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As the civilization experienced changes and development processes, the population of the planet Earth grew. Accordingly, immigration is a logical process that has always had a place to be. Because of incomprehensibly different expectations for everyday comforts caused by expansive wage incongruities among nations, individuals have been moving to additionally encouraging and created areas all through history. The process of colonization of America was made possible by the development of new lands across the ocean. Moreover, the discovery of previously unknown territories was a sufficient reason for their settlement, including their prospects. It is worth noting that state laws played an essential role in the process of colonization. For example, The Naturalization Act of 1790 defined and regulated the settlement parameters of previously unknown lands, including mentioning the European countries that had the right to do so. Subsequent laws only supplemented the initial one, since they determined the legal grounds for entering the country and settling lands. Besides, the rules for family re-establishment, the birth procedure and the necessary planning of the number of people needed for the gradual growth of colonies were defined. It was evident that the growing number of citizens increased the social and physical diversification of people. For example, a certain percentage of citizens did not meet the requirements for employment due to health. Consequently, the Work Opportunity Reconciliation Act was adopted, which allowed the provision of assistance to relevant social groups. However, these legislative acts did not have sufficient practical expression, which is why immigrants gradually increased their presence in the country.
Alongside contributing variables, for example, cultural assimilation; political, financial, social, and dialect impact on settler an impressive percentage of immigrants come from developing countries in Africa and Asia, for which the American continent is a new opportunity to succeed. Also, an extra 11.3 million unapproved workers made up 3.5% of the aggregate populace in 2014, and a half (49%) were from Mexico. Thus, the history of healthcare will be forever connected with immigrants.1980 was a turning point for hundreds of thousands of Cubans on the island. It was noted that the country’s embassy was attacked by citizens who sought refuge from a strict regime and lack of development opportunities. The anger of Cubans ended with the government beginning to promote citizens leaving the island actively. For example, the port of Mariel was opened as an additional transport route to the mainland. It is worth noting that the government also benefited from the process, since the open access of Cubans to the move made possible the release of local prisons and the number of criminals in general. Because of this mass migration, 125,000 Cuban exiles appeared in Miami. The granting of political refugee status to Cubans was sufficient reason for the legal residence of immigrants in the United States. Consequently, each of them had access to medical care. The flexibility of the American healthcare system allows immigrants to receive care based on relocation documents. Americans have profoundly isolated perspectives about migration.
A December 2016 study found that just 58% of Americans favored empowering movement of talented specialists from different nations — while the same level of Americans supported the expulsion of foreigners right now. Around a similar number help President Trump’s ongoing official request requiring a transitory restriction for guests from Middle Eastern and African nations. The current situation shows the difference in the opinions of Americans. One-third of citizens are satisfied with the existing provisions of immigrants, a quarter favors improving the living conditions of immigrants from other countries and simplifying the system of entry into the country. However, 40% of Americans have a negative attitude towards an increase in migration flows that support a stiffer legal basis for living in the country. The threat of terrorism and the economic threat are sufficient reasons to tighten migration rules. On the other hand, economic, social and legal instability can violate a country’s reputation on the world stage and violate migration laws. In the twentieth century, there were several financial crises around the world: in the US, in Japan, in Argentina. But not one of them did not lead to a toughening of the migration policy. Understanding this effect in various nations will help create proper answers to address the extensive variety of medical problems influencing undocumented foreigners.
