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Saturday, November 14, 2026Nov 14

Uphill battle to get seasonal farmworkers health insurance

In this photo provided by Alejandra Cancino, taken May 25, 2016, Mackenzie Mann, a health educator with North Carolina Farmworkers Project, helps a farmworker resolve an issue with his health insurance in Angier, N.C. Even season farmworkers in the United States get health insurance, but reaching them can be an uphill battle.  (Alejandra Cancino via AP)
In this photo provided by Alejandra Cancino, taken May 25, 2016, Mackenzie Mann, a health educator with North Carolina Farmworkers Project, helps a farmworker resolve an issue with his health insurance in Angier, N.C. Even season farmworkers in the United States get health insurance, but reaching them can be an uphill battle. (Alejandra Cancino via AP)

DUNN, N.C. (AP) – Seasonal agricultural workers were just finishing a meal after a long day of planting sweet potato seeds when Julie Pittman pulled up to their camp.

Pittman, a paralegal with the Farmworker Unit of Legal Aid of North Carolina, worked to get their attention.

The health care law that passed in 2010 requires you to have health insurance, she said, speaking in Spanish. If you don’t get it, she said, you could be fined.

“Cuánto cuesta?” asked a worker, wanting to know the cost.

In the United States legally through the H-2A visa program, these farmworkers, like most American citizens and legal residents, must be insured. But reaching them is an uphill battle.