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Social medicine --- Medical policy --- Marginality, Social --- Health Services Accessibility --- Healthcare Disparities --- Sociological Factors --- Marginality, Social. --- Medical policy. --- Social medicine. --- Health Care Disparities --- Health Care Inequalities --- Healthcare Disparity --- Healthcare Inequalities --- Disparities, Healthcare --- Disparities, Health Care --- Disparity, Health Care --- Disparity, Healthcare --- Health Care Disparity --- Health Care Inequality --- Healthcare Inequality --- Inequalities, Health Care --- Inequalities, Healthcare --- Inequality, Health Care --- Inequality, Healthcare --- Accessibility, Health Services --- Contraceptive Availability --- Health Services Geographic Accessibility --- Program Accessibility --- Access to Health Care --- Accessibility of Health Services --- Availability of Health Services --- Accessibility, Program --- Availability, Contraceptive --- Health Services Availability --- Medical care --- Medical sociology --- Medicine --- Medicine, Social --- Health care policy --- Health policy --- Medicine and state --- Policy, Medical --- Public health --- Public health policy --- State and medicine --- Exclusion, Social --- Marginal peoples --- Social exclusion --- Social marginality --- Social Attributes --- Social Characteristics --- Social Traits --- Sociological Characteristics --- Sociological Phenomena --- Attribute, Social --- Attributes, Social --- Characteristic, Sociological --- Characteristics, Social --- Characteristics, Sociological --- Factor, Sociological --- Factors, Sociological --- Phenomena, Sociological --- Social Attribute --- Social Trait --- Sociological Characteristic --- Sociological Factor --- Trait, Social --- Traits, Social --- Social aspects --- Political aspects --- Government policy --- social work --- philosophy --- sociology --- psychology --- disability research --- gender studies --- Medically Underserved Area --- Public welfare --- Sociology --- Medical ethics --- Medical sociologists --- Science and state --- Social policy --- Assimilation (Sociology) --- Culture conflict --- Social isolation --- People with social disabilities --- Law and legislation --- Health Services Accessibility. --- Healthcare Disparities. --- Sociological Factors. --- Social status --- Health aspects --- Social standing --- Socio-economic status --- Socioeconomic status --- Standing, Social --- Status, Social --- Power (Social sciences) --- Prestige --- Social Medicine --- Access To Medicines --- Access to Contraception --- Access to Health Services --- Access to Medications --- Access to Therapy --- Access to Treatment --- Contraception Access --- Contraceptive Access --- Medication Access --- Access To Medicine --- Access to Contraceptions --- Access to Medication --- Access to Therapies --- Access to Treatments --- Access, Contraception --- Access, Contraceptive --- Access, Medication --- Contraception, Access to --- Contraceptive Accesses --- Medication Accesses --- Medication, Access to --- Therapy, Access to --- Treatment, Access to --- Access To Care, Health --- Access to Care --- Access to Medicines --- Access to Cares --- Access to Medicine --- Care, Access to --- Cares, Access to --- Medicine, Access to --- Medicines, Access to --- Human medicine --- Accessibilities, Health Services

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Public silence in policy making can be deafening. When advocates for a disadvantaged group decline to speak up, not only are their concerns not recorded or acted upon, but also the collective strength of the unspoken argument is lessenedùa situation that undermines the workings of deliberative democracy by reflecting only the concerns of more powerful interests.But why do so many advocates remain silent on key issues they care about and how does that silence contribute to narrowly defined policies? What can individuals and organizations do to amplify their privately expressed concerns for policy

