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Latinos Experience Barriers
to Health Care
The Institute of Medicine issues a report this week stating that
Hispanics and other minorities in the United States tend to get
lower quality health care than whites, even when income, age
and whether they have insurance is factored in. Doctors, pressed
for time and pressured to make hasty decisions by insurance companies,
often stereotype patients and minorities can pay for this with
their lives, according to a report by the Institute of Medicine
which was commissioned by the U.S. Congress. Overcoming communication
and cultural barriers is often at issue, and Latinos are more
likely to feel that they are treated with disrespect when receiving
health care, and to feel that they would receive better care
if they were of a different race or ethnicity. The study states
that in comparison to whites, African-Americans -- and in some
cases Hispanics -- are less likely to receive appropriate cardiac
medication or to undergo coronary artery bypass surgery, are
less likely to receive hemodialysis and kidney transplantation
because they are less likely to be placed on waiting lists, and
are likely to receive a lower quality of basic clinical services.
These differences are associated with greater mortality among
Latino patients. The report, written by 15 experts and reviewed
by a panel of 11 others, also found that Latinos do not get optimal
treatment for HIV and are less likely to receive antiretroviral
therapy and other state-of the art treatments that could delay
the onset of AIDS. For more information go online to: http://www4.nationalacademies.org.
Braceros Abandoned
During the 1940s, many Mexican workers came to the United States
under the Bracero Act. Ten percent of the salaries of these workers
was deducted and held in trust by the U.S. and Mexican governments
in a "mandatory savings program" with the earnings
to be returned to the workers upon their return to Mexico. The
workers and their families have yet to receive their hard-earned
monies. There is a lawsuit against both governments on behalf
of the braceros. To find out more about this injustice, go to:
http://bracerojustice.com/main.htm.
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Ziglar Testifies on INS
Restructuring Proposal
Immigration and Naturalization Commissioner James Ziglar testified
before Congress in support of the Bush Administration's INS restructuring
proposal. Ziglar acknowledged the need to quickly and effectively
respond to the security needs of the United States, as well as
quickly and effectively respond to the processing of naturalization
petitions, changes in status, and other adjudications functions.
Ziglar noted that the reorganization is necessary to provide
clearer lines of decision-making and specific accountability.
Updating the INS's technology was also at the top of his list,
as technology systems were antiquated and unable to interact
within the department and with outside law enforcement agencies.
Congressman Silvestre Reyes, Chair of the Congressional Hispanic
Caucus who worked with the INS for 26 years proposed that Congress
offer a comprehensive legislative solution to properly elevate
the status of the nation's immigration system. He suggested
that a new Cabinet-level agency be created and be made responsible
for the nation's ports-of-entry. For Commissioner Ziglar's testimony,
go to: http://www.ins.gov/graphics/aboutins/
congress/testimonies/2002/zigtestimony.pdf.
Action Alert: Workforce
Investment Act (WIA)
The Bush Administration has proposed to eliminate Title 167 of
the Workforce Investment Act, which funds the National Farmworker
Jobs Program (NFJP). Many agencies that provide vital employment,
training and supportive services to migrant seasonal farmworkers
would be put out of business. Without a national program targeting
farmworkers, there is minimal initiative by individual states
to serve a largely transient, limited English speaking, economically
disadvantaged, and undereducated population. Funding for this
national program has been limited, yet its impact has been significant
allowing farmworkers - largely Hispanic -whose average annual
income is below $10,000 to survive crises through the program's
supportive services components. For more information contact
the Association of Farmworker Opportunity Programs at www.afop.org
or register your opinion with President Bush at 202/456-1414.
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