UCLA Researchers Find Health Differences Within Ethnic Groups
Finding a Nursing Home When you Don't Speak the Language
Insurance Agents Drive High Asian Enrollment on Covered California
Advocates Prepare for Confusion and Resistance to Obamacare Among Asians
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said David Grant, director of the \u003ca href=\"http://healthpolicy.ucla.edu/chis/about/Pages/about.aspx\" target=\"_blank\">California Health Interview Survey.\u003c/a>\u003c/p>\n\u003cp>For instance, he said, the state categorizes \"Asian\" as an ethnic group, but there are major differences between various Asian subgroups, and a similar trend has developed among various Latino cultures, as well.\u003c/p>\n\u003cp>\"Looking at different groups in the survey information busts a lot of myths,\" Grant said. \"Most people think about Asians as having health insurance and doing well, but if you break out the subgroups, you see that Koreans have a high uninsured rate of about 47 percent. Also, obesity levels among Asians in general are lower than the state averages, but Filipinos have a higher rate [of obesity] and double the diabetes rate.\"\u003c/p>\n\u003cp>Similar disparities in care and health crop up in the Latino population, too. Different subgroups experience the health care system differently, he said, depending on country of origin.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Their health needs are far from homogeneous,\" Grant said. \"And in terms of policy-making it's clear that different needs apply to different groups.\"\u003c/p>\n\u003cp>One bill dealing with the issue of ethnic subgroups was passed by the Legislature this year, but Gov. Jerry Brown vetoed it.\u003c/p>\n\u003cp>Brown called the bill \"unnecessary\" in his \u003ca href=\"https://www.gov.ca.gov/docs/AB_176_Veto_Message.pdf\" target=\"_blank\">veto message\u003c/a> for \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB176\" target=\"_blank\">AB 176\u003c/a> by Assembly member Rob Bonta, D-Oakland.\u003c/p>\n\u003cp>\"I am wary of the ever growing desire to stratify,\" Brown wrote. \"Dividing people into ethnic or other subcategories may yield more information, but not necessarily greater wisdom about what actions should follow.\"\u003c/p>\n\u003cp>To researchers who believe more information better informs policy, them's fighting words.\u003c/p>\n\u003cp>\"As long as the state puts its head in the sand and fails to acknowledge these differences,\" Grant said, \"they won't be able to address the disparities in health care within those groups.\"\u003c/p>\n\u003cp>Grant said the October release of updated survey data could help inform the discussion, for example, about insuring the undocumented population in California or addressing health disparities of specific ethnic population subsets.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The idea behind the profiles is to highlight information for groups that don't have a lot of data associated with them,\" Grant said. \"What's really unique here is the detailed breakdown of the variety of Latino and other ethnic groups. The power of these data is that we can show ... how the communities are different.\"\u003c/p>\n\n","blocks":[],"excerpt":"For starters, the obesity rate for Asians is lower than the state average, but for Filipinos specifically, it's much higher.","status":"publish","parent":0,"modified":1447285857,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":446},"headData":{"title":"UCLA Researchers Find Health Differences Within Ethnic Groups | KQED","description":"For starters, the obesity rate for Asians is lower than the state average, but for Filipinos specifically, it's much higher.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"UCLA Researchers Find Health Differences Within Ethnic Groups","datePublished":"2015-11-11T23:50:57.000Z","dateModified":"2015-11-11T23:50:57.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"106635 http://ww2.kqed.org/stateofhealth/?p=106635","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/11/11/ucla-finds-health-differences-within-ethnic-groups/","disqusTitle":"UCLA Researchers Find Health Differences Within Ethnic Groups","source":"California Healthline","nprByline":"David Gorn","path":"/stateofhealth/106635/ucla-finds-health-differences-within-ethnic-groups","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>There are major differences in health care status among different types of Asians and Latinos in California -- and yet the state so far has resisted treating those subgroups differently, according to UCLA researchers who released an \u003ca href=\"http://healthpolicy.ucla.edu/newsroom/press-releases/pages/details.aspx?NewsID=231\" target=\"_blank\">updated version of health survey data \u003c/a>last month.\u003c/p>\n\u003cp>\"Data clearly show the need to disaggregate the Asian community and to some degree the Latino community,\" said David Grant, director of the \u003ca href=\"http://healthpolicy.ucla.edu/chis/about/Pages/about.aspx\" target=\"_blank\">California Health Interview Survey.\u003c/a>\u003c/p>\n\u003cp>For instance, he said, the state categorizes \"Asian\" as an ethnic group, but there are major differences between various Asian subgroups, and a similar trend has developed among various Latino cultures, as well.\u003c/p>\n\u003cp>\"Looking at different groups in the survey information busts a lot of myths,\" Grant said. \"Most people think about Asians as having health insurance and doing well, but if you break out the subgroups, you see that Koreans have a high uninsured rate of about 47 percent. Also, obesity levels among Asians in general are lower than the state averages, but Filipinos have a higher rate [of obesity] and double the diabetes rate.\"\u003c/p>\n\u003cp>Similar disparities in care and health crop up in the Latino population, too. Different subgroups experience the health care system differently, he said, depending on country of origin.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Their health needs are far from homogeneous,\" Grant said. \"And in terms of policy-making it's clear that different needs apply to different groups.\"\u003c/p>\n\u003cp>One bill dealing with the issue of ethnic subgroups was passed by the Legislature this year, but Gov. Jerry Brown vetoed it.