Definitions and Overview
A migrant farmworker is defined as an individual who is required to be absent from a permanent place of residence for the purpose of seeking employment in agricultural work. Migrant farmworkers are also called migratory agricultural workers. Seasonal farmworkers are individuals who are employed in temporary farmwork but do not move from their permanent residence to seek farmwork; they may also have other sources of employment.
There are between 1 and 2.5 million hired farmworkers in the US.1 About a half million of those are under the age of 18. Seventy-eight percent are male, and 22 percent are female. On average, hired farmworkers are young and predominantly Latino, have limited formal education, are foreign-born, and speak limited to no English. About half have authorization to work in the United States.1
Worker-related Injuries and Illnesses
Today, migