Nursing Research and Practice factors that increase problem drinking among Mexican farm- workers as social isolation and peer inﬂuence [26]. They concluded that programs and policies are necessary to sup- port migratory families and oﬀset social isolation as a means to address problem drinking [26]. Hovey and Magana, in several publications on mental health among Mexican mig- rant farmworkers, acknowledge the impact of social isolation resulting from physical isolation as negatively impacting their mental health [8, 9]. Isolation from family and friends results in feelings of anguish [27]. Hovey and Magana further expands upon the theme of isolation and mental health. He names “geographical and social isolation” as represented by stressors associated with being physically isolated. He also describes “emotional isolation” as characterized by the emo- tional inability to conﬁde in others [9, page 114]. There are several important limitations to consider in this study. The possibility of selection bias exists in this case study—the group of farmworkers represented may have unique characteristics that brought them to the United States, and also in contact with Jackie. It is important that future studies be conducted that employ a variety of metho- dologies to strengthen the body of knowledge of migrant farmworker health, which in turn will inform interventions and policy decisions. As this case study shows, the health of migrant farmwork- ers in southern Georgia is inﬂuenced by many factors. Farm- work is one of the top three most dangerous occupations in the United States [28]. Moreover, the risks of agricultural work for Latino migrant farmworkers go beyond the physical dangers of the job; both their physical and mental health are at increased risk. Multiple theories have been proposed to understand the health of migrant workers, with several focusing on the health of migrant farmworkers in particular [8]. While certain aspects of these theories capture elements of the health concerns voiced in this case study, they all fail to capture the impact of isolation from family and community, as well as the invisibility of farmworkers before institutions. Years of participation and the narratives of the key infor- mant in this study highlight the lived experience of migrant farmworkers in Georgia. Their reality constitutes an impor- tant challenge to the dominant theory of acculturation on several levels of analysis. In order to adopt American beliefs and behaviors, farmworkers would need access to institu- tions utilized by Americans, such as churches, health care facilities, the judicial system, and domestic violence shelters. Due to fears of deportation, lack of English skills, and trans- portation, farmworkers are unable to access these resources. The isolation experienced by farmworkers is exacerbated by their lack of access to health care. Despite signiﬁcant dis- ease burden and excess mortality rates from certain diseases and injuries, farmworkers utilize health care less frequently than others [29]. Without suﬃcient access to health care, farmworkers suﬀer from the late stages of preventable and treatable illness. In fact, even for the H-2A legally docu- mented farmworkers, there is no screening for infectious or chronic disease. Acculturation theory assumes that economic integration facilitates cultural integration. While farmworkers certainly have skills that are necessary for a successful harvest—like 7 correctly picking a tomato plant so that it continues to ﬂower—their skills are not transferable. Paradoxically, acquiring skills limits the economic possibilities of farm- workers, as successfully integrated migrants ﬁll niche posi- tions within labor markets, whereas farmworkers’ skills are tied to a unique market where self-suﬃciency is diﬃcult [30]. The insider perspective on migrant farmworker health illuminates critical issues that impact their health. Farm- workers are invisible before the law; they lack the protections aﬀorded to workers in every other sector. While H-2A work- ers are entitled to some beneﬁts, such as workers’ compensa- tion, at least 75% of farmworkers and up to 90% of child- ren of farmworkers do not have health insurance [31]. Mig- rant farmworkers occupy a liminal space that challenges trad- itional deﬁnitions of group membership. This paper has endeavored to illustrate why farmworkers remain trapped in a self-perpetuating liminal location and, thus, cannot advocate for themselves. Nurses and other health professionals are called to actively advocate for a more socially just policy towards working conditions and access to educational and healthcare institutions that could improve their physical and mental health. Much of the American dis- course surrounding immigration policy addresses the strain immigrants put on our social systems, educational system, and health care system. Nurses can contribute their voices to the immigration discourse as well, so that policy makers can understand the reality of the farmworker’s life. Farmworkers play an essential and irreplaceable role in American food production, and they deserve to be seen and heard. Nurses who care for farmworker populations are uni- quely positioned to provide on-the-ground witness to the lived experience of migrant workers. Such accounts make visible the scope of the human condition within state bord- ers; the intersubjectivity that nurses can relate to wider audiences, can in this way contribute to “the engine of social change” [20]. This paper is a contribution by nurses to make visible the subjective experience of migrant farmworkers in the case of Georgia. 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