\u003c/p>\n\u003cp>Brown called the bill \"unnecessary\" in his \u003ca href=\"https://www.gov.ca.gov/docs/AB_176_Veto_Message.pdf\" target=\"_blank\">veto message\u003c/a> for \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB176\" target=\"_blank\">AB 176\u003c/a> by Assembly member Rob Bonta, D-Oakland.\u003c/p>\n\u003cp>\"I am wary of the ever growing desire to stratify,\" Brown wrote. \"Dividing people into ethnic or other subcategories may yield more information, but not necessarily greater wisdom about what actions should follow.\"\u003c/p>\n\u003cp>To researchers who believe more information better informs policy, them's fighting words.\u003c/p>\n\u003cp>\"As long as the state puts its head in the sand and fails to acknowledge these differences,\" Grant said, \"they won't be able to address the disparities in health care within those groups.\"\u003c/p>\n\u003cp>Grant said the October release of updated survey data could help inform the discussion, for example, about insuring the undocumented population in California or addressing health disparities of specific ethnic population subsets.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The idea behind the profiles is to highlight information for groups that don't have a lot of data associated with them,\" Grant said. \"What's really unique here is the detailed breakdown of the variety of Latino and other ethnic groups. The power of these data is that we can show ... how the communities are different.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/106635/ucla-finds-health-differences-within-ethnic-groups","authors":["byline_stateofhealth_106635"],"categories":["stateofhealth_11"],"tags":["stateofhealth_551","stateofhealth_325","stateofhealth_2519"],"featImg":"stateofhealth_106662","label":"source_stateofhealth_106635"},"stateofhealth_19723":{"type":"posts","id":"stateofhealth_19723","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"19723","score":null,"sort":[1404311421000]},"guestAuthors":[],"slug":"finding-a-nursing-home-when-you-dont-speak-the-language-korean-los-angeles","title":"Finding a Nursing Home When you Don't Speak the Language","publishDate":1404311421,"format":"aside","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_19724\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/teri-lim-photo-e1403652569566.jpg\">\u003cimg class=\"wp-image-19724 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/teri-lim-photo-640x480.jpg\" alt=\"teri lim photo\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Teri Lim, an attorney in Los Angeles, had a tough time finding a nursing home for her mother. After a stroke, her mother needed constant care but many nursing homes in the area were ill-equipped to deal with Korean-speaking patients. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: Finding a nursing home for a loved one can be a daunting task. The job becomes more complicated when that family member doesn't speak English. As part of our ongoing health series, \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">\u003cstrong>Vital Signs\u003c/strong>\u003c/a>, we hear from Teri Lim who immigrated with her parents to Los Angeles from Korea. After her mother had a stroke two years ago, Lim started searching for a place to give her mom around-the-clock care. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Teri Lim\u003c/strong>\u003c/p>\n\u003cp>I found this great rehabilitation home, and I took her there (but) she couldn't last a day because she couldn't speak English. When she pressed her button for help, someone would peek in, but my mom was not able to really fully articulate what was wrong with her, and they would just leave. Then she would press the button again.\u003c/p>\n\u003cp>After a while my mom was perceived as kind of a difficult patient because her needs were not met. She was so frustrated. I could just see in her face that she was very strained.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It was hard to find a place where my mom felt comfortable. But I finally found a nursing home in Koreatown. There are Korean nurses, and they hire interpreters. There are enough nurses out there that my mom is able to communicate.\u003c/p>\n\u003cp>There are a lot of below-average nursing homes. I was surprised to find that this one, and the other one I visited in Koreatown, are (among) the few that received an average rating.\u003c/p>\n\u003cp>They have services, like church services where Korean pastors come. They also have an activities person, who does activities in Korean. My mom is starting to take advantage of it, a little bit.\u003c/p>\n\u003cp>It took her a long time to accept the fact that she'll never be able to go home. But lately she's been smiling a little and kind of accepting the fact that it's okay to be there.\u003c/p>\n\u003cp>There's a saying in Korean that you need to be helpful to your parents while they're alive, and when they're gone, even if you cry on their grave, it's useless. So, with that in mind, I always remind myself that I'm going to be there when she needs me, not when she's gone.\u003c/p>\n\u003cp>\u003cem>That story was reported by Susan Valot. \u003c/em>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/157006413&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca style=\"font-weight: bold;color: #114999\" href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1404404435,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":453},"headData":{"title":"Finding a Nursing Home When you Don't Speak the Language | KQED","description":"Editor's Note: Finding a nursing home for a loved one can be a daunting task. The job becomes more complicated when that family member doesn't speak English. As part of our ongoing health series, Vital Signs, we hear from Teri Lim who immigrated with her parents to Los Angeles from Korea. After her mother had","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Finding a Nursing Home When you Don't Speak the Language","datePublished":"2014-07-02T14:30:21.000Z","dateModified":"2014-07-03T16:20:35.