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Qualitative Health Research, Vol. 13, No. 5, 689-702 (2003)
DOI: 10.1177/1049732303013005007
© 2003 SAGE Publications

Legal, Financial, and Ethical Ambiguities for Mexican American Families: Caring for Children with Chronic Conditions

Roberta S. Rehm

The author reports findings from a study about experiences of 17 Mexican American families caring for children with serious chronic conditions. Legal, financial, and ethical ambiguities arose when parents' desire to provide necessary care for their children and providers' professional commitment to offer this care conflicted with United States laws, including welfare reform initiatives, requiring providers to determine eligibility before providing care to immigrants and to report undocumented care seekers to authorities. Families frequently felt intimidated because health care systems are complex, and legal residency status often varied among family members. Findings imply that official policy and education of family members should aim to assure that children with chronic conditions receive needed services without relying on providers to enforce immigration laws.

Key Words: Mexican American • ambiguity • chronic condition • child immigrant • undocumented immigrant • Hispanic • legal • ethical


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S. Cristancho, D. M. Garces, K. E. Peters, and B. C. Mueller
Listening to Rural Hispanic Immigrants in the Midwest: A Community-Based Participatory Assessment of Major Barriers to Health Care Access and Use
Qual Health Res, May 1, 2008; 18(5): 633 - 646.
[Abstract] [PDF]