Health Services Accessibility --- Health Policy --- Health Care Reform --- Advisory Committees --- Medicaid --- Equality --- Health services accessibility --- Poor --- Health care reform --- Patient advocacy --- Access to health care --- Accessibility of health services --- Availability of health services --- Medical care --- Disadvantaged, Economically --- Economically disadvantaged --- Impoverished people --- Low-income people --- Pauperism --- Poor, The --- Poor people --- Persons --- Social classes --- Poverty --- Health reform --- Health system reform --- Healthcare reform --- Medical care reform --- Reform of health care delivery --- Reform of medical care delivery --- Medical policy --- Health insurance --- Advocacy, Health care --- Advocacy, Patient --- Health care advocacy --- Nonlegal patient advocacy --- Social patient advocacy --- Advance directives (Medical care) --- Patients' associations --- Medicare --- Egalitarianism --- Inequality --- Social equality --- Social inequality --- Political science --- Sociology --- Democracy --- Liberty --- Dental Medicaid Programs --- Medicaid Program, Dental --- Medicaid Programs, Dental --- Dental Medicaid Program --- Medical Assistance, Title 19 --- Program, Dental Medicaid --- Programs, Dental Medicaid --- Governmental Commissions --- Review Committees --- Task Forces --- Advisory Committee --- Commission, Governmental --- Commissions, Governmental --- Committee, Advisory --- Committee, Review --- Committees, Advisory --- Committees, Review --- Governmental Commission --- Review Committee --- Task Force --- Ethics Committees --- Healthcare Reform --- Health Care Reforms --- Healthcare Reforms --- Reform, Health Care --- Reform, Healthcare --- Reforms, Health Care --- Reforms, Healthcare --- Healthcare Policy --- National Health Policy --- Health Policies --- Health Policy, National --- Healthcare Policies --- National Health Policies --- Policy, Health --- Policy, Healthcare --- Policy, National Health --- Policy Making --- Accessibility, Health Services --- Contraceptive Availability --- Health Services Geographic Accessibility --- Program Accessibility --- Access To Medicines --- Access to Contraception --- Access to Health Care --- Access to Health Services --- Access to Medications --- Access to Therapy --- Access to Treatment --- Accessibility of Health Services --- Availability of Health Services --- Contraception Access --- Contraceptive Access --- Medication Access --- Access To Medicine --- Access to Contraceptions --- Access to Medication --- Access to Therapies --- Access to Treatments --- Access, Contraception --- Access, Contraceptive --- Access, Medication --- Accessibility, Program --- Availability, Contraceptive --- Contraception, Access to --- Contraceptive Accesses --- Health Services Availability --- Medication Accesses --- Medication, Access to --- Therapy, Access to --- Treatment, Access to --- Medically Underserved Area --- economics --- Heath aspects --- Access --- Economic conditions --- Quality control --- Health aspects

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The ability to obtain health care is fundamental to the security, stability, and well-being of poor families. Government-sponsored programs provide temporary support, but as families leave welfare for work, they find themselves without access to coverage or care. The low-wage jobs that individuals in transition are typically able to secure provide few benefits yet often disqualify employees from receiving federal aid. Drawing upon statistical data and in-depth interviews with over five hundred families in Oregon, Karen Seccombe and Kim Hoffman assess the ways in which welfare reform affects the well-being of adults and children who leave the program for work. We hear of asthmatic children whose uninsured but working mothers cannot obtain the preventive medicines to keep them well, and stories of pregnant women receiving little or no prenatal care who end up in emergency rooms with life-threatening conditions. Representative of poor communities nationwide, the vivid stories recounted here illuminate the critical relationship between health insurance coverage and the ability to transition from welfare to work.

Health care reform. --- Health care reform --- Health insurance --- Health services accessibility --- Health Care Reform --- Interviews as Topic --- Insurance, Health --- Socioeconomic Factors --- Health Services Accessibility --- Oregon --- Social Welfare --- Delivery of Health Care --- Northwestern United States --- Health Planning --- Health Policy --- Data Collection --- Population Characteristics --- Sociology --- Insurance --- Patient Care Management --- Epidemiologic Methods --- Social Sciences --- Health Care Evaluation Mechanisms --- Financing, Organized --- Information Science --- Public Policy --- Health Care Quality, Access, and Evaluation --- Health Care Economics and Organizations --- United States --- Health Care --- Health Services Administration --- Quality of Health Care --- Anthropology, Education, Sociology and Social Phenomena --- Public Health --- North America --- Investigative Techniques --- Social Control Policies --- Economics --- Social Control, Formal --- Americas --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Policy --- Environment and Public Health --- Geographic Locations --- Geographicals --- Access to health care --- Accessibility of health services --- Availability of health services --- Medical care --- Health plans, Prepaid --- Medical care, Prepaid --- Medical insurance --- Prepaid health plans --- Prepaid medical care --- Sickness insurance --- Health reform --- Health system reform --- Healthcare reform --- Medical care reform --- Reform of health care delivery --- Reform of medical care delivery --- Access --- Ambulance service --- Home care services --- Hospitals --- Medically uninsured persons --- Surgical clinics --- Medical policy --- Prospective payment --- Emergency services --- Outpatient services --- Rehabilitation services --- Accessibility, Health Services --- Contraceptive Availability --- Health Services Geographic Accessibility --- Program Accessibility --- Access to Health Care --- Accessibility of Health Services --- Availability of Health Services --- Accessibility, Program --- Availability, Contraceptive --- Health Services Availability --- Medically Underserved Area --- Healthcare Reform --- Health Care Reforms --- Healthcare Reforms --- Reform, Health Care --- Reform, Healthcare --- Reforms, Health Care --- Reforms, Healthcare --- Group Health Insurance --- Health Insurance --- Health Insurance, Voluntary --- Health Insurance, Group --- Insurance, Group Health --- Insurance, Voluntary Health --- Voluntary Health Insurance --- Group Interviews --- Interviewers --- Interviews, Telephone --- Oral History as Topic --- Group Interview --- Interview, Group --- Interview, Telephone --- Interviewer --- Interviews, Group --- Telephone Interview --- Telephone Interviews --- Community Services --- Services, Community --- Community Service --- Service, Community --- Welfare, Social --- Public Assistance --- Factors, Socioeconomic --- High-Income Population --- Inequalities --- Land Tenure --- Standard of Living --- Factor, Socioeconomic --- High Income Population --- High-Income Populations --- Inequality --- Living Standard --- Living Standards --- Population, High-Income --- Populations, High-Income --- Socioeconomic Factor --- Tenure, Land --- Access To Medicines --- Access to Contraception --- Access to Health Services --- Access to Medications --- Access to Therapy --- Access to Treatment --- Contraception Access --- Contraceptive Access --- Medication Access --- Access To Medicine --- Access to Contraceptions --- Access to Medication --- Access to Therapies --- Access to Treatments --- Access, Contraception --- Access, Contraceptive --- Access, Medication --- Contraception, Access to --- Contraceptive Accesses --- Medication Accesses --- Medication, Access to --- Therapy, Access to --- Treatment, Access to --- Social Inequalities --- Social Inequality --- Inequalities, Social --- Inequality, Social