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"19723 http://blogs.kqed.org/stateofhealth/?p=19723","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/07/02/finding-a-nursing-home-when-you-dont-speak-the-language-korean-los-angeles/","disqusTitle":"Finding a Nursing Home When you Don't Speak the Language","path":"/stateofhealth/19723/finding-a-nursing-home-when-you-dont-speak-the-language-korean-los-angeles","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_19724\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/teri-lim-photo-e1403652569566.jpg\">\u003cimg class=\"wp-image-19724 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/teri-lim-photo-640x480.jpg\" alt=\"teri lim photo\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Teri Lim, an attorney in Los Angeles, had a tough time finding a nursing home for her mother. After a stroke, her mother needed constant care but many nursing homes in the area were ill-equipped to deal with Korean-speaking patients. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: Finding a nursing home for a loved one can be a daunting task. The job becomes more complicated when that family member doesn't speak English. As part of our ongoing health series, \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">\u003cstrong>Vital Signs\u003c/strong>\u003c/a>, we hear from Teri Lim who immigrated with her parents to Los Angeles from Korea. After her mother had a stroke two years ago, Lim started searching for a place to give her mom around-the-clock care. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Teri Lim\u003c/strong>\u003c/p>\n\u003cp>I found this great rehabilitation home, and I took her there (but) she couldn't last a day because she couldn't speak English. When she pressed her button for help, someone would peek in, but my mom was not able to really fully articulate what was wrong with her, and they would just leave. Then she would press the button again.\u003c/p>\n\u003cp>After a while my mom was perceived as kind of a difficult patient because her needs were not met. She was so frustrated. I could just see in her face that she was very strained.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It was hard to find a place where my mom felt comfortable. But I finally found a nursing home in Koreatown. There are Korean nurses, and they hire interpreters. There are enough nurses out there that my mom is able to communicate.\u003c/p>\n\u003cp>There are a lot of below-average nursing homes. I was surprised to find that this one, and the other one I visited in Koreatown, are (among) the few that received an average rating.\u003c/p>\n\u003cp>They have services, like church services where Korean pastors come. They also have an activities person, who does activities in Korean. My mom is starting to take advantage of it, a little bit.\u003c/p>\n\u003cp>It took her a long time to accept the fact that she'll never be able to go home. But lately she's been smiling a little and kind of accepting the fact that it's okay to be there.\u003c/p>\n\u003cp>There's a saying in Korean that you need to be helpful to your parents while they're alive, and when they're gone, even if you cry on their grave, it's useless. So, with that in mind, I always remind myself that I'm going to be there when she needs me, not when she's gone.\u003c/p>\n\u003cp>\u003cem>That story was reported by Susan Valot. \u003c/em>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/157006413&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca style=\"font-weight: bold;color: #114999\" href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/19723/finding-a-nursing-home-when-you-dont-speak-the-language-korean-los-angeles","authors":["1462"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_551","stateofhealth_591"],"featImg":"stateofhealth_19724","label":"stateofhealth_2363"},"stateofhealth_18264":{"type":"posts","id":"stateofhealth_18264","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"18264","score":null,"sort":[1395583827000]},"guestAuthors":[],"slug":"insurance-agents-drive-high-asian-enrollment-on-covered-california","title":"Insurance Agents Drive High Asian Enrollment on Covered California","publishDate":1395583827,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_18279\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-e1395532478928.png\">\u003cimg class=\"size-large wp-image-18279\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-640x329.png\" alt=\"Covered California application in Chinese.\" width=\"640\" height=\"329\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California application in Chinese.\u003c/figcaption>\u003c/figure>\n\u003cp>While Latino enrollment has lagged in Covered California enrollments, Asians have signed up on the state's marketplace in numbers far outstripping their representation in the insurance pool.\u003c/p>\n\u003cp>Our analysis of Covered California data shows a main driver: insurance brokers.\u003c/p>\n\u003cp>According to new Covered California data, the overwhelming majority of Chinese, Korean and Vietnamese enrollments are coming through certified insurance agents as opposed to community groups or the Covered California website.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Since January, Asians have been enrolling in strong numbers. People of Asian descent make up about 14 percent of the \u003ca href=\"http://healthpolicy.ucla.edu/programs/health-economics/projects/CalSIM/Documents/CalSIM_Statewide.pdf\" target=\"_blank\">Covered California pool\u003c/a>, according to estimates compiled by the UCLA Center for Health Policy Research and the UC Berkeley Labor Center.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Starting with the first release of demographic data in January, Asians were already on target, reaching \u003ca href=\"http://news.coveredca.com/2014/01/milestone-enrollment-numbers-released.html\" target=\"_blank\">13.5 percent \u003c/a>of all enrollees. In the most recent data from Covered California, (for Oct. 1 to Feb. 28 enrollment), Asians advanced to \u003ca href=\"http://news.coveredca.com/2014/03/covered-california-begins-countdown-to.html\" target=\"_blank\">22.9 percent \u003c/a>of all enrollees.