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Unequal Access: Immigrants and U.S. Health Care

By Sarita A. Mohanty, M.D., M.P.H.Despite the important role that immigrants play in the U.S. economy, they disproportionately lack health insurance and receive fewer health services than native-born Americans. Some policymakers have called for limits on immigrants’ access to health insurance, particularly Medicaid, which are even more stringent than those already in place. However, policies that restrict immigrants’ access to some health care services lead to the inefficient and costly use of other services (such as emergency room care) and negatively impact public health. The future economic success of the United States depends on a healthy workforce. Therefore, policies must be devised that improve, rather than restrict, immigrants’ access to quality health care.

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Guest Workers Program with a Path to Legalization

As we have seen in the last month, segments of the United States media, policy leaders, and populace continue to be obsessed with the issue of undocumented immigration to the United States. Turn on CNN and you may find Lou Dobbs chastising President Bush for failing “to enforce immigration laws that would slow the invasion of illegal aliens.” Open the Los Angeles Times, and you can read about California Governor Arnold Schwarzenegger singing praises for the Minuteman Project, the volunteer group of Arizona vigilantes formed to patrol the U.S.-Mexico border. Open a paper in Las Cruces, New Mexico and you can read about Mexican workers in Chihuahua, Mexico waiting for the right time to cross the border illegally to find work as ranch hands in New Mexico or in construction in Chicago. In Boise, Idaho a letter to the editor complains about illegal immigrants and “[contractors] willing to pay cheap wages under the table…in lieu of hiring American citizens.”

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Immigration Scare-Tactics: Exaggerated Estimates of New Immigration Under S.2611

The debate over S. 2611, the Comprehensive Immigration Reform Act, has been clouded by grossly exaggerated estimates of the likely scale of future immigration under the bill.

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Playing Politics on Immigration: Congress Favors Image over Substance in Passing H.R. 4437

Congressional representatives who supported H.R. 4437—the Border Protection, Anti-Terrorism, and Illegal Immigration Control Act of 2005—are most likely to represent districts with relatively few undocumented immigrants.

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Achieving ‘Security and Prosperity’: Migration and North American Economic Integration

Most of the border-enforcement and immigration-reform proposals currently being considered in Washington, DC, are not comprehensive or adequate solutions to the issue of undocumented immigration. The process of North American economic integration, and development within Mexico itself, create structural conditions that encourage Mexican migration to the United States.

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Essential Workers: Immigrants are a Needed Supplement to the Native-Born Labor Force

An analysis of data from the 2000 census reveals that employment in about one-third of all U.S. job categories would have contracted during the 1990s in the absence of recently arrived, noncitizen immigrant workers.

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Legal Fiction Denies Due Process to Immigrants

Over a thousand noncitizens face indefinite detention in the United States on the basis of a meaningless legal technicality.

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Maintaining A Competitive Edge: Foreign-Born and US Immigration Policies in Science and Engineering

Foreign-born scientists and engineers (S&Es) have long played a prominent role in U.S. technological and scientific advancement and are a critical part of the science and engineering (S&E) labor force in corporations, universities, and research centers nationwide. However, long-standing structural flaws in the U.S. visa system and the unintended consequences of security procedures instituted since September 11, 2001, may be causing an increasing number of S&Es to forgo coming to the United States, thereby depriving the nation of a critical supply of human talent.

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Targets of Suspicion: The Impact of Post-9/11 Policies on Muslims, Arabs and South Asians in the US

In response to the terrorist attacks of September 11, 2001, the U.S. government began a campaign of aggressive immigration enforcement targeted at Muslims, Arabs and South Asians. Rather than first seeking to identify suspected terrorists, the government initiated harsh law enforcement actions against whole communities with the hope that some of those caught might be terrorist suspects.

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The Lessons of 9/11: A Failure of Intelligence, Not Immigration Law

In the hours following the deadly terrorist attacks of September 11, 2001, the United States government took the extraordinary step of sealing U.S. borders to traffic and trade by grounding all aircraft flying into or out of the country and imposing a lock-down on the networks of transportation and commerce that are the lifeblood of our economy and society. Given the uncertainty over what might happen next, these emergency procedures were a necessary and appropriate short-term response to the attacks.

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