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Thursday, November 12, 2026Nov 12

Deportation fears have legal immigrants avoiding health care

In this Dec. 27, 2017, photo, Community Council health care navigator Fidel Castro Hernandez, left, hands a Spanish help line phone to legal U.S. resident Maria Ana Pina, right, as she signs up for the Affordable Care Act with her son Roberto Pina at the Community Council offices in Dallas. Since President Donald Trump took office a year ago, the number of Latino immigrants accessing public health services and enrolling in federally subsidized insurance plans has dipped substantially, according to health advocates across the country. (AP Photo/LM Otero)
In this Dec. 27, 2017, photo, Community Council health care navigator Fidel Castro Hernandez, left, hands a Spanish help line phone to legal U.S. resident Maria Ana Pina, right, as she signs up for the Affordable Care Act with her son Roberto Pina at the Community Council offices in Dallas. Since President Donald Trump took office a year ago, the number of Latino immigrants accessing public health services and enrolling in federally subsidized insurance plans has dipped substantially, according to health advocates across the country. (AP Photo/LM Otero) In this Dec. 27, 2017, photo, Community Council health care navigator Fidel Castro Hernandez, left, hands a Spanish help line phone to legal U.S. resident Maria Ana Pina, right, as she signs up for the Affordable Care Act with her son Roberto Pina at the Community Council offices in Dallas. Since President Donald Trump took office a year ago, the number of Latino immigrants accessing public health services and enrolling in federally subsidized insurance plans has dipped substantially, according to health advocates across the country. (AP Photo/LM Otero)

MIAMI (AP) – The number of legal immigrants from Latin American nations who access public health services and enroll in federally subsidized insurance plans has dipped substantially since President Donald Trump took office, many of them fearing their information could be used to identify and deport relatives living in the U.S. illegally, according to health advocates across the country.

Trump based his campaign on promises to stop illegal immigration and deport any immigrants in the country illegally, but many legal residents and U.S. citizens are losing their health care as a result, advocates say.

After Trump became president a year ago, “every single day families canceled” their Medicaid plans and “people really didn’t access any of our programs,” said Daniel Bouton, a director at the Community Council, a Dallas nonprofit that specializes in health care enrollment for low-income families.

The trend stabilized a bit as the year went on, but it remains clear that the increasingly polarized immigration debate is having a chilling effect on Hispanic participation in health care programs, particularly during the enrollment season that ended in December.

Bouton’s organization has helped a 52-year-old housekeeper from Mexico, a legal resident, sign up for federally subsidized health insurance for two years. But now she’s going without, fearing immigration officials will use her enrollment to track down her husband, who is in the country illegally. She’s also considering not re-enrolling their children, 15 and 18, in the Children’s Health Insurance Program, or CHIP, even though they were born in the U.S.