Does Healthcare Coverage Lead to Increased Immigration?

  • Published on Nov 22, 2019
  • Combining immigration and healthcare leads to an uproar of opinions, with data often taking a backseat. In light of this we’re focusing on the results of a new study this week examining whether offering healthcare coverage affects rates of immigration.
    Link to study:
    Link to editorial:
    Related HCT episodes:
    1. The US Health Care System Needs Immigrants:
    Be sure to check out our podcast!
    Other Healthcare Triage Links:
    1. Support the channel on Patreon:
    2. Check out our Facebook page:
    3. We still have merchandise available at
    4. Aaron's book "The Bad Food Bible: How and Why to Eat Sinfully" is available wherever books are sold, such as Amazon:

    Aaron Carroll -- Host, Writer
    Meredith Danko - Social Media
    Tiffany Doherty - Writer
    John Green -- Executive Producer
    Stan Muller -- Director, Producer
    Mark Olsen - Art Director, Producer

Comments • 50

  • hopemjacquet
    hopemjacquet 3 days ago

    I'm moving because of healthcare

  • CalLadyQED
    CalLadyQED 6 days ago

    I normally like HCT, but in this video, he doesn't address confounding variables. How far would these people have to move? Are they seeking healthcare in the first place? Are there concerns about INS?

  • Mystee Pulcine
    Mystee Pulcine 20 days ago

    Pu-lease make a To The Research shirt!

  • Dan Chavez
    Dan Chavez 20 days ago

    Healthcare and medical care is a human issue...not political...regardless of the cost. I have never been married and have no kids...I pay the highest taxes without children write offs...I pay the highest medical, dental, vision premiums...(Ask your insurance for the cost for one person...then multiply it times the number in your family)...AS you believe...Why should I care if you and your kids, live under a rock, eat rocks, or are as dumb as a rock...Because this is exactly how you care of single people with no kids...since I am already paying more...I want included ALL humans to be included equally to you...How arrogantly you claim such entitlement...without merit.

  • SaucerJess
    SaucerJess 21 day ago


  • Willem van de Beek
    Willem van de Beek 21 day ago +1

    Uhm.... aren't Americans emigrating to Canada and other nations for better healthcare...?

  • Rachel Moore
    Rachel Moore 22 days ago

    There are way too many factors at play. You can't figure this out without a randomized controlled trial which obviously can't be done

  • David Gustavsson
    David Gustavsson 22 days ago +12

    "should we be making our country better?" "no! That could make people want to move here!"

  • Emmanuel Marchesini
    Emmanuel Marchesini 22 days ago +1

    If people like their health insurance so much, then why do they switch to Medicare the moment that they are eligible to? Spread the word. Health care is a human right. #Bernie2020

    • K Hindall
      K Hindall 20 days ago

      Because if someone doesn't activate Medicare when they are first eligible and then later want to enroll, they have to pay a whopping big fine for doing so *and* pay an extra fee for every month as long as they remain on Medicare! I love Bernie Sanders, but Medicare stinks. I haven't been able to go to my doctor more than once a year since I was forced onto it nearly three years ago because I cannot afford the co-pays. And I can't get all the tests I need because I can't afford them either. I can't go to the excellent free local clinic either because *technically*, I have health insurance. I think a lot of people arguing for Medicare for all don't understand that it leaves the poor under-insured and without other options. I'm very worried about some symptoms I'm having now, but I absolutely cannot afford another cent if I'm going to buy toilet paper through my next SSDI payment.

  • jnzkngs
    jnzkngs 23 days ago +1

    If free healthcare was the driver for illegal immigration Canada would be completely overwhelmed, but they are not. What drives illegal immigrants to move to any particular area is the willingness of employers there to hire illegal immigrants. Not only is Donald Trump guilty of employing illegals himself in the past, but the first person that he used his presidential powers to release from prison was a packing plant owner who was incarcerated for money laundering. The only reason he was caught for money launderingwas because the authorities gained access to his books during an ice raid on his meat packing plant that employed hundreds of illegal immigrants. He was charged with money laundering because the sentence for money laundering was harsher than the sentence for employing hundreds of illegals. If you want to do anyting about illegal immigration other than using it as a false flag you have to go after the employers.

  • TacComControl
    TacComControl 23 days ago +10

    "The health of human beings, which should matter on a fundamental level"
    Aaron forgets that the Republicans are putting children in concentration camps on the border.

  • Yevhenii Diomidov
    Yevhenii Diomidov 23 days ago +6

    But... what if we improve the quality of life in our country so much that people will want to *live* here? We should cut our healthcare to prevent this. /s

  • Thunderwalker87
    Thunderwalker87 23 days ago +17

    The brilliant argument goes like this: "Denmark, Norway, an other Nordic nations provide massive amounts of welfare benefits to everyone! So before you know it the whole world is going to be living in those countries. ALL of you people reading this comment will burn down your house, put your family in a wagon, and then set off across the ocean RIGHT NOW to get that welfare. OR MAYBE its just a really really really really dumb argument from really really really really dumb people who are just making it because they both hate immigrants and hate health care. Just saying.

