International Journal of Health Planning and Management
Volume 27, Issue 1, 2012, Pages 50-62

Health insurance for undocumented immigrants: Opportunities and barriers on the Mexican side of the US border (Article)

Arredondo A.* , Orozco E. , Wallace S.P. , Rodríguez M.
  • a National Institute of Public Health, Cuernavaca, Mexico
  • b National Institute of Public Health, Cuernavaca, Mexico
  • c Department of Community Health Sciences, University of California-Los Angeles, Los Angeles, CA, United States, Center for Health Policy Research, University of California-Los Angeles, Los Angeles, CA, United States
  • d Department of Family Medicine, University of California-Los Angeles, Los Angeles, CA, United States

Abstract

Objective: This article aims to identify opportunities, barriers and challenges in Mexico's policy networks for the development of healthcare programs for undocumented migrants in the USA and their families. Methods: We used policy analysis, in-depth interviews and a case study. Key stakeholders at the federal, state and municipal levels in one major migrant-sending state were interviewed. We also conducted an in-depth case study of one community to obtain the perceptions of local health workers, migrant families and local nongovernmental organizations. Results: Findings identified opportunities and barriers involving the stakeholders, institutions, social interactions and types of relationships necessary for further progress on binational policies. There was wide interest in creating binational health insurance with different degrees of potential involvement by political actors and variation in local actors' willingness to be covered by some type of health insurance scheme. Conclusions: The use of the opportunities to overcome barriers depends on the identification of high, medium or low interaction among key stakeholders, integration of coalitions and negotiating skills of all stakeholders involved. © 2011 John Wiley & Sons, Ltd.

Author Keywords

Mexico Undocumented immigrants USA Binational health insurance

Index Keywords

perception immigrant questionnaire survey insurance health insurance human Insurance Coverage stakeholder Mexico Insurance, Health negotiation process interview United States Humans Interviews as Topic Emigrants and Immigrants Article nongovernmental organization migration legal aspect Mexico [North America] health worker Health Policy policy analysis

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84857797933&doi=10.1002%2fhpm.1100&partnerID=40&md5=8e23be3c24de89ffe4592f483bff7a97

DOI: 10.1002/hpm.1100
ISSN: 07496753
Cited by: 5
Original Language: English