\u003c/p>\n\u003cp>Licensed insurance brokers can sell customers plans on the Covered California marketplace, but they must first be specially certified to do so. Covered California says 40 percent of its total Covered California enrollments are coming via these certified insurance agents. But within certain Asian sub-populations, the percentage is much higher. Here's Covered California's breakdown:\u003c/p>\n\u003cul>\n\u003cli>57 percent of Chinese enrollments are through certified insurance agents (CIAs)\u003c/li>\n\u003cli>65 percent of Vietnamese enrollments are through CIAs\u003c/li>\n\u003cli>70 percent of Korean enrollments are through CIAs\u003c/li>\n\u003c/ul>\n\u003cp>These numbers \"suggest that the Asian agents are a driving force in helping Covered CA exceed our enrollment goal in Asian communities,\" Wendy McAnelly, a public information officer for Covered California, said in an email.\u003c/p>\n\u003cp>This information was not a big surprise to Simon Chew. He runs \u003ca href=\"http://www.simon888.com/obamacare/free-quote-apply-obamacare-coveredca/\" target=\"_blank\">Ehealth-Plans\u003c/a>, an insurance business with four offices in San Francisco. All his agents are trilingual -- in English, Mandarin and Cantonese.\u003c/p>\n\u003cp>Chew estimates he's signed up 2,000 people since the Covered California marketplace opened last October, and half of them had been uninsured. He sees a difference between how Caucasians shop and how his Chinese clients shop. While what he calls the \"mainstream market\" is comfortable shopping online, the Chinese want to do business face-to-face, with someone of a similar background.\u003c/p>\n\u003cp>\"That's how, culturally, Asians do business,\" Chew said. \"They like to stick to their own kind because of communication convenience.\" Chew also complained that too much Covered California advertising is focused on the website, as opposed to letting people know that their local insurance agents could also help them.\u003c/p>\n\u003cp>Covered California did not have enrollment information breakdown by type for Latinos. They make up nearly half of the marketplace's pool, but only 22 percent of all enrollments. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">Covered California has been faulted\u003c/a> for its missteps in signing up Latinos.\u003c/p>\n\u003cp>Unlike Asians, Latinos are generally not familiar with health insurance as a product, so this can make sign-ups more difficult.\u003c/p>\n\u003cp>That lack of familiarity with health insurance may stretch to the broker community, too. Covered California has slightly more certified brokers who speak an Asian language than speak Spanish -- 15.31 percent vs. 15.06 percent -- yet Spanish speakers dwarf those who speak an Asian language in California:\u003c/p>\n\u003cul>\n\u003cli>15.06 percent Spanish-speaking CIAs\u003c/li>\n\u003cli> 4.01 percent Mandarin-speaking CIAs\u003c/li>\n\u003cli> 2.96 percent Cantonese-speaking CIAs\u003c/li>\n\u003cli> 4.76 percent Korean-speaking CIAs\u003c/li>\n\u003cli> 3.58 percent Vietnamese-speaking CIAs\u003c/li>\n\u003c/ul>\n\u003cp>There is no charge to consumers who work with agents, whose commissions are paid by insurance companies.\u003c/p>\n\u003cp>\u003cstrong>Overall Successful Enrollment May Hide Gaps\u003c/strong>\u003c/p>\n\u003cp>But Asians are not a monolithic group, advocates caution. Doreena Wong is with Advancing Justice in Los Angeles. Her group oversees the single statewide collaborative of community groups that handles outreach to Asians to encourage enrollment on Covered California. She was surprised by the success that brokers have had over community groups in sign-ups. \"I am surprised that is as high as it is,\" Wong said. \"I don't know if that means that most of the enrollees in these communities are English-speaking.\"\u003c/p>\n\u003cp>Community groups have long worried that those with limited-English skills would be left out of Covered California. Wong is concerned that certain immigrant groups who have less experience with insurance or universal health care in their home countries would be harder to reach. \"The united Cambodian community, Indian, Pakistani,\" she said, \"we don't know what the numbers are for those particular sub-groups.\"\u003c/p>\n\u003cp>Yeri Shon, of the Korean Community Center of the East Bay in Oakland, said her group has had great success in signing up the monolingual clients she serves. There's universal health care in Korea, she says, so people are already comfortable with the concept of the government helping out.\u003c/p>\n\u003cp>But she said in regular conference calls with other community groups held to share best practices, she's heard from other advocates who say they are having a harder time. \"The Tongan community leader says teaching the idea of insurance is very difficult,\" Shon said. \"In Tonga, people apparently only go to the hospital when they are really sick.\"\u003c/p>\n\u003cp>\u003cstrong>Mixed-Status Families a Barrier to Enrollment\u003c/strong>\u003c/p>\n\u003cp>While President Obama has insisted that undocumented relatives of people who sign up for insurance \u003ca href=\"http://thehill.com/blogs/healthwatch/health-reform-implementation/201076-obama-makes-o-care-pitch-to-hispanics-the\" target=\"_blank\">will not be deported\u003c/a>, many advocates think this is still a barrier, especially for Latinos. Yet there are almost certainly undocumented Asian immigrants as well, and there does not seem to be the same level of fear. Wong believes that there may be a higher percentage of mixed-status Latino families than Asian families. \"That fear may not be as pervasive (with undocumented Asian immigrants) because the face of immigration is Latino, even though there are high numbers of Asian immigrants.\"\u003c/p>\n\u003cp>\u003cstrong>New Asian Enrollment Likely to Get Tougher\u003c/strong>\u003c/p>\n\u003cp>According to the modeling from UCLA and UC Berkeley, there are an estimated 370,000 Asians in the Covered California pool of potential enrollees. While their enrollment is strong, as of Feb. 28, slightly more than 160,000 had enrolled. Some advocates wonder if the better-educated people have enrolled, if covered California has reached, as Doreena Wong puts it, the \"low-lying fruit.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"As we continue on, it might be more and more challenging and take more effort to reach those who have been discouraged from enrolling or who have had bad experiences,\" Wong said.