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What do undocumented migrants experience when they try to access healthcare? How do they navigate the (often contradictory) challenges presented by bureaucratic systems, financial pressures, attitudes to migrants, and their own healthcare needs? This urgent study uses a grounded theory approach to explore the ways in which undocumented migrants are included in or excluded from healthcare in a Swiss region. Marianne Jossen explores the ways migrants try to obtain healthcare on their own, with the help of NGOs or via insurance, and how they cope if they fail, whether by using risky strategies to access healthcare or leaving serious health issues untreated. Jossen shows that even for those who succeed, inclusion remains partial and fraught with risks. Based on interviews with migrants, health practitioners and NGO staff and using a rigorous academic approach, Undocumented Migrants and Healthcare is an important contribution to a vital contemporary issue. It is necessary reading for researchers in Public Health and Migration Studies, as well as government and non-governmental organisations in Switzerland and beyond. It will be of interest to anyone concerned with healthcare and migration in the twenty-first century.

Emigration and immigration --- Equality --- Health services accessibility --- Health aspects. --- Health aspects --- Access to health care --- Accessibility of health services --- Availability of health services --- Medical care --- Egalitarianism --- Inequality --- Social equality --- Social inequality --- Political science --- Sociology --- Democracy --- Liberty --- Immigration --- International migration --- Migration, International --- Population geography --- Assimilation (Sociology) --- Colonization --- Access --- Migration Studies --- inclusion --- Public Health --- undocumented migrants --- non-governmental organisations --- Switzerland --- healthcare --- Transients and Migrants --- Health Services Accessibility --- Undocumented Immigrants --- Health Policy --- Healthcare Disparities --- Accessibility, Health Services --- Contraceptive Availability --- Health Services Geographic Accessibility --- Program Accessibility --- Access To Care, Health --- Access to Care --- Access to Contraception --- Access to Health Care --- Access to Health Services --- Access to Medications --- Access to Medicines --- Access to Therapy --- Access to Treatment --- Accessibility of Health Services --- Availability of Health Services --- Contraception Access --- Contraceptive Access --- Medication Access --- Access to Cares --- Access to Contraceptions --- Access to Medication --- Access to Medicine --- Access to Therapies --- Access to Treatments --- Access, Contraception --- Access, Contraceptive --- Access, Medication --- Accessibilities, Health Services --- Accessibility, Program --- Availability, Contraceptive --- Care, Access to --- Cares, Access to --- Contraception, Access to --- Contraceptive Accesses --- Health Services Availability --- Medication Accesses --- Medication, Access to --- Medicine, Access to --- Medicines, Access to --- Therapy, Access to --- Treatment, Access to --- Medically Underserved Area --- Migrant Workers --- Nomads --- Nonmigrants --- Squatters --- Transients --- Migrants --- Migrant --- Migrant Worker --- Migrants and Transients --- Nomad --- Nonmigrant --- Squatter --- Transient --- Worker, Migrant --- Workers, Migrant --- Emigration and Immigration --- Health Care Disparities --- Health Care Inequalities --- Healthcare Disparity --- Healthcare Inequalities --- Disparities, Healthcare --- Disparities, Health Care --- Disparity, Health Care --- Disparity, Healthcare --- Health Care Disparity --- Health Care Inequality --- Healthcare Inequality --- Inequalities, Health Care --- Inequalities, Healthcare --- Inequality, Health Care --- Inequality, Healthcare --- Health Care Policies --- Health Policies --- Healthcare Policy --- National Health Policy --- Care Policies, Health --- Health Care Policy --- Health Policy, National --- Healthcare Policies --- National Health Policies --- Policies, Health --- Policies, Health Care --- Policies, Healthcare --- Policy, Health --- Policy, Health Care --- Policy, Healthcare --- Policy Making --- Unauthorized Immigrants --- Undocumented Aliens --- Undocumented Workers --- Alien, Undocumented --- Aliens, Undocumented --- Immigrant, Unauthorized --- Immigrant, Undocumented --- Immigrants, Unauthorized --- Immigrants, Undocumented --- Unauthorized Immigrant --- Undocumented Alien --- Undocumented Immigrant --- Undocumented Worker --- Worker, Undocumented --- Workers, Undocumented --- Transients and Migrants. --- Health Services Accessibility. --- Undocumented Immigrants. --- Health Policy. --- Healthcare Disparities. --- Switzerland.

