Byline: Lenise Freeman, Government Relations and Public Policy Fellow

Accessing healthcare can be a daunting experience for anyone, but it poses unique challenges for immigrants and refugees. I recently participated in a breakout session at the Michigan Association for Local Public Health (MALPH) Conference held in Muskegon, Michigan, where we explored the systemic barriers that immigrant communities face in accessing healthcare. As a first-generation daughter of an immigrant, I know firsthand the barriers my mother faced while navigating the English language in healthcare settings. I often found myself translating medical jargon and filling out forms to ensure she received the care she needed. Hearing similar stories from others at the conference reinforced my commitment to advocate for better support for these individuals.

Insights from the immigrant health needs assessment conducted by the Washtenaw County Health Department reveal key challenges that immigrants and refugees face. Language barriers stand out as one of the most significant obstacles. Many struggle with English, making it hard to understand medical terms and navigate the healthcare system. One participant shared their experience as the only English speaker in their family, responsible for translating sensitive medical information. This scenario is common, underscoring the need for better communication support.

Beyond language challenges, the complexities of the U.S. healthcare system create additional barriers to access. Immigrants may be unfamiliar with fundamental concepts like making appointments or understanding insurance options. This is particularly concerning for immigrant children and pregnant individuals, who are often at greater risk of being uninsured. Legislation like House Bill (HB) 4740 aims to address this issue by suspending the five-year waiting period for immigrant children and pregnant individuals to eligible for Medicaid or the MI Child program. This bill would extend coverage to children up to 21 years of age and pregnant individuals, regardless of their length of residence in the United States. This is a critical step in ensuring these vulnerable populations receive the healthcare they need, especially in maternal and infant health.

Cultural differences also complicate matters, as traditional healthcare practices may differ from what is available in the U.S. For instance, some cultures may have stigmas surrounding mental health, deterring individuals from seeking necessary help. Additionally, a lack of access to healthy food and unfamiliarity with resources like food assistance programs can adversely impact overall well-being.

To foster a more inclusive healthcare community, improving training programs is essential. Hospitals should implement cultural competency training for their staff, equipping them with the skills to understand and respect diverse practices and beliefs. This training can help alleviate fears among immigrants and refugees about accessing services, particularly in maternal and infant health. Partnering with individuals from immigrant and refugee communities to serve as liaisons or community health workers can further enhance inclusivity. These trusted individuals can bridge communication gaps and build trust, encouraging community members to seek the care they need without fear or hesitation.

The findings from the Washtenaw County Health Department’s immigrant health needs assessment reveal pressing challenges that require our immediate attention. Language barriers and unfamiliarity with the U.S. healthcare system pose significant risks for immigrants and refugees, often preventing them from accessing essential care. That’s why I encourage healthcare providers to prioritize cultural competency training, which helps ensure immigrant children and pregnant individuals have the insurance access they deserve.

I firmly believe everyone deserves equitable access to medical care, regardless of their background or language proficiency. It’s crucial to amplify the voices of those who often go unheard, ensuring their needs are recognized and addressed within our healthcare system.