The priority task of the current government is to provide migrants with basic respect for their rights, social and medical protection, including health insurance and effective treatment.An immigrant is a person who is located on the territory of the country without legal grounds. The development of the states of North America, namely the USA and Canada, defined these territories as full opportunities for citizens of other countries. A particularly relevant aspect of migration is professional employment. Citizens of developing countries are eager to get to the United States and Canada for decent pay for their work. However, as noted earlier, the lack of documents to stay in the country makes it impossible to obtain the proper job. There are several ways to enter the territory of these countries: cooperation with relatives and close people who already live in this territory and can go through the procedure of inviting citizens of another state; political refugee status; illegal entry into the area.The legal status of a migrant is determined by the absence or overdueness of entry documents. A person may have an original document that allows entry into the country, but it has not been extended and expired according to the designated deadline. Besides, a migrant may remain in the state with the help of forged documents and not have access to social services. Often, migrants commit illegal entry into the country due to wars in their home territory, political and social instability, or other cultural, ethnic, and family reasons. Higher levels of morbidity and mortality. The fact is that any way to penetrate or continue to stay in the country makes it impossible to obtain medical care, which significantly complicates and worsens the quality of human life.
The presence of insurance determines the security of a person from unforeseen circumstances, damage or injury. Illegal residence in the United States does not allow a migrant to receive coverage since the relevant state laws are applicable for citizens of the country or those who have legal grounds to enter and stay in the country. Therefore, state reform is needed that will allow migrants to have medical care based on fundamental human rights.The presence of social insurance is in many ways one of the priorities of the government. About 80% of Americans do not have insurance. This fact shows the imperfection of the health care system since its primary function is to provide quality medical services to the population. Moreover, statistics show that over a third of immigrants do not have insurance regardless of the legality of their stay in the country. Thus, the status of a migrant in the United States directly affects the possibility of health insurance.
Social adaptation plays an important role in insurance. The system and structure of health care in the United States requires fundamental knowledge and experience in interacting with it. Consequently, migrants face problems when seeking help, as the language barrier and lack of knowledge about the system make it impossible to receive medical care adequately. It is worth noting that about 40% of the US population does not have a sufficient level of knowledge of the English language.
Familiarization of migrants with their rights and obligations is the basis of adequate medical care. For example, the placement of physical and virtual booklets, which briefly describes the system of functioning of the US healthcare structure, as well as practical advice when asking for help, will help migrants to orient themselves in emergency situations. For example, in North Carolina, there are newsletters for immigrants that list immigration status, examples of acceptable documents for verification and the various levels of acceptability of health insurance. These programs are designed to help migrants determine the type of medical care they need.In some US states, community health programs are designed to reflect migrant status. “Access to Immigrants” is a social program in Illinois that promotes the interaction of migrants and health care providers by providing diversified assistance in particular social, financial and legal difficulties. Besides, the program has educational features that provide information about free services for migrants in the United States.
Real reform must create a path to citizenship that will reduce the risk of detention and deportation for millions of people and their families. It must take into account the causes of poor health among families with unregistered members – fear, stress and potential trauma experienced by families whose unity may threaten because of their legal status. It should not create many new, unintended consequences for the health of these already vulnerable people. Immigrants come to countries with a burden of undiagnosed diseases, including infectious diseases such as tuberculosis and HIV, and often do not have primary preventive care and immunization. The unfavorable circumstances in which some illegal immigrants enter the country, and the substandard conditions in which many live after their arrival, only exacerbate poor health. These health burdens are supported and amplified by immigrant rhetoric, as well as by immigration policies and laws that increase the fear of detection, language barriers and lack of awareness of the health system, all of which limit the ability of illegal immigrants to effectively access health services and the health consequences, including mental health. Undocumented immigrants are also often limited in their ability to seek medical help because of the lack of both health insurance and sufficient financial resources to pay for such services.
An analysis of immigration policy in health care revealed a discrepancy between state laws and the realities of the modern United States. It was noted that the flow of illegal migrants in the country significantly impairs the health care system since such people are not eligible for proper health insurance and appropriate medical care. The legal residence of migrants in the United States determines the access of people to services. However, illegal migration is an actual process in modern times, and the development of policies that will provide free and high-quality medical care is needed. Besides, respect for human rights is impossible because of the conscious choice of migrants to illegally enter the territory of the United States. Therefore, the determination regarding the status of medical care is in the field of human activity.
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