Jacob Sweidan saw his patients overcoming federal immigration in the 1990s. Abolish citizenship Birth and very widely known Oppression In Donald Trump’s first order and family separation policy.
But as a pediatrician in Southern California for 40 years, Sweidan, who has attended too poor people to pay a lot of immigrant families, including many immigrant families, for 40 years, said Sweidan has never seen such a reduction.
“They are afraid of coming to counseling. They are getting sick,” he specializes in neonatal and leads five clinics in Los Angeles and Orange County. “And when they are just before the collapse, they go to an emergency because they have no choice.”
For the past two months, he sent young children to the emergency room because he encouraged his parents to call the office after a few days. He said that a 14 -year -old boy in a diabetic coma was in an emergency because he lacked insulin, and his parents were too scared to find replacement.
Sweidan has stopped providing telemedicine counseling since Covid-199 Pandemic, but other health experts have restored this as a more depressed situation of patients and citizens who have no paper due to the increase in migratory birds.
Patient Viden’s policy Immigrant officials banned operations in “sensitive” areas such as schools, churches and hospitals. Clinic and health plans have been renewed to provide services to patients who are afraid of leaving home by adopting measures similar to the Kobid Manual.
Sara Rosenbaum, an honorary professor of legal and health policy by George Washington University, told the clinic and colleagues of this sector that consultations are significantly reduced among immigrant patients. “I don’t think there is a community health center that doesn’t feel this in this country,” he added.
St. in the Los Angeles region, which provides services to about 30,000 patients every year. At John’s Community Health Clinics, virtual visits shot 8%of their promises to about 25%.
The organization also registers some patients. Medical view at homeService that private donors support funds Training to employees at Read the judicial order.
Mangia said, “People do not collect drugs.” They are not seeing a doctor. “
He added that for the last eight weeks, federal agents have attempted to approach the patient at St. John’s mobile clinic in Downey and pointed to the staff while attacking MacArthur Park.
In July, the contractor of the Customs Immigration and Control Service (ICE) waited for the patient. California Southern HospitalAnd the federal prosecutor was accused Two workers They claim that they interfered with the attempt of immigrant agents to arrest people at the Ontario Center.
Huntington Park, an immigrant, who is not a newspaper, said in July that in July, he registered with St. John’s residence.
The 71 -year -old woman who requested her initials to be identified only by her initials mentioned that she had a blood test and another laboratory test this year. It was too scary to take the bus, so I lacked a promise with a specialist to review arthritis. It is also a pre -diabetes and suffers from leg pain after a few years ago.
“I’m very worried because it can get worse if I don’t get the necessary attention,” he said. The clinic doctor gave me the number to call when I wanted to make a reservation by phone. The Ministry of Health and Welfare officials did not answer the questions of KFF Health News in search of RAID’s influence on the patient.
There is no sign of the Trump administration trying to change the strategy.
Federal official They tried to stop A judge’s order to limit how to attack in southern California after filing a lawsuit that temporarily accused the use of constitutional tactics. On August 1, the US ninth round of the United States refused to apply and left a limited order.
July, Los Angeles County Director They ordered a county institution The County Health Service Director explores the possibility of expanding the virtual date option after observing “huge increase” in the phone and video visits.
Meanwhile, California’s legislators are considering legislation This will limit the approach of immigration agents to the same place as the school and health center. Governor of Colorado, Democratic Party Jared Pollis was published. Similar law May.
Immigrants and their families will use medical services that are more expensive for emergencies. And it is expected MEDICAID’s recent approved cuts Nicole Lamouleux, chairman of the National Free and Charity Clinic Association, said the emergency room and hospital are additional media.
“The clinic will not only try to reach people who are far from medical services before they have more serious conditions, but also the health security network will be affected by increasing demand for patients.
MITESH POPAT, executive director of Venice Family Clinic, explained that almost 90%of the patient plans to call the patient before the federal poverty miracle threshold or below the appointment.
In addition, if the patient does not appear 5 minutes after the appointment, the phone will be called and immediately provides remote medical services as an alternative.
POPAT says this clinic has increased by about 5% in a telemedicine visit last month.
Salinas Valley Health Clinic began to promote remote medical services through Spanish in January at Salinas Valley, an area with many Spanish agricultural workers. The clinic also trained people who use zoom and other digital platforms at the Health Fair and Community Conference.
According to Michael Hunn’s executive director, Calotima Health, the largest Medi-Cal beneficiary in the region, sent more than 250,000 text messages to the patient, and recommended to use remote care instead of giving up medical services.
The insurance company also made a web page with resources for patients who are interested in phone or home by delivering medicines at home.
“The Latin community is faced with fear infectious diseases,” said SECIAH Aquino, director of the Latin Coalition, a defense group that encourages access to the health of the health of immigrants and Latin.
But Isabel Becerra, Isabel, of the Orange County Community Health Center Association, said that ISABEL BECERA, which was reported to have increased up to 40% in telemedicine counseling last month, said that replacing telemedicine is not a long -term solution.
BECERRA, which represents 20 clinics in southern California, is “very effective with tentative measures.” Remote medical care is limited. What happens when you need a laboratory analysis? You can’t see tooth decay through the screen. “
The strategy also involves other tasks such as the technical problem of the translation service and the limited computer area or Internet access, such as poor patients.
And only immigrants who live in the country without documents are not afraid of being treated. VM, a 59 -year -old natural citizen in the southeast of Los Angeles County, depends on the floor partner to collect her purchase and recipes. He was afraid that only his initials would be the target of attack, so he asked only his initials to share the history of his family and friends.
When he makes a church or monthly appointment at the Rheumatology Clinic, he carries his passport and looks suspicious in a small glass.
VM, who arrived in the United States 40 years ago, said, “I feel paranoid.” “Sometimes I’m afraid. Sometimes I get angry. Sometimes I’m sad.”
Now he has a virtual therapy of depression that started when Rheumatoid arthritis forced her to stop working. He is worried about the friend of Rheumatic Clinic, who has high blood pressure and stops going to a doctor and his brother, a friend of Rheumatology Clinic, missed four consecutive months, so he puts ice on fans and fans.
“If someone needs to react, people will begin to collapse and die,” he said.
