanic patients?

Hispanic physicians are more likely than other physicians to care for Hispanic patients, even after accounting for the demographic composition of the community (Komaromy et al., 1996).

Do Hispanic patients need a medical interpreter?

In fact, only about half of Hispanic patients who need an interpreter usually get one, and in most cases the interpreter is a staff person in the health care facility, a relative, or a friend and not a trained medical interpreter (Doty, 2003b).

Do Hispanic health care access indicators differ by language preference?

Similarly, Hispanics who speak only Spanish or who prefer Spanish generally have worse access indicators than those who speak English. Puerto Ricans are again the exception, as their indicators of health care access do not differ by language preference.

What is the usual source of care for Hispanic seniors?

Nativity, time since arrival, and citizenship are also associated with having a physician's office as the usual source of care. Only 20 percent of recent immigrants have a physician's office as their usual source of care. Nativity is unassociated with having a usual source of care among Hispanic seniors.

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.

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.

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.

Do Latinos understand 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.

What can a doctor do to help a patient who prefers to speak Spanish?

Doctors and other healthcare professionals can: Work with interpreters to eliminate language barriers, when patient prefers to speak Spanish. Counsel patients on weight control and diet if they have or are at high risk for high blood pressure, diabetes, or cancer.

How much more likely are Hispanics to be uninsured than whites?

Health risk also depends partly on whether you were born in the US or another country. Hispanics are almost 3 times as likely to be uninsured as whites. Hispanics in the US are on average nearly 15 years younger than whites, so steps Hispanics take now to prevent disease can go a long way.

How many Hispanics will be in the US by 2035?

About 1 in 6 people living in the US are Hispanic (almost 57 million). By 2035, this could be nearly 1 in 4. Hispanic death rate is 24% lower than whites (“non-Hispanic whites”). Hispanics are about 50% more likely to die from diabetes or liver disease than whites. Hispanics or Latinos are the largest racial/ethnic minority population in the US.

How many Hispanics get screened for colorectal cancer?

Colorectal cancer screening varies for Hispanics ages 50 to 75 years. About 58% of Puerto Ricans get screened (54% of men and 61% of women). Hispanics are as likely as whites to have high blood pressure. But Hispanic women with high blood pressure are twice as likely as Hispanic men to get it under control.

What are the leading causes of death in Hispanics?

Heart disease and cancer in Hispanics are the two leading causes of death, accounting for about 2 of 5 deaths, which is about the same for whites. Hispanics have lower deaths than whites from most of the 10 leading causes of death with three exceptions—more deaths from diabetes and chronic liver disease, and similar numbers ...

Do Hispanics have more health problems than whites?

Hispanics have different degrees of illness or health risks than whites. 28% less colorectal screening. Hispanic subgroups have different degrees of health risk and more need to receive preventive screenings as recommended. Mexicans and Puerto Ricans are about twice as likely to die from diabetes as whites.

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 61 million Americans, including approximately 5 million Latino Americans.

What is Medicaid insurance?

Medicaid, a joint federal and state program, provides health insurance to over 70 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.

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 Medicare Part D subsidy?

The Low-Income Subsidy (LIS), also known as “Extra Help,” assists some low-income seniors (annual income less than $19,320 for an individual or $26,130 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 $29,520 for a married couple or $14,790 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.)

Does the ACA cover Medicare Part D?

Thanks to the ACA, the Medicare Part D coverage gap no longer exists.

Do Latinos have Medicare?

Most Medicare beneficiaries have supplemental insurance (Medigap) to cover the gaps in Medicare, although Latinos are more likely than Whites to have only traditional Medicare. They are much less likely than Whites to have employer-provided retiree health benefits. A higher percentage of Latinos than Whites are enrolled in private Medicare Advantage plans, which provide Medicare benefits and often include prescription drug coverage as well.

Is Medicaid good for Latinos?

Medicaid is an especially important source of health insurance for low-income Latinos. In 2019, Medicaid provided coverage to over 16 million Latino Americans, who account for nearly one-third of Medicaid enrollees. Medicaid is a particularly important source of coverage for Latino children.

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 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.

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.)

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, ...

Does the ACA cover Medicare Part D?

Thanks to the ACA, the Medicare Part D coverage gap no longer exists.

What are the barriers to accessing health care for undocumented immigrants?

Two key barriers to health care access are not having health insurance coverage and not having a usual source of care.

What percentage of Hispanic women had a mammogram in 2000?

In 2000, only 54 percent of Hispanic women 40 to 49 years old and 66 percent of Hispanic women 50 to 64 years old reported receiving a mammogram within the previous two years, compared with 67 and 81 percent of white women in these age groups, respectively, and 61 percent and 78 percent of black women.

What are the barriers to obtaining appropriate and timely health care?

Barriers to obtaining appropriate and timely health care may arise from the behavior of providers. There is considerable evidence that many well-meaning people who are not overtly biased hold unconscious negative racial attitudes and stereotypes (e.g., Dovidio, Brigham, Johnson, and Gaertner, 1996).

Why is it important to have a usual source of care?

Having a usual source of care reduces nonfinancial barriers to obtaining care, facilitates access to health care services, and increases the frequency of contacts with health care providers.

What is the impact of language on health care?

Language clearly exerts a powerful influence on patients' experiences with care as well. In 2001, the Department of Health and Human Services issued a set of national standards for culturally and linguistically appropriate services in health care.

Is the socioeconomic status of Hispanics lower than that of non-Hispanic whites?

As discussed in other chapters of this report, on average the socioeconomic status of Hispanics in the United States is considerably lower than that of non-Hispanic whites. Hispanics also face a variety of barriers to receiving health care services of high quality.

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