  • Tallen Capt
    Tallen Capt 23 days ago

    Does this person know why we pay taxes?
    Do I pay taxes so someone in some far-flung land can have health care? Or do I pay taxes so that the people of my country can have health care? Why does it matter the location of the other people? My taxes are not going to pay for everyone in the world's health care. This is a short explanation of a complicated discussion and if you need further explanation of the relationship causes I am more than happy to help guide you to this conclusion.

  • woodchuck 00
    woodchuck 00 23 days ago +1

    This answers a question no one asked. First moving between states is not immigration as the definition requires you move from a foreign country.
    Second the claim is that illegal immagrants would come to the US for free healthcare, the vast majority of people have no problem with legal immagration.
    The addition of the economic benifts point makes it sound like this study was done by activists and not scientists. As legal immagrants being good for the economy is something only a fringe argues against.
    Seeing how this study can't even get the definition of immagration correct I am going to say this is an example of why you should keep personal politics out of acedemia.

    • Joe Coolioness
      Joe Coolioness 11 days ago +1

      I agree. Nobody asked about immigrants that legally came to this country. This is about illegal immigrants hopping a fence and coming here. The two are not comparable. And that is from someone who is a legal immigrant. The proof that people think they are going to be better off in the USA even as a criminal, is that they keep risking life and limn in the hundreds of thousands every year to get here. I don't care if it's for healthcare or what the reason is, they cost us money and aren't paying in.

  • Mike H.
    Mike H. 23 days ago +4

    There is no reason for a legal permanent resident to move just for healthcare. They should have same access and quality of HC as anyone else.

  • K Hindall
    K Hindall 23 days ago +10

    I've been trying to emigrate for more than a decade because of the lousy health care coverage in this country (that is, the US). But emigrating takes money, and I've never had enough. Maddeningly, if I could afford to emigrate, I could afford the health care! At this point, I'd settle for my doctor understanding that if I don't have the money to pay the Medicare co-pays, I cannot afford to come in and therefore will not be doing so. Her office just keeps talking about my lousy past test results like that is going to magically change financial realities. . . .

    • K Hindall
      K Hindall 23 days ago +4

      @Karl Tanner from Gin Alley What part of "I cannot afford it" is so hard for everyone to understand? My sister and I have so little that we haven't bought clothes for five years or food without SNAP for the same period. Every month we have to worry about whether we'll have enough for toilet paper through the next month. And all this because we are not healthy enough to work. She even spent all her savings on a new degree, but it became valueless after the Great Recession. The US treats poverty as a crime rather than a calamity, and it's impossible to get out of even if you can work.

    • Alex Robinson
      Alex Robinson 23 days ago

      @Karl Tanner from Gin Alley Twat.

  • JarlN
    JarlN 23 days ago

    Sweden much?!

  • mrdonetx
    mrdonetx 23 days ago

    CA, IL, MA, NY, OR, WA and DC are States that offer healthcare. California would be the only one that the vast majority of immigrants would want to move too being that the vast majority are from countries south of our border. No one wants to live in those other States healthcare or not. Which says more about those States that no one migrate to them for free stuff than it does about migration patterns. That study should have accounted for that or at a minimum addressed it. None of those States have a large immigrant population from countries south of our border nor do they have the abundance of economic sectors those immigrants tend to work within. So yea no one is going to go to those States to get healthcare but not find work in the process. They are immigrants not idiots. You constantly drag studies with glaring flaws in them but I have started to notice a pattern which ones you expressly bring attention to flaws and others you totally ignore the glaring flaws.

    • Rachel Moore
      Rachel Moore 22 days ago

      @Healthcare Triage The study is meant to address the question of whether or not increased coverage alone would lead to increased rates of migration and thus cost??? These people concerned about increased cost are worried about ILLEGAL immigration but this study only talks about LEGAL immigration. The "over 30 states that extended coverage" you're mentioning doesn't even address the original comment's concern that immigrants coming from the southern border will go to the closest state. Only four states are relevant: California, Arizona, New Mexico, and Texas.

    • Healthcare Triage
      Healthcare Triage  23 days ago +2

      Thanks for the comment! Economic opportunities are an important factor. Table 1 (study link in the description) lists the (over 30) states that extended coverage to the populations covered in this study. This did include California as well as other states near the southern border such as Texas (second largest immigrant population from Mexico) and New Mexico, along with many other states, all with overlapping economic opportunities. A report from the Center for Economic and Policy Research on Hispanic workers in the United States lists restaurants as the most common industry for Hispanic women and construction as the most common industry for Hispanic men (with the largest subgroup of Hispanic workers being of Mexican descent). However, the economic roles filled by Hispanic and other immigrants vary greatly and these roles are filled across states. Overall desire to live in one state versus another is quite subjective given that it depends on a number of personal factors.
      Many are concerned that expanding coverage will, on its own, increase rates of migration and thus cost. This study was designed to address the question of whether increased coverage alone would indeed lead to this result. I would argue that other factors being involved in relocation (or not) of immigrants is one of the points - i.e. expanding health insurance to low-income immigrants will not drastically increase costs for that state because this population, like others, has many factors to consider when it comes to relocation. Factors that you've mentioned (jobs, desire to live in one location over another) included.

