COVID-19 took a unique toll on undocumented immigrants

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COVID-19 took a unique toll on undocumented immigrants
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The pandemic compounded barriers to accessing medical care—and many continue to delay or forgo treatment

Imelda fled sexual violence at the hands of drug cartels in rural Puebla, about two hours outside of Mexico City, and arrived in New York City in 2013. She had no health insurance, barely spoke English, and as an undocumented immigrant, she avoided situations that required revealing her identity.

from the bipartisan political organization FWD.us, 69 percent of undocumented immigrant workers in the U.S. held jobs that were deemed essential during the pandemic—and they were 50 percent more likely to get COVID-19 than U.S.-born workers. For many, that’s meant surviving a public health emergency while working low-paying jobs that don’t offer benefits; it can also mean being ineligible for free or subsidized public health insurance.

“We just didn’t realize our systems of care were this fractured, and that so many people could fall through the cracks because the cracks were just so huge,” says, president of Mexican Coalition, an advocacy group for child and family rights based in New York. But no calls came, and Imelda’s health continued to deteriorate. Over the next four weeks, her breathing became increasingly difficult and her body was consumed by extreme exhaustion. “I would walk a little and I’d be gasping for breath, and on some days I couldn’t stand up at all,” she says. “I thought I was done—this was it.”Recalling these struggles brought Imelda to tears when we met at her home in May 2022.

“By the sixth day I was so desperate that I wanted to go to a hospital,” he says, but he decided against it because of his immigration status. “There were three days when I was completely lost, barely conscious, I had no clue if I was alive,” he says, overwhelmed with emotion as he shifts in his chair and grabs a tissue to wipe away tears.Mixteco Indigena Community Organization Project’s

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