Asian Health

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Finding a Nursing Home When you Don’t Speak the Language

teri lim photo

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)

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 a stroke two years ago, Lim started searching for a place to give her mom around-the-clock care. 

By Teri Lim

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.

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.

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Insurance Agents Drive High Asian Enrollment on Covered California

Covered California application in Chinese.

Covered California application in Chinese.

While Latino enrollment has lagged in Covered California enrollments, Asians have signed up on the state’s marketplace in numbers outstripping their representation in the insurance pool. 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.

There is no charge to consumers who work with agents, whose commissions are paid by insurance companies.

Since January, Asians have been enrolling in strong numbers. People of Asian descent make up about 14 percent of the Covered California pool, according to estimates compiled by the UCLA Center for Health Policy Research and the UC Berkeley Labor Center. Starting with the first release of demographic data in January, Asians were already on target, reaching 13.5 percent of all enrollees. In the most recent data from Covered California, which comprised enrollment from Oct. 1 to Feb. 28, Asians made up 22.9 percent of all enrollees.

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, Covered California says: Continue reading

Advocates Prepare for Confusion and Resistance to Obamacare Among Asians

By Mina Kim, KQED

Doreena Wong will lead a $1 million effort to educate the state's Asian populations on the state-run insurance market Covered California.

Doreena Wong will lead a $1 million effort to educate the state’s Asian populations on the state-run insurance market Covered California.

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.

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.

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