To: Thehammer who wrote (155558 ) 6/24/2001 11:43:51 PM From: puborectalis Respond to of 769670 Hispanics Less Likely to Have Health Insurance Judy Holland c.2001 Hearst Newspapers WASHINGTON - Hispanics are less likely than other Americans to get health insurance from employers, a key reason that nearly one-third of them who are younger than 65 have no coverage, more than twice the rate of any other group, a new report says. Low coverage rates for Hispanics stem from the fact that many work in farming, construction, manufacturing or retailing for small firms that are not inclined to offer health insurance, says a report by the Commonwealth Fund, a national philanthropy that conducts research on health and social policy issues. The trend is ``alarming'' because Hispanics are the fastest-growing minority population, which is expected to swell from 35 million to 100 million by the middle of the century, said Lisa Duchon, deputy director of the Task Force on the Future of Health Insurance for the New York-based Commonwealth Fund. ``We simply can't ignore this issue,'' Duchon said, speaking at a Capitol Hill seminar held Friday to release the report. Duchon said most of the uninsured Hispanics get health care at low-cost clinics or emergency rooms or return to their native countries for care, and they pay medical bills on installment plans. The report said 87 percent of non-Hispanic whites and 85 percent of African Americans are offered health insurance from their full-time jobs compared with 69 percent of Hispanic citizens and 50 percent of Hispanics who are not citizens. The report, ``Running in Place: How Immigrant Status, Job Characteristics and Family Structure Keep Hispanics Uninsured,'' also said that foreign-born Latinos are twice as likely to lack coverage than those born in the United States. Recent immigrants are also more prone to lack coverage. Almost three-quarters of Hispanics who have been in the United States less than five years are uninsured, compared with a third of those who have been here 15 years or more, the report said. ``We see that being an immigrant has a tremendous impact on access to work-related coverage,'' said Claudia Schur, deputy director of the Project HOPE Center for Health Affairs, a nonprofit health policy research group that conducted the study. Schur said Hispanic couples tend to be younger than other Americans, more likely to have young children and more likely to have just one parent earning wages, all of which boost the chances that family members are not insured. The report also said that Mexicans and Central Americans are less apt to have health insurance while Puerto Ricans and Cubans have higher coverage rates than other Hispanic groups. The report used data from eight focus groups conducted around the country as well as from three massive national surveys conducted from 1996 to 1999.