{"id":55049,"date":"2023-02-24T12:03:13","date_gmt":"2023-02-24T20:03:13","guid":{"rendered":"https:\/\/eltecolote.org\/content\/?p=55049"},"modified":"2023-03-13T11:48:35","modified_gmt":"2023-03-13T18:48:35","slug":"california-healthcare-for-all-initiative-will-not-help-all-farmworkers","status":"publish","type":"post","link":"https:\/\/eltecolote.org\/content\/en\/california-healthcare-for-all-initiative-will-not-help-all-farmworkers\/","title":{"rendered":"California Healthcare for All Initiative Will Not Help all Farmworkers"},"content":{"rendered":"\n

SACRAMENTO \u2014 California\u2019s farm workers produce one-third of the nation\u2019s food supplies and 75 percent of its fruits and nuts, yet 49 percent of these essential laborers do not have health insurance coverage.<\/p>\n\n\n\n

Last year, California unrolled a groundbreaking initiative to provide health care coverage to all, including the more than two million undocumented immigrants who reside in the state. But the plan will bring little relief to the state\u2019s 700,000+ farm workers, many of whom will be ineligible for MediCal because of the very low qualifying income restrictions, explained Joel Diringer, a consultant who worked with UC Merced on its groundbreaking farm worker health study.<\/p>\n\n\n\n

An individual seeking to qualify for MediCal must have an income below $18,756 for 2023. At a panel discussion Feb. 7 during the Insure the Uninsured Project\u2019s annual conference in Sacramento, Diringer said about 40 percent of farm workers have incomes above that threshold, and would thus be disqualified. \u201cIf you work more than 30 weeks per year, your income is likely to be over MediCal\u2019s limits,\u201d he said.<\/p>\n\n\n\n

He proposed raising the income threshold to 250 percent of the federal poverty line, about $34,875 in annual wages. Roughly 80 percent of farm workers would then be covered through MediCal.<\/p>\n\n\n\n

Covid\u2019s impact on farmworkers
<\/strong>Those who currently do not qualify for MediCal coverage are being ported to Covered California for low-cost health insurance coverage. But Diringer said most farm workers would still be unable to access care, as co-pays and high deductibles would keep them home.<\/p>\n\n\n\n

\u201cHaving to meet a $6,000 deductible when your annual income is $20,000: well, you\u2019re just not going to do it,\u201d he said. Covered California does offer plans with little to no monthly premiums, but co-pays and deductibles still remain high, making health care out of reach.
Luz Gallegos, of the TODEC Legal Center<\/a> in Perris, a border region in Riverside County, said that she and her team have been knocking on doors and going out to the fields to register people for MediCal.<\/p>\n\n\n\n

\u201cIt is our moral responsibility to let every immigrant in our state know about MediCal expansion. We must push harder for workers who give their lives for our state yet get nothing in return. Farm workers are the biggest asset of our state,\u201d said Gallegos, advocating for unemployment insurance for farm workers.<\/p>\n\n\n\n

\u201cA lot of people did not want to stop working. They told me: \u2018If I stop working, my family doesn\u2019t eat and I can\u2019t pay rent.\u2019 So many still worked, even though they had Covid,\u201d she said.<\/p>\n\n\n\n

Covid-19 hit the agricultural community hard. According to the UC Merced study, using self-reports and a non-fasting blood test, 60 percent were positive for COVID-19. 40 percent of those with COVID-19 reported continuing, long-term health problems, and 31 percent had continued problems with smell. 21 percent reported having continued problems with taste.<\/p>\n\n\n\n

More than 81 percent had at least one vaccination.<\/p>\n\n\n\n

Fear over public charge rule
<\/strong>Many of the farm workers Gallegos encountered were fearful of triggering the public charge rule and harming their immigration status. On Dec. 23, 2022, the Department of Homeland Security released new public charge rules, which are much broader than the Trump administration\u2019s very narrow definition. Under the new rule, immigrants can avail of Medicaid\/MediCal and nutritional assistance without triggering public charge.<\/p>\n\n\n\n

The UC Merced farm worker health survey was conducted between July 2021 and April 2022, with the majority of the surveys completed between September and December 2021, when Covid-19 infection rates were still high due to the emergence of the Delta variant.
Some of the key findings of the study:<\/p>\n\n\n\n

\u2022 Nearly two-thirds (62%) of respondents reported difficulty paying for food or bills since the pandemic.
\u2022 19 percent of respondents reported very low food security, and 23 percent reported low food security. 57 percent reported high or marginal food security.
\u2022 36 percent of the respondents rated their health as only fair or poor.
\u2022 37 percent of men and 47 percent of women reported having at least one chronic condition, diabetes (20%), hypertension (19%) and anxiety (10%) being the most common. Only 43 percent reported having visited a doctor\u2019s clinic.
\u2022 Nearly half of farm workers surveyed (43%) reported that their employer \u201cnever\u201d provided a heat illness prevention plan as mandated under law.
\u2022 Almost one in five (19%) experienced, at one point or another, not being paid wages they earned by an employer.
\u2022 More than one-third (36%) of farm workers said they would not be willing to file a report against their employer for workplace non-compliance.
\u2022 Of those who would be unwilling to file a report against an employer, about two-thirds (64%) said they would be unwilling to file a report due to fear of retaliation or job loss. <\/strong><\/p>\n\n\n\n

\u2022 Two-thirds (67%) expressed the highest level of fear of family separation due to deportation on a scale from \u201cnever\u201d to \u201calways.\u201d<\/strong><\/p>\n\n\n\n

This story was originally published in Ethnic Media Services.<\/a><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

SACRAMENTO \u2014 California\u2019s farm workers produce one-third of the nation\u2019s food supplies and 75 percent of its fruits and nuts, yet 49 percent of these essential laborers do not have health insurance coverage. Last year, California unrolled a groundbreaking initiative to provide health care coverage to all, including the more than two million undocumented immigrants […]<\/p>\n","protected":false},"author":35,"featured_media":55051,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"newspack_popups_has_disabled_popups":false,"newspack_featured_image_position":"","newspack_post_subtitle":"","newspack_article_summary_title":"By:","newspack_article_summary":"Sunita Sohrabji, Ethnic Media Services\r\n","newspack_hide_updated_date":false,"newspack_show_updated_date":false,"footnotes":""},"categories":[3570,7],"tags":[],"coauthors":[18445],"class_list":["post-55049","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-news","category-news","entry"],"yoast_head":"\nCalifornia Healthcare for All Initiative Will Not Help all Farmworkers - El Tecolote<\/title>\n<meta name=\"description\" content=\"SACRAMENTO \u2014 California\u2019s farm workers produce one-third of the nation\u2019s food supplies and 75 percent of its fruits and nuts, yet 49 percent of these\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/eltecolote.org\/content\/en\/california-healthcare-for-all-initiative-will-not-help-all-farmworkers\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"California Healthcare for All Initiative Will Not Help all Farmworkers - 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