Farmworkers and their dependents are eligible regardless of immigration status. Their plight is compounded by other barriers, however. Wages rates are typically lower, transportation less reliable, and fewer families can afford phone service. Language, culture, and work opportunities may keep them isolated. They may migrate with large supportive families who are also have health care needs.
Housing is generally substandard.
Finally, health professionals are often unfamiliar with problems of this group or resistant to treating them in their private practices. A significant barrier to care for the MSFW population is inability to speak fluent English. Poor language skills act as an isolator, hampering both the provider and client. Health professionals who are willing to provide care are generally not bilingual and may have difficulty planning care or responding to health concerns and treatment goals.