This paper adds to and complements the existing literature on language access by focusing on the perspective of the consumer, including their own descriptions of how language affects enrollment in insurance and use of health care services and the strategies used to reduce the impact of limited English language skills. Data reported in this paper comes from a study of New York City children in lower-income immigrant families who were uninsured or who had gaps in insurance during the prior two years. The focus of the study was on three immigrant populations: Latinos, Russian-speaking immigrants from the former Soviet Union, and Haitians.
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