Racial Equity and Health Policy

Survey of Immigrants

KFF-New York Times Survey: Immigrants Report Rising Fear, Negative Economic and Health Impacts, and Changing Political Views During the First Year of President Trump’s Second Term

The 2025 Survey of Immigrants, a partnership between KFF and The New York Times, takes an in-depth look at the experiences of immigrants during the first year of President Trump’s second term, including their worries related to increased immigration enforcement, their health and economic wellbeing, and the political views and preferences of immigrant voters. The survey paints a portrait of families under strain — where fear of detention and economic instability are negatively impacting immigrants’ health and reshaping immigrant families’ daily lives and views of U.S. political parties.

Read the News Release | Explore The New York Times’ Reporting

the Essentials
  • Disparities in Health and Health Care: 5 Key Questions and Answers

    This brief provides an introduction to what health and health care disparities are, why it is important to address them, what the status of disparities is today, recent federal actions to address disparities, and key issues related to addressing disparities in the future.
  • Timeline: How History Has Shaped Racial and Ethnic Health Disparities

    This timeline offers a historical view of significant U.S. federal policies and events spanning the early 1800s to today that have influenced present-day health disparities.
  • Health Policy 101: Chapter on Race, Inequality and Health

    Addressing persistent racial and ethnic disparities in health and health care is important for improving the nation’s health and economic prosperity. KFF explains such disparities and the factors that drive them, examines the actions to address them, and outlines future considerations.
  • Key Data on Health and Health Care by Race and Ethnicity

    Racial and ethnic disparities in health and health care remain a persistent challenge in the United States. An updated KFF resource examines how people of color fare compared to White people across 64 measures of health, health care, and social determinants of health.

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  • KFF Briefing Examines Progress and Remaining Challenges for the Health Care Systems in Puerto Rico and U.S. Virgin Islands Six Months After Hurricanes Irma and Maria

    News Release

    Six months after hurricanes Irma and Maria made landfall across Puerto Rico and the U.S. Virgin Islands, local officials described progress but also a long road to full recovery of the U.S. territories’ health care systems, economies and infrastructure during a public briefing Monday at the Kaiser Family Foundation’s Washington D.C. offices.

  • Vivir en una Familia de Inmigrantes en los Estados Unidos: Cómo el Miedo y el Estrés Tóxico Están Afectando la Vida Diaria, el Bienestar y la Salud

    Issue Brief

    Este informe examina las experiencias de los padres y hijos de inmigrantes, incluidos los inmigrantes indocumentados y aquellos legalmente presentes, con las nuevas restricciones de inmigración y el aumento de las leyes de inmigración siendo perseguidos por la Administración de Trump que están reformando la política de inmigración del EE.UU.. Realizamos grupos focales con 100 padres de 15 países y 13 entrevistas con pediatras para obtener una idea de cómo el ambiente actual está afectando la vida diaria, el bienestar y la salud de las familias inmigrantes, incluidos sus hijos.

  • Living in an Immigrant Family in America: How Fear and Toxic Stress are Affecting Daily Life, Well-Being, & Health

    Issue Brief

    This brief examines the experiences of immigrant parents and children, including immigrants who are undocumented and those lawfully present, with the new restrictions on immigration and increased immigration enforcement being pursued by the Trump Administration that are reshaping U.S. immigration policy. Findings are based on focus groups in eight cities and four states with 100 parents in immigrant families from 15 countries, as well as telephone interviews with 13 pediatricians who serve immigrant communities.

  • Poll: 7 in 10 Black Americans Say They Have Experienced Incidents of Discrimination or Police Mistreatment in Their Lifetime, Including Nearly Half Who Felt Their Lives Were in Danger

    News Release

    Most of the Public Favor a Range of Police Reforms to Curb Excessive Force, though Partisan Gaps Exist on Some Key Proposals Amid nationwide protests against racial bias in law enforcement and beyond, a new KFF poll finds that the vast majority (71%) of Black Americans say they’ve experienced some form of racial discrimination or…

  • Among Non-Elderly Adults, Low-Income, American Indian/Alaska Native and Black Adults Have Higher Risk of Developing Serious Illness if Infected With Coronavirus

    News Release

    Among non-elderly adults, American Indian/Alaska Native and Black adults are more likely than Whites to be at higher risk of serious illness if infected with the new coronavirus -- chiefly due to a higher prevalence of underlying health conditions and longstanding disparities in health care and other socio-economic factors, according to a new KFF analysis.

  • Key Health Implications of Separation of Families at the Border (as of June 27, 2018)

    Fact Sheet

    This fact sheet examines key health implications of separating immigrant children from their parents at the border, as of June 27, 2018. The practice came to light after implementation of the Trump Administration's zero tolerance policy for individuals entering into the U.S. without authorization. Research shows that separating children from their parents exposes them to trauma and toxic stress that can have lifelong impacts on their health.

  • Potential Effects of Public Charge Changes on Health Coverage for Citizen Children

    Issue Brief

    The Trump Administration is pursuing changes that, for the first time, would allow the federal government to take into account use of Medicaid, CHIP, subsidies for Marketplace coverage and other health, nutrition, and non-cash programs when making public charge determinations. These changes would likely lead to decreased participation in Medicaid, CHIP, Marketplace coverage, and other programs among legal immigrants and their citizen children, even though they would remain eligible.

  • Atención de salud en Puerto Rico y las Islas Vírgenes de los Estados Unidos: una revisión, a seis meses de las tormentas (Informe)

    Issue Brief

    Puerto Rico y las Islas Vírgenes de los Estados Unidos (USVI) sufrieron daños significativos en su infraestructura y sistemas de salud a causa del impacto de los huracanes Irma y María en septiembre de 2017. Basándose en entrevistas con residentes, partes interesadas clave, y en informes públicos, este informe proporciona una visión general del estado de los esfuerzos de recuperación, a seis meses de las tormentas, con un enfoque en los sistemas de atención médica.

  • Nearly 20 Million Children Live in Immigrant Families that Could Be Affected by Evolving Immigration Policies

    Issue Brief

    President Trump has intensified national debate about immigration by implementing policies to enhance immigration enforcement and restrict legal immigration. Recent findings show that the climate surrounding these policies has significantly increased fear and uncertainty among immigrant families, broadly affecting families across different immigration statuses and locations. The effects extend to lawfully present immigrants, including lawful permanent residents or “green card” holders, and children in immigrant families, who are predominantly U.S.-born citizens. In particular, findings point to both short- and long-term negative consequences on the health and well-being of children in immigrant families.
    Potential changes to public charge policies intended to reduce use of public programs by immigrant families, including their citizen children, could further increase strains on immigrant families and lead to losses in health coverage. To provide insight into the scope of potential impacts of continually evolving immigration policy on children, this data note provides nationwide and state-level estimates (Table 1) of citizen children living in immigrant families and the number currently covered by Medicaid/CHIP coverage.