National Review Online
James Edwards Jr.

Importing the Uninsured

Senate Majority Leader Harry Reid (D., Nev.) has insisted the Senate will deal with immigration and health reform separately. And Senate Finance Committee Chairman Max Baucus (D., Mont.) told the Dallas Morning News in May, “We’re not going to cover undocumented aliens, undocumented workers. That’s too politically explosive.”

But it’s hard to envision how health reform can avoid tripping the immigration booby trap. Approximately 15–22 percent of the 46 million residents of the United States without health coverage are illegal aliens. That’s about 9 or 10 million people. More generally, a third of the foreign-born are uninsured, Census data analyzed by the Center for Immigration Studies show. That means something like 12.6 million people, or more than a fourth of the total uninsured, are immigrants, both legal and illegal. Since 1989, immigration is responsible for 71 percent of the rise in those without health insurance. The fact is, the problem of the uninsured would be a more manageable one if the U.S. were not admitting millions of uninsured immigrants.

Two health-care plans working their way through Congress — the bill from the Committee on Health, Education, Labor, and Pensions (HELP), and a draft outline put together by Baucus’s Finance Committee — could suffer because of this interaction between immigration and medicine.

For example, the HELP bill’s proponents hope to expand Medicaid so that everyone earning up to 50 percent above the federal poverty level can enroll (currently, Medicaid income requirements vary by state, with the poverty level being the usual limit). Since immigration law only requires relatives who sponsor someone for an immigrant visa to earn 25 percent above the poverty level, the end result would be that someone poor enough to qualify for Medicaid would be able to sponsor new immigrants to the U.S. What are the chances that these newcomers sponsored by Medicaid recipients would be able to afford health insurance when their sponsors can’t? MORE HERE