In the US health care reform is being hotly debated at both the national and state levels. Most of the major national health reform proposals rely on mechanisms to couple private insurance with private health professionals and institutions ("providers'), or, stated otherwise, financing through a system that has largely bypassed vulnerable populations and delivery by providers who often have been equally reluctant to serve them. This article focuses on what health care reform can and should mean to recent arrivals - refugees, immigrants, or those not here under color of law. It attempts to frame the questions needed to judge proposed health care reforms, whether at the state or national levels: what are the health care needs of recent arrivals? How and under what circumstances can insurance meet their needs? What needs will be left unmet by their access to universal insurance? How can those needs be met? -from Author

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policy reform USA social policy health care immigrant population