\u003c/p>\n\n","blocks":[],"excerpt":"While 40 percent of all signups are through agents, 57 percent of Chinese enrollments are via agents.","status":"publish","parent":0,"modified":1423855549,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1064},"headData":{"title":"Insurance Agents Drive High Asian Enrollment on Covered California | KQED","description":"While 40 percent of all signups are through agents, 57 percent of Chinese enrollments are via agents.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Insurance Agents Drive High Asian Enrollment on Covered California","datePublished":"2014-03-23T14:10:27.000Z","dateModified":"2015-02-13T19:25:49.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"18264 http://blogs.kqed.org/stateofhealth/?p=18264","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/03/23/insurance-agents-drive-high-asian-enrollment-on-covered-california/","disqusTitle":"Insurance Agents Drive High Asian Enrollment on Covered California","path":"/stateofhealth/18264/insurance-agents-drive-high-asian-enrollment-on-covered-california","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18279\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-e1395532478928.png\">\u003cimg class=\"size-large wp-image-18279\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-640x329.png\" alt=\"Covered California application in Chinese.\" width=\"640\" height=\"329\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California application in Chinese.\u003c/figcaption>\u003c/figure>\n\u003cp>While Latino enrollment has lagged in Covered California enrollments, Asians have signed up on the state's marketplace in numbers far outstripping their representation in the insurance pool.\u003c/p>\n\u003cp>Our analysis of Covered California data shows a main driver: insurance brokers.\u003c/p>\n\u003cp>According to new Covered California data, the overwhelming majority of Chinese, Korean and Vietnamese enrollments are coming through certified insurance agents as opposed to community groups or the Covered California website.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Since January, Asians have been enrolling in strong numbers. People of Asian descent make up about 14 percent of the \u003ca href=\"http://healthpolicy.ucla.edu/programs/health-economics/projects/CalSIM/Documents/CalSIM_Statewide.pdf\" target=\"_blank\">Covered California pool\u003c/a>, according to estimates compiled by the UCLA Center for Health Policy Research and the UC Berkeley Labor Center.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Starting with the first release of demographic data in January, Asians were already on target, reaching \u003ca href=\"http://news.coveredca.com/2014/01/milestone-enrollment-numbers-released.html\" target=\"_blank\">13.5 percent \u003c/a>of all enrollees. In the most recent data from Covered California, (for Oct. 1 to Feb. 28 enrollment), Asians advanced to \u003ca href=\"http://news.coveredca.com/2014/03/covered-california-begins-countdown-to.html\" target=\"_blank\">22.9 percent \u003c/a>of all enrollees.\u003c/p>\n\u003cp>Licensed insurance brokers can sell customers plans on the Covered California marketplace, but they must first be specially certified to do so. Covered California says 40 percent of its total Covered California enrollments are coming via these certified insurance agents. But within certain Asian sub-populations, the percentage is much higher. Here's Covered California's breakdown:\u003c/p>\n\u003cul>\n\u003cli>57 percent of Chinese enrollments are through certified insurance agents (CIAs)\u003c/li>\n\u003cli>65 percent of Vietnamese enrollments are through CIAs\u003c/li>\n\u003cli>70 percent of Korean enrollments are through CIAs\u003c/li>\n\u003c/ul>\n\u003cp>These numbers \"suggest that the Asian agents are a driving force in helping Covered CA exceed our enrollment goal in Asian communities,\" Wendy McAnelly, a public information officer for Covered California, said in an email.\u003c/p>\n\u003cp>This information was not a big surprise to Simon Chew. He runs \u003ca href=\"http://www.simon888.com/obamacare/free-quote-apply-obamacare-coveredca/\" target=\"_blank\">Ehealth-Plans\u003c/a>, an insurance business with four offices in San Francisco. All his agents are trilingual -- in English, Mandarin and Cantonese.\u003c/p>\n\u003cp>Chew estimates he's signed up 2,000 people since the Covered California marketplace opened last October, and half of them had been uninsured. He sees a difference between how Caucasians shop and how his Chinese clients shop. While what he calls the \"mainstream market\" is comfortable shopping online, the Chinese want to do business face-to-face, with someone of a similar background.\u003c/p>\n\u003cp>\"That's how, culturally, Asians do business,\" Chew said. \"They like to stick to their own kind because of communication convenience.\" Chew also complained that too much Covered California advertising is focused on the website, as opposed to letting people know that their local insurance agents could also help them.\u003c/p>\n\u003cp>Covered California did not have enrollment information breakdown by type for Latinos. They make up nearly half of the marketplace's pool, but only 22 percent of all enrollments. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">Covered California has been faulted\u003c/a> for its missteps in signing up Latinos.\u003c/p>\n\u003cp>Unlike Asians, Latinos are generally not familiar with health insurance as a product, so this can make sign-ups more difficult.\u003c/p>\n\u003cp>That lack of familiarity with health insurance may stretch to the broker community, too. Covered California has slightly more certified brokers who speak an Asian language than speak Spanish -- 15.31 percent vs. 15.06 percent -- yet Spanish speakers dwarf those who speak an Asian language in California:\u003c/p>\n\u003cul>\n\u003cli>15.06 percent Spanish-speaking CIAs\u003c/li>\n\u003cli> 4.01 percent Mandarin-speaking CIAs\u003c/li>\n\u003cli> 2.96 percent Cantonese-speaking CIAs\u003c/li>\n\u003cli> 4.76 percent Korean-speaking CIAs\u003c/li>\n\u003cli> 3.58 percent Vietnamese-speaking CIAs\u003c/li>\n\u003c/ul>\n\u003cp>There is no charge to consumers who work with agents, whose commissions are paid by insurance companies.