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Hispanics face multiple hurdles in quest for health care

Felix Negron

Other Voices

We've all heard by now that Hispanics are the fastest-growing and largest ethnic group in Washington state, but the health and well-being of Latinos hasn't kept pace with the population growth and continues to be of great concern to all Hispanic communities.

Of late, I have personally witnessed some of the shortfall in the ability to serve the health-care needs of my own mother. Even with strong family support and our knowledge of how to access quality care for her, it is a daunting task to seek out the services and support to help meet her needs. Couple this with limited or no health insurance, plus language and cultural barriers, and it is clear to see that health care access for Hispanics is a significant issue for all of us.

Statistical studies are hard to find because no one has collected sufficient data. In late 2005, research students from Whitman College in Walla Walla conducted a statewide study on Latino social conditions. To no one's surprise, the report found that poverty and lack of legal residency all contribute to the low rates of health insurance coverage by Washington Latinos.

It's estimated that one in three Hispanics doesn't have any health coverage. Even for those who have access to some type of health care service, taking time off from work for an appointment and just finding transportation to get to a clinic or physician are also significant challenges.

In King County alone, 36 percent of Latinos don't have health insurance, and Medicaid funding and Basic Health program changes have made access to health care coverage more difficult for Hispanic children and adults.

In the Lower Yakima Valley, 65 percent of the Hispanics are employed in the agricultural industry, working the fields. The job often includes applying farm chemicals. Yakima Valley agricultural workers, who believe they have been exposed to pesticides, probably won't seek health care out of fear of retaliation, no trust in doctors to diagnose pesticide exposure, and the high costs associated with treatment.

Across our state, the number of immigrant children who are not eligible for Medicaid continues to grow.

Access to health care in some Hispanic households is fractured, as there can be children in the family who are eligible for Medicaid and others who are not because of their immigration status. Some children within the same family can receive health care while others do not.

Shortages of bilingual health care professionals and affordable health care and a lack of understanding of the Latino culture are some of the main reasons why Hispanic leaders have come together to influence policy and legislation that can improve Hispanic access to health care.

The good news is that Hispanic leaders, legislators and Gov. Chris Gregoire continue to work together to provide meaningful policy changes for real health care solutions.


Felix Negron, a member of The Olympian's Diversity Panel, is a commissioner with the Washington State Commission on Hispanic Affairs. He can be reached at flnegron@hotmail.com.