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Emigration and immigration --- Immigrants --- Communicable diseases --- Mental health --- Health services accessibility --- Communicable diseases. --- Mental health. --- Delivery of Health Care. --- Emigration and Immigration. --- Health Services Accessibility. --- Public Health. --- Mental Health. --- Health aspects --- Health and hygiene --- Health aspects. --- Health and hygiene. --- Mental Hygiene --- Health, Mental --- Hygiene, Mental --- Orthopsychiatry --- Community Health --- Environment, Preventive Medicine & Public Health --- Environment, Preventive Medicine and Public Health --- Health, Community --- Health, Public --- Preventive Medicine --- Education, Public Health Professional --- Accessibility, Health Services --- Contraceptive Availability --- Health Services Geographic Accessibility --- Program Accessibility --- Access To Medicines --- Access to Contraception --- Access to Health Care --- Access to Health Services --- Access to Medications --- Access to Therapy --- Access to Treatment --- Accessibility of Health Services --- Availability of Health Services --- Contraception Access --- Contraceptive Access --- Medication Access --- Access To Medicine --- Access to Contraceptions --- Access to Medication --- Access to Therapies --- Access to Treatments --- Access, Contraception --- Access, Contraceptive --- Access, Medication --- Accessibility, Program --- Availability, Contraceptive --- Contraception, Access to --- Contraceptive Accesses --- Health Services Availability --- Medication Accesses --- Medication, Access to --- Therapy, Access to --- Treatment, Access to --- Medically Underserved Area --- Border Crossing --- Chain Migration --- Emigration --- In-Migration --- International Migration --- Out-Migration --- Return Migration --- Settlement and Resettlement --- Temporary Migration --- Turnaround Migration --- Immigration --- Labor Migration --- Border Crossings --- Chain Migrations --- Crossing, Border --- Crossings, Border --- Emigrations --- Immigration and Emigration --- Immigrations --- In Migration --- In-Migrations --- International Migrations --- Labor Migrations --- Migration, Chain --- Migration, International --- Migration, Labor --- Migration, Return --- Migration, Temporary --- Migration, Turnaround --- Migrations, Chain --- Migrations, International --- Migrations, Labor --- Migrations, Return --- Migrations, Temporary --- Migrations, Turnaround --- Out Migration --- Out-Migrations --- Resettlement and Settlement --- Return Migrations --- Temporary Migrations --- Turnaround Migrations --- Emigrants and Immigrants --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Emotional health --- Mental hygiene --- Mental physiology and hygiene --- Happiness --- Health --- Public health --- Mental illness --- Psychiatry --- Psychology --- Psychology, Pathological --- Contagion and contagious diseases --- Contagious diseases --- Infectious diseases --- Microbial diseases in human beings --- Zymotic diseases --- Diseases --- Infection --- Epidemics --- Access to health care --- Accessibility of health services --- Availability of health services --- Medical care --- Emigrants --- Foreign-born population --- Foreign population --- Foreigners --- Migrants --- Persons --- International migration --- Population geography --- Assimilation (Sociology) --- Colonization --- Prevention --- Access --- Access To Care, Health --- Access to Care --- Access to Medicines --- Access to Cares --- Access to Medicine --- Care, Access to --- Cares, Access to --- Medicine, Access to --- Medicines, Access to --- migration --- health --- refugee --- infectious diseases --- non-communicable diseases --- psychological condition --- Accessibilities, Health Services --- Medical care. --- Health services accessibility. --- Public health. --- Delivery of Health Care --- Emigration and Immigration --- Health Services Accessibility --- Public Health --- Mental Health --- Maladies infectieuses --- Santé mentale --- Services de santé --- Prestation de soins. --- Santé publique. --- Santé mentale. --- public health. --- mental health. --- Accessibilité --- Accessibilité. --- Community health --- Health services --- Hygiene, Public --- Hygiene, Social --- Public health services --- Public hygiene --- Social hygiene --- Human services --- Biosecurity --- Health literacy --- Medicine, Preventive --- National health services --- Sanitation --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Medical and health care industry --- Medical services --- Personal health services