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Interventions that increase access to care for Latinos lack to account for how trust in healthcare providers impact the usage of expanded access. This thesis looks to identify the levels of trust among US Latinos in health care providers, and how those levels of trust impact quality of care and health outcomes. It will start with a detailed explanation of key terms that will be used throughout the text. Next, an overview of the health profile of US Latinos is presented to pinpoint where health inequities exist. After, it will provide historical context on why mistrust in medical providers might exist amongst US Latinos today. It will then look to establish the levels of trust in health care providers among Latinos currently living within the United States, relative to other racial and ethnic groups. Lastly, it will analyze how those levels of trust impact health behaviors, health outcomes, and quality of care for Latinos.
Immigration, especially unauthorized immigration, is a timely and a hotly debated issue. One of the issues that continues to challenge policy makers is what kind relief should be granted to unauthorized immigrants who entered the country as children. A few solutions have been proposed, including the 2001 Development, Relief, and Education of Alien Minors (DREAM) Act. This bill provided a path to gaining permanent legal residence and eventually naturalization for these young immigrants. The bill failed to pass, but inspired a wave of similar legislation, to no avail. The issue remains. In 2012, however, the Obama Administration announced the Deferred Action for Childhood Arrivals (DACA) program, in which childhood immigrants could apply to defer any action to deport or expel them from the country. DACA enabled nearly 800,000 eligible young adults to work lawfully, enroll in higher education, and plan their lives without the constant threat of deportation. However, on September 5th, 2017, the Trump Administration announced the gradual termination of the program. This decision was challenged in federal courts and heard in the U.S. Supreme Court in November 2019. At the time of this study, a decision had yet to be made. This study provides an analysis of the DACA program, including the issues associated with its implementation. Furthermore, it examines the economic costs and benefits of revoking DACA and provides evidence of American public support for the program. Finally, it discusses the future implications of a Supreme Court decision, and the ways in which states and universities should respond. Future studies should examine deeper the human rights crisis created by the program’s termination. Ultimately, this study provides rationale for passing permanent legislation to significantly reform our immigration policy.