\u003c/p>\n\u003cp>\u003cstrong>Overall Successful Enrollment May Hide Gaps\u003c/strong>\u003c/p>\n\u003cp>But Asians are not a monolithic group, advocates caution. Doreena Wong is with Advancing Justice in Los Angeles. Her group oversees the single statewide collaborative of community groups that handles outreach to Asians to encourage enrollment on Covered California. She was surprised by the success that brokers have had over community groups in sign-ups. \"I am surprised that is as high as it is,\" Wong said. \"I don't know if that means that most of the enrollees in these communities are English-speaking.\"\u003c/p>\n\u003cp>Community groups have long worried that those with limited-English skills would be left out of Covered California. Wong is concerned that certain immigrant groups who have less experience with insurance or universal health care in their home countries would be harder to reach. \"The united Cambodian community, Indian, Pakistani,\" she said, \"we don't know what the numbers are for those particular sub-groups.\"\u003c/p>\n\u003cp>Yeri Shon, of the Korean Community Center of the East Bay in Oakland, said her group has had great success in signing up the monolingual clients she serves. There's universal health care in Korea, she says, so people are already comfortable with the concept of the government helping out.\u003c/p>\n\u003cp>But she said in regular conference calls with other community groups held to share best practices, she's heard from other advocates who say they are having a harder time. \"The Tongan community leader says teaching the idea of insurance is very difficult,\" Shon said. \"In Tonga, people apparently only go to the hospital when they are really sick.\"\u003c/p>\n\u003cp>\u003cstrong>Mixed-Status Families a Barrier to Enrollment\u003c/strong>\u003c/p>\n\u003cp>While President Obama has insisted that undocumented relatives of people who sign up for insurance \u003ca href=\"http://thehill.com/blogs/healthwatch/health-reform-implementation/201076-obama-makes-o-care-pitch-to-hispanics-the\" target=\"_blank\">will not be deported\u003c/a>, many advocates think this is still a barrier, especially for Latinos. Yet there are almost certainly undocumented Asian immigrants as well, and there does not seem to be the same level of fear. Wong believes that there may be a higher percentage of mixed-status Latino families than Asian families. \"That fear may not be as pervasive (with undocumented Asian immigrants) because the face of immigration is Latino, even though there are high numbers of Asian immigrants.\"\u003c/p>\n\u003cp>\u003cstrong>New Asian Enrollment Likely to Get Tougher\u003c/strong>\u003c/p>\n\u003cp>According to the modeling from UCLA and UC Berkeley, there are an estimated 370,000 Asians in the Covered California pool of potential enrollees. While their enrollment is strong, as of Feb. 28, slightly more than 160,000 had enrolled. Some advocates wonder if the better-educated people have enrolled, if covered California has reached, as Doreena Wong puts it, the \"low-lying fruit.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"As we continue on, it might be more and more challenging and take more effort to reach those who have been discouraged from enrolling or who have had bad experiences,\" Wong said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/18264/insurance-agents-drive-high-asian-enrollment-on-covered-california","authors":["240"],"categories":["stateofhealth_15"],"tags":["stateofhealth_551","stateofhealth_368"],"featImg":"stateofhealth_18279","label":"stateofhealth"},"stateofhealth_13358":{"type":"posts","id":"stateofhealth_13358","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"13358","score":null,"sort":[1372077002000]},"guestAuthors":[],"slug":"confusion-and-resistance-to-obamacare-among-vietnamese","title":"Advocates Prepare for Confusion and Resistance to Obamacare Among Asians","publishDate":1372077002,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cstrong>By Mina Kim, KQED\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_13365\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/06/21/confusion-and-resistance-to-obamacare-among-vietnamese/photo2/\" rel=\"attachment wp-att-13365\">\u003cimg class=\"size-large wp-image-13365\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/06/photo2-620x442.jpg\" alt=\"Doreena Wong will lead a $1 million effort to educate the state's Asian populations on the state-run insurance market Covered California.\" width=\"620\" height=\"442\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Doreena Wong will lead a $1 million effort to educate the state's Asian populations on the state-run insurance market Covered California.\u003c/figcaption>\u003c/figure>\n\u003cp>There's talk the Obama administration will try to enlist the help of NBA players to sell the federal health law to young men. For its part, Covered California, the state’s new health insurance marketplace, plans to spend millions on an ad blitz and social media strategy. But in a state as diverse as California, one of the toughest challenges will be reaching ethnic communities where English is a second language.\u003c/p>\n\u003cp>In Orange County's Little Saigon neighborhood where suburban-style strip malls fill with Vietnamese storefronts, the Affordable Care Act isn’t top of mind.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>“[Vietnamese] know that whatever they think (about health reform), it will turn out to be different,” primary care physician Dr. Dean Ngo said with a laugh. “So they decide not to waste their thinking.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>His colleague, Dr. Mai-Phuong Nguyen, has a different take.\u003c/p>\n\u003cp>“A lot of ethnic communities have great hesitancy to be accepted as part of the mainstream because our collective experience is that we've always been in the margins,” Nguyen said. “ACA is different in that it's saying we do care about you,”\u003c/p>\n\u003cp>Nearly \u003ca href=\"http://advancingjustice-la.org/system/files/Communities_of_Contrast_California_2013.pdf\" target=\"_blank\">one in five\u003c/a> Vietnamese Americans in California is uninsured, and more than half aren’t proficient in English. Researchers at UC Berkeley and UCLA \u003ca href=\"http://www.cpehn.org/pdfs/EligibletoEnrolledBrief.pdf\" target=\"_blank\">estimate \u003c/a>110,000 eligible Californians will miss out on health reform because of language barriers. Nguyen said suspicion about the law will play a role, too.