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Intersecting Race, Health, and Law: Consequences of the Public Charge Rule for the U.S. Hispanic Population

Quinlan, Michaela C. (2021) Intersecting Race, Health, and Law: Consequences of the Public Charge Rule for the U.S. Hispanic Population. Master Essay, University of Pittsburgh.

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On February 24, 2020, United States Citizenship and Immigration Services (USCIS) effected the Inadmissibility on Public Charge Grounds Final Rule (Public Charge Rule). The Public Charge Rule denies admission or denial of application or petition for an extension of stay or a change of status to any noncitizen who is deemed likely at any time to become a “public charge.” A public charge determination is based on a noncitizen’s use of specified public benefits, including Medicaid. I argue that a mass disenrollment by immigrants from Medicaid will cause severe poor health outcomes and economic burden on their local communities. The Public Charge Rule will lead to a decrease in Medicaid and CHIP enrollment by millions of otherwise eligible, noncitizen immigrants and their U.S. citizen children and family members. In effect, a loss of insurance coverage will lead to the public health implication of widespread poor health outcomes. Lastly, the Public Charge Rule will cause downstream tax burdens on local economies due to a consequential rise in uncompensated care provided in hospitals. The Public Charge Rule’s alleged purposes purported by the former Trump administration are unfulfilled. Instead, the Public Charge Rule discriminates against immigrants based on their class and follows the U.S. government’s longstanding tradition of racism toward immigrants.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Quinlan, Michaela C.mcq5@pitt.edumcq5
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairHershey, Tina Batratbh16@pitt.edutbh16UNSPECIFIED
Committee MemberCrossley, Marycrossley@pitt.educrossleyUNSPECIFIED
Committee MemberBaylis, Elenaelenabaylis@pitt.eduelenabaylisUNSPECIFIED
Date: 11 May 2021
Date Type: Completion
Approval Date: 6 May 2021
Submission Date: 22 April 2021
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 60
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: Public Health, Immigration, Public Charge, Public Charge Rule, Medicaid, Hispanic, Health, Health Outcomes
Date Deposited: 06 May 2021 20:51
Last Modified: 11 May 2021 19:21


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