The new health care law (Obamacare) does not cover undocumented people. Observers say the nationâ€™s immigration laws are the reason. One official said, â€śHealth reform is not the place to fix our broken immigration system.â€ť
US born children are eligible for health insurance and Medicaid.Â Families with no insurance usually put off regular examinations. They go to hospital emergency rooms when their problems are more urgent and more expensive to treat.
The new health care law also cuts funding for hospital emergency care. It sharply reduces funding for community health care centers that care for low-income and undocumented patients.
The burden of serving the low-income and undocumented falls on hospital emergency rooms. There are shortages of health professionals in many low-income communities.
The US Supreme Court said states could refuse the new Medicaid standards in the health care law. That would mean more uninsured people and more pressure on ERs.
Groups opposed to immigration reform say the solution is fewer undocumented people in the United States.
Despite the new lawâ€™s many benefits, the outlook for low-income and undocumented people is not promising.
The cutbacks in funding for emergency care will begin to take effect in 2014.