  • Shazy Shaze
    Shazy Shaze 23 days ago +9

    The great replacement morons are gonna have a field day with this one.

    • Shazy Shaze
      Shazy Shaze 21 day ago +1

      @Karl Tanner from Gin Alley found the moron

    • May A.
      May A. 22 days ago

      Educate yourself before calling others morons:

    • May A.
      May A. 22 days ago +1

      The Great Replacement is not real. And anyone who believes in it need to get an IQ test or have a serious talk with the racists who sold them this crap.

  • Sapphire
    Sapphire 23 days ago +9

    As far as international immigration, I would be surprised if public option health insurance was one of the metrics refugees consider when fleeing their home. Do people envision them comparing brochures or something? I'm guessing the journey's difficulty is the most influential factor, with the destination country's general treatment of immigrants (not just healthcare) being the second factor.

    • Meera Venkatesan
      Meera Venkatesan 23 days ago

      @Karl Tanner from Gin Alley Define full. also define "great replacement" you mentioned in one of the replies

    • Meera Venkatesan
      Meera Venkatesan 23 days ago

      @Karl Tanner from Gin Alley LOL "full"

  • Health In 2 Point 00
    Health In 2 Point 00 23 days ago


  • Trystaticus
    Trystaticus 23 days ago +5

    Any chance you could cover sports drinks? effect on athletic performance? effect on feverish symptoms?

    • Healthcare Triage
      Healthcare Triage  23 days ago +5

      Good question! We plan to do a Q&A video in the semi-near future where Aaron can address this!

  • Take Walker
    Take Walker 23 days ago +19

    I know I'd rather emigrate to somewhere with better healthcare...

    • Cannerbernerd
      Cannerbernerd 12 days ago

      Take Walker when are you moving to Canada?

  • ryokoseigo
    ryokoseigo 23 days ago +8

    Am I insane, or did he just use a study that says people don't move across STATES to get better healthcare? Because that is not the same thing as immigration...Moving between states is an added cost for someone that has already made the move to the country, while moving to the states is a decision you make for multiple reasons that has a single travel cost. I love your videos but conflating interstate migration as the same as immigration is really poor and makes this entire video come across as trying to confirm an agenda over confirming facts.

    • macrossactual
      macrossactual 23 days ago

      ​@Karl Tanner from Gin Alley PSST! Your ignorance is showing.

    • vindictii
      vindictii 23 days ago

      If you dig into any of his recent videos, that is all he does now. Presents terribly flawed studies to promote someone elses agenda.

    • ryokoseigo
      ryokoseigo 23 days ago +1

      @Healthcare Triage This is your opening statement for the video that outlines what the video will be about- "We are focusing on the results of a new study this week examining whether offering healthcare coverage affects the rates of immigration." Does your video state factual evidence, yes it does. It does not state facts related to its premise, nor its title. Due to the topic, it winds up feeling less like clickbait and more purposeful misinformation.

  • Mr Humpty
    Mr Humpty 23 days ago +2

    How about all those "refugees" in Europe who were only going to the countries which gave them the most.

    • JarlN
      JarlN 23 days ago +2

      @Trystaticus Due too plenty of welfare migrants keep getting labeled as refugees by certain do-gooders.

    • Trystaticus
      Trystaticus 23 days ago +5

      Why is refugees in quotations?

  • Jesse Torres
    Jesse Torres 23 days ago +9

    As someone from Texas who has heard plenty of stories of people from America traveling across the border into Mexico to purchase pharmaceutical products in some cases at 1/8th of what they cost here in America, I'm gonna say yes.

    • nicole115920
      nicole115920 23 days ago +2

      @Karl Tanner from Gin Alley As an international person, the USA wouldn't be one of my top choices to emigrate if I considered health care. I study public health and America's system is one of the worst. I would move to a Nordic Country, Canada, etc. Additionally, looking at their current political state would be another reason for me not to move there. Not many benefits (especially in terms of social supports) but that's just my own personal opinion.

    • Brandon Cobb
      Brandon Cobb 23 days ago +3

      @Karl Tanner from Gin Alley Theoretically ya that seems like it would happen but ive never heard of that being a significant issue. If u have data to back that up then thatll be convincing

    • Brandon Cobb
      Brandon Cobb 23 days ago +9

      I think he is talking about moving to another country and permanently live there, not just temporarily go over there for the healthcare right?