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Unauthorized migration status limits access to public programs.(M@ &Health Insurance, U.S. Hispanics, 2003''((No health insurance, 2003, National data))(*(Implications of lower insurance coverage))(Lower rates of health care utilization Lower screening and immunization rates Less likely to have a regular provider of care Shorter survival after diagnosis Informal cross-border health care utilizationZ""Unauthorized immigrant populations##(80%+ of recent Mexican immigrants are unauthorized 1.4 million in Texas, 10 million in U.S. 31 % of undocumented households include citizen children$ ImplicationsTexas and the United States depend on immigrant labor Neither employers or federal/state government take responsibility for paying for medical care Burden falls on the local hospital districts and other providers and on the immigrants.6PPP &County of residence of Texas Hispanics''(#&Implications of regional concentration''(Local concentrations of un-insured immigrant populations in major metropolitan centers burdens local hospital districts. South Texas border communities have low coverage rates despite more native presence. + ConclusionsHispanics are a rapidly growing population Hispanics are a relatively healthy population Health insurance rates are far lower Health care access is impaired Burden on local health care providers Trends will magnify these problems if they are not addressedZ/0 -./01234 5 6 7 8 9:;<=>  0` ` ̙33` 333MMM` ff3333f` f` f` 3` 33>?" dd@,|?" dd@   " @ ` n?" dd@   @@``PR    @ ` `p>> 0L6(  L L 6  "P   T Click to edit Master title style! !$ L 0  "   RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sx L B3d @" L 0  "P   b*0z L S D:JA&logoreversed white"T L <F޽h @ ? 3380___PPT10.P UTMBPR_onscreen  0 OG@P(  P P 6@  "`    T Click to edit Master title style! ! 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The  Hispanic advantage is larger for immigrants.H  0.k ? 3380___PPT10.ˑZ"` 0  (  ^  S dXK   N  c $pNd )  N N Hispanic Health and Health Care Issues in Texas and the United States, to the Citizens Health Care Working Group, Houston, TX, July 26, 2005. Presentation by Karl Eschbach, Associate Professor, Department of Internal Medicine/Geriatrics, University of Texas Medical Branch, Galveston, Texas.,rH  0.k ? 3380___PPT10.ӑ`k< 0 0(  ^  S dXK   E  c $Ed )  E Purpose of presentation is to give a context for understanding health care accessibility issues for Hispanics in Texas and in the United States.H  0.k ? 3380___PPT10.ӑ`k<  0 @(  ^  S dXK     c $d )   Topics include: population growth, Hispanic population, health status, access, regional burden, and the undocumented population.H  0.k ? 3380___PPT10.ӑ`k<w 0 P(  ^  S dXK     c $Xd )   }iHispanics as a percentage of the United States population has grown steadily from 1940 until the present.H  0.k ? 3380___PPT10.ӑ`k< 0 ,$`(  ^  S dXK     c $`d )   In 2004, there were 41 million Hispanics in the United States, 14% of the population. In 2003, there were 8 million Hispanics in Texas, 34% of the population.H  0.k ? 3380___PPT10.ӑ`k< 0 p(  ^  S dXK     c $8ƕd )   By 2040, the Hispanic population is projected to be half the population of Texas and 22% of the population of the United States.H  0.k ? 3380___PPT10.ӑ`k< 0 bZ(  ^  S dXK   T  c $x͕d )   86% of Texas Hispanics are of Mexican origin and 31% are immigrants. Hispanics have a lower average education and concentrate in service work, precision production, craft, repair, construction and transportation.H  0.k ? 3380___PPT10.ӑ`k<m 0 }(  ^  S dXK     c $Օd )   s_The cause of the mortality advantage is better health behaviors and health selective migration.H  0.k ? 3380___PPT10.ӑ`k< 0 (  ^  S dXK     c $ݕd )   Hispanics don not impose an excessive health care burden because of poor health habits, extra burden of illness, or higher use of medical care.H  0.k ? 3380___PPT10.ӑ`k<I 0 Y(  ^  S dXK     c $$yd )   O;Hispanics have limited access to health insurance coverage.H  0.k ? 3380___PPT10.ӑ`k<Z  0 j(  ^  S dXK     c $ld )   `LHispanics are less likely than non-Hispanic whites to have health insurance.H  0.k ? 3380___PPT10.ӑ`k<L 0 \(  ^  S dXK     c $d )   R>Hispanic immigrants are least likely to have health insurance.H  0.k ? 3380___PPT10.ӑP> 0 7/(  ^  S dXK   )  c $압d )   Lower insurance coverage for Hispanics means they: have lower rates of health care utilization, lower screening and immunization rates, shorter survival after diagnosis.H  0.k ? 3380___PPT10.ӑP>w 0 (  ^  S dXK     c $d )   }iMost recent Mexican immigrants are unauthorized; 31% of undocumented households include citizen children.H  0.k ? 3380___PPT10.ӑP> 0 UM(  ^  S dXK   G  c $d )   Texas and the United States depend on immigrant labor; neither employers or federal/state government take responsibility for paying for medical care; the burden falls on the local health care system.H  0.k ? 3380___PPT10.ӑP><  0 L(  ^  S dXK     c $d )   B.Graphic shows distribution of Texas Hispanics.H  0.k ? 3380___PPT10.ӑP> 0 [S (  ^  S dXK   M  c $Nd )   Local concentrations of un-insured immigrant populations in major metropolitan centers burdens local hospital districts. South Texas border communities have low coverage rates despite more native presence.H  0.k ? 3380___PPT10.ӑP> 0 |t0  (   ^   S dXK   Nn   c $Nd )  N The Hispanic population is growing rapidly. Hispanics are relatively healthy. Health insurance rates are lower; access is impaired; and there is a burden on local health care providers. 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Ef_eeeehoo Ei@oE_e_eee_e_F noEFEFEFEFeeeeefj?oo o oF@e_e_e_e_e_f@Eho nE@ EFFEo _eeefF?oo Eni@nF _e_e_e_FEEo EinFEFonoEEeeefGEoo io FEn_e_e_f EEo nEi oEFFEofe_e_eeeeF?ooFEoo@i oe_e_e_eee_e_@EEoEonFEFEo neeeeeefFEooFo@ oFfee_e_e_e_e_e_f F E n o oF eeeeeeoooooooooooooooooooo՜.+,0    sOn-screen Show ۔l Arial Arial BlackTimes New RomanUTMBPR_onscreenMicrosoft Excel ChartFHispanic Health and Health Care Issues in Texas and the United StatesPurposeTopics of remarks6Hispanics as percentage of U.S. population, 1940-2004%Hispanics in Texas and United States0Projected Hispanic Growth to 2040, U.S. & Texas Composition%Health status: the Hispanic Paradox9Mortality by Hispanic Status (Sorlie et al JAMA 1993)!Cause of the mortality advantage Implications-Limited access to health insurance coverage'Health Insurance, U.S. Hispanics, 2003)No health insurance, 2003, National data)Implications of lower insurance coverage#Unauthorized immigrant populations Implications'County of residence of Texas Hispanics'Implications of regional concentration Conclusions  Fonts UsedDesign TemplateEmbedded OLE Servers Slide Titles_0WhydeWhyde  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnoqrstuvwxyz{|}~ Root EntrydO)PicturesCurrent UserSummaryInformation(