Navigating the Cultures of Health Care and Health Insurance

ebook Highly skilled migrants in the U.S. · Digital Formations

By Nina Zeldes

cover image of Navigating the Cultures of Health Care and Health Insurance

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What are the barriers preventing migrants from accessing and successfully utilizing health care in their new home country? Do these barriers vary across different migrant origin countries? And are they still a problem for highly skilled migrants, who often have well-paid jobs and health insurance provided by their employers?

Based on field research conducted in the Washington D.C. area, Navigating the Cultures of Health Care and Health Insurance takes a mixed methods, qualitative and quantitative approach to the study of foreign patients' utilization and assessment of health care in the US. Through interviews with both health care providers and patients, attitudes towards US health insurance and medical treatment are compared for migrants from three countries with very different cultural backgrounds and health insurance systems: Germany, India and Japan.

Combined with an in-depth literature review, historical and contemporary surveys of health care across countries and analysis of health-related terms in the media, the results of this research indicate that foreign patients' barriers to good health care persist despite access to health care services and insurance coverage, and reveal recurring transnational care seeking patterns, such as bringing medicines from abroad, delaying treatment for medical visits, insurance juggling and more. By describing their difficulties in integrating into the US health care system, the migrants in this study show the challenges and the potential for improvements in providing the care that migrants need in their new home.

Praise for Navigating the Cultures of Health Care and Health Insurance

'Readers will gain insights warning them against assumptions that educational, economic, and employment status translate to ease of health-care system use within the complex US system'
CHOICE

'this book provides a novel set of findings and a main argument that will undoubtedly be of interest for public health and health-care policymakers and medical anthropologists and sociologists.'
Sociology of Health and Illness

'Highlights the importance of health research in the field of immigration'
Journal of Economic Literature

Navigating the Cultures of Health Care and Health Insurance