\u003c/p>\n\u003cp>At the busy primary care office where Nguyen works, patient Nikki Dong's opinion on the health law is pretty negative. Dong worries about the cost to taxpayers of covering more people.\u003c/p>\n\u003cp>“It means we have to pay more taxes, we have to work harder,” Dong said. “That's why I think it's kind of a little unfair.”\u003c/p>\n\u003cp>Little Saigon small business owner and former City Councilman Tyler Diep said the Vietnamese business owners he knows are planning to get out of the health law's requirements by laying off staff. Businesses with more than 50 full-time employees are subject to penalties under the Affordable Care Act.\u003c/p>\n\u003cp>“It's not that they don't want to provide health care,” Diep said. “It's just that in order to stay above water, they cannot afford the additional cost.”\u003c/p>\n\u003cp>\u003cstrong>Grassroots Outreach and Education\u003c/strong>\u003c/p>\n\u003cp>The goal of health reform -- to insure more people and keep insurance premiums affordable -- depends on lots of people signing up for coverage. But the Vietnamese community isn't the only Asian community where health reform advocates are expecting to encounter confusion and resistance.\u003c/p>\n\u003cp>“It is overwhelming when we think about how much we need to do,” Doreena Wong said.\u003c/p>\n\u003cp>Wong is with the Asian Pacific American Legal Center in Los Angeles, and is leading an effort to get the state's Asian populations aware of a key piece of health reform: the state-run insurance marketplace Covered California.\u003c/p>\n\u003cp>Wong will use a $1 million grant to educate communities from Sacramento to San Diego on Covered California's health plan options and available tax credits. She'll work with 21 community-based groups to fan out in dozens of neighborhoods, including Chinese, Indian, Thai, Pakistani and Samoan. In many cases outreach workers will teach people about premiums and co-payments.\u003c/p>\n\u003cp>“A lot of our community are immigrants, and so that means that they're not familiar with our health care system,” Wong said. “It's crazy enough for us to navigate our system when we grew up with it, but for somebody coming over from another country, they don't understand what a managed care plan is or why (they) have to get permission to go see a doctor.”\u003c/p>\n\u003cp>Complicating matters, Covered California's online insurance application will be available in English and Spanish. Wong said she and others have been trying to get Covered California officials to change that, but with enrollment opening Oct. 1, they can’t delay outreach. Wong is anxious to get started for other reasons. Immigrant communities are vulnerable to scams.\u003c/p>\n\u003cp>“We want to get the word out and tell them where to go,” Wong said. “Not that little store with the little shingle out there that says ‘I have cheap health insurance,’ which you know will spring up.”\u003c/p>\n\u003cp>\u003cstrong>Pent-up Demand for Health Insurance\u003c/strong>\u003c/p>\n\u003cp>But Little Saigon community health educator Lucy Huynh thinks federal health reform might not be such a tough sell. Huynh is with Orange County Asian and Pacific Islander Community Alliance, one of the groups involved in outreach. The Vietnamese community has long suffered from high rates of lung and liver cancer, and over the years Huynh has been approached many times by people who were rejected by private insurers because they were sick.\u003c/p>\n\u003cp>“They ask me again and again, and I always say someday, someday, I hope that everyone can get health insurance.”\u003c/p>\n\u003cp>\u003cstrong>Listen to the story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\">\u003cparam name=\"movie\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201306240850a.xml\">\u003cembed src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" type=\"application/x-shockwave-flash\" width=\"335\" height=\"85\" flashvars=\"file=http://www.kqed.org/radio/archives/R201306240850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1373397478,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":871},"headData":{"title":"Advocates Prepare for Confusion and Resistance to Obamacare Among Asians | KQED","description":"By Mina Kim, KQED There's talk the Obama administration will try to enlist the help of NBA players to sell the federal health law to young men. For its part, Covered California, the state’s new health insurance marketplace, plans to spend millions on an ad blitz and social media strategy. But in a state as","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Advocates Prepare for Confusion and Resistance to Obamacare Among Asians","datePublished":"2013-06-24T12:30:02.000Z","dateModified":"2013-07-09T19:17:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"13358 http://blogs.kqed.org/stateofhealth/?p=13358","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/06/24/confusion-and-resistance-to-obamacare-among-vietnamese/","disqusTitle":"Advocates Prepare for Confusion and Resistance to Obamacare Among Asians","path":"/stateofhealth/13358/confusion-and-resistance-to-obamacare-among-vietnamese","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Mina Kim, KQED\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_13365\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/06/21/confusion-and-resistance-to-obamacare-among-vietnamese/photo2/\" rel=\"attachment wp-att-13365\">\u003cimg class=\"size-large wp-image-13365\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/06/photo2-620x442.jpg\" alt=\"Doreena Wong will lead a $1 million effort to educate the state's Asian populations on the state-run insurance market Covered California.\" width=\"620\" height=\"442\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Doreena Wong will lead a $1 million effort to educate the state's Asian populations on the state-run insurance market Covered California.\u003c/figcaption>\u003c/figure>\n\u003cp>There's talk the Obama administration will try to enlist the help of NBA players to sell the federal health law to young men. For its part, Covered California, the state’s new health insurance marketplace, plans to spend millions on an ad blitz and social media strategy. But in a state as diverse as California, one of the toughest challenges will be reaching ethnic communities where English is a second language.\u003c/p>\n\u003cp>In Orange County's Little Saigon neighborhood where suburban-style strip malls fill with Vietnamese storefronts, the Affordable Care Act isn’t top of mind.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>“[Vietnamese] know that whatever they think (about health reform), it will turn out to be different,” primary care physician Dr. Dean Ngo said with a laugh. “So they decide not to waste their thinking.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>His colleague, Dr. Mai-Phuong Nguyen, has a different take.\u003c/p>\n\u003cp>“A lot of ethnic communities have great hesitancy to be accepted as part of the mainstream because our collective experience is that we've always been in the margins,” Nguyen said. “ACA is different in that it's saying we do care about you,”\u003c/p>\n\u003cp>Nearly \u003ca href=\"http://advancingjustice-la.org/system/files/Communities_of_Contrast_California_2013.pdf\" target=\"_blank\">one in five\u003c/a> Vietnamese Americans in California is uninsured, and more than half aren’t proficient in English. Researchers at UC Berkeley and UCLA \u003ca href=\"http://www.cpehn.org/pdfs/EligibletoEnrolledBrief.pdf\" target=\"_blank\">estimate \u003c/a>110,000 eligible Californians will miss out on health reform because of language barriers. Nguyen said suspicion about the law will play a role, too.\u003c/p>\n\u003cp>At the busy primary care office where Nguyen works, patient Nikki Dong's opinion on the health law is pretty negative. Dong worries about the cost to taxpayers of covering more people.\u003c/p>\n\u003cp>“It means we have to pay more taxes, we have to work harder,” Dong said. “That's why I think it's kind of a little unfair.”\u003c/p>\n\u003cp>Little Saigon small business owner and former City Councilman Tyler Diep said the Vietnamese business owners he knows are planning to get out of the health law's requirements by laying off staff. Businesses with more than 50 full-time employees are subject to penalties under the Affordable Care Act.\u003c/p>\n\u003cp>“It's not that they don't want to provide health care,” Diep said. “It's just that in order to stay above water, they cannot afford the additional cost.”\u003c/p>\n\u003cp>\u003cstrong>Grassroots Outreach and Education\u003c/strong>\u003c/p>\n\u003cp>The goal of health reform -- to insure more people and keep insurance premiums affordable -- depends on lots of people signing up for coverage. But the Vietnamese community isn't the only Asian community where health reform advocates are expecting to encounter confusion and resistance.\u003c/p>\n\u003cp>“It is overwhelming when we think about how much we need to do,” Doreena Wong said.\u003c/p>\n\u003cp>Wong is with the Asian Pacific American Legal Center in Los Angeles, and is leading an effort to get the state's Asian populations aware of a key piece of health reform: the state-run insurance marketplace Covered California.\u003c/p>\n\u003cp>Wong will use a $1 million grant to educate communities from Sacramento to San Diego on Covered California's health plan options and available tax credits. She'll work with 21 community-based groups to fan out in dozens of neighborhoods, including Chinese, Indian, Thai, Pakistani and Samoan. In many cases outreach workers will teach people about premiums and co-payments.\u003c/p>\n\u003cp>“A lot of our community are immigrants, and so that means that they're not familiar with our health care system,” Wong said. “It's crazy enough for us to navigate our system when we grew up with it, but for somebody coming over from another country, they don't understand what a managed care plan is or why (they) have to get permission to go see a doctor.”\u003c/p>\n\u003cp>Complicating matters, Covered California's online insurance application will be available in English and Spanish. Wong said she and others have been trying to get Covered California officials to change that, but with enrollment opening Oct. 1, they can’t delay outreach. Wong is anxious to get started for other reasons. Immigrant communities are vulnerable to scams.\u003c/p>\n\u003cp>“We want to get the word out and tell them where to go,” Wong said. “Not that little store with the little shingle out there that says ‘I have cheap health insurance,’ which you know will spring up.”\u003c/p>\n\u003cp>\u003cstrong>Pent-up Demand for Health Insurance\u003c/strong>\u003c/p>\n\u003cp>But Little Saigon community health educator Lucy Huynh thinks federal health reform might not be such a tough sell. Huynh is with Orange County Asian and Pacific Islander Community Alliance, one of the groups involved in outreach. The Vietnamese community has long suffered from high rates of lung and liver cancer, and over the years Huynh has been approached many times by people who were rejected by private insurers because they were sick.\u003c/p>\n\u003cp>“They ask me again and again, and I always say someday, someday, I hope that everyone can get health insurance.”\u003c/p>\n\u003cp>\u003cstrong>Listen to the story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\">\u003cparam name=\"movie\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201306240850a.xml\">\u003cembed src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" type=\"application/x-shockwave-flash\" width=\"335\" height=\"85\" flashvars=\"file=http://www.kqed.org/radio/archives/R201306240850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/13358/confusion-and-resistance-to-obamacare-among-vietnamese","authors":["8344"],"categories":["stateofhealth_15"],"tags":["stateofhealth_38","stateofhealth_551","stateofhealth_28","stateofhealth_365"],"featImg":"stateofhealth_13365","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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