Access to cancer care for undocumented immigrants in the USA

The Lancet Oncology Pub Date : 2025-07-28 DOI:10.1016/s1470-2045(25)00207-4

Patricia Mae G Santos, Manisha Dubey, Haley Simpson, Arthur S Hong, Aman Narayan, Sonia Persaud, Katherine Feldman, Emily Anderson, Jennifer Santos, Melina Smith, Monica F Bryant, Joanna F Doran, Mylin A Torres, Lilia Cervantes, K Robin Yabroff, Fumiko Chino

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Abstract

Undocumented immigrants face substantial barriers to affordable health-care coverage in the USA. For people with cancer, federal restrictions on publicly funded health insurance pose serious downstream consequences, including delayed diagnosis, scarce treatment options, and worse health outcomes. In this Policy Review, we examine mechanisms through which undocumented immigrants access cancer care in the USA, focusing on Emergency Medicaid, Medicaid-equivalent plans, and Marketplace-based strategies. We evaluate the strengths and limitations of these approaches, highlighting how each can shape access to cancer prevention, diagnosis, treatment, and follow-up care. We offer insights in regard to the 2025 US presidential administration for states that seek to protect or expand access to cancer care for undocumented immigrants in a challenging sociopolitical climate. The goal of this Policy Review is to guide the creation of innovative policy solutions to mitigate geographical disparities in the hope of improving cancer outcomes for this underserved population.

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美国无证移民获得癌症治疗的机会

在美国，无证移民在负担得起的医疗保险方面面临重大障碍。对于癌症患者来说，联邦政府对公共医疗保险的限制造成了严重的下游后果，包括诊断延误、治疗选择匮乏和健康状况恶化。在本政策评论中，我们研究了无证移民在美国获得癌症治疗的机制，重点是紧急医疗补助、医疗补助等效计划和基于市场的策略。我们评估了这些方法的优势和局限性，重点介绍了每种方法如何影响癌症预防、诊断、治疗和后续护理的获取。我们为在充满挑战的社会政治气候下寻求保护或扩大无证移民获得癌症治疗的各州提供有关2025年美国总统任期的见解。本政策审查的目标是指导制定创新的政策解决方案，以减轻地域差异，以期改善这一服务不足人群的癌症治疗结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Lancet Oncology

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