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Immigration as a Social Determinant of Health Proceedings of a Workshop (2018) / Chapter Skim
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5 Reflections on the Workshop
Pages 39-44

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From page 39...
... "Each individual, regardless of immigration status or any other determinant of health, deserves equity of medical care," he said. Yee also called attention to the underlying problem of the cost of health care.
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From page 40...
... Gillian Barclay called attention to the link between immigration and racism. Both are linked to difficulties in accessing health care, and feelings about immigration can be difficult to separate from racial discrimination, she said.
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From page 41...
... The planning committee approached the topic of immigration from this perspective: Immigration and the integration of immigrants into American society intersect with many of the social and economic factors that help determine health, including economic stability, access to health care, education, the effect of the built environment, and social and community context. Simon also observed that more discussion is needed about what the word determinant actually means.
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From page 42...
... In its first year in office, for example, the Trump administration cut the number of refugees admitted to the United States to the lowest level since the Refugee Act was passed in 1980. This is a small set of people who come to the United States and enter the health care system, but they have many of the same barriers in terms of language, culture, and other barriers as other immigrants.
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From page 43...
... She also pointed to the problem of access to nutrient-rich foods in immigrant communities, adding, "when immigrants are relegated to certain neighborhoods and do not have access to quality food, that has implications for their health outcomes." CARING FOR THOSE IN THE SHADOWS OF LIFE Roundtable member Winston Wong cited a quotation from Hubert Humphrey that is engraved on the U.S. Department of Health and Human Services building in Washington, DC, that bears his name: "The moral test of government is how that government treats those who are in the dawn of life, the children; those who are in the twilight of life, the elderly; and those who are in the shadows of life, the sick, the needy, and handicapped." To that quotation, said Wong, "I would add ‘the newest Americans.'" Health care in the United States is characterized by a mentality of scarcity, as if the only ones who can pursue health are those who can afford it.
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Key Terms

  • social determinants
  • civil rights
  • called attention
  • rights movement
  • social determinant

  • equitable health
  • pursue health
  • addressing health
  • health framework
  • prevent health

  • determine health
  • accessing health
  • treating health
  • deliver health
  • community context

  • immigrants deal
  • including economic
  • word determinant
  • complex issues
  • diverse populations

  • raising awareness
  • american communities
  • trump administration
  • death warrant
  • produce equitable

  • framework emphasizes
  • addressing issues
  • immigration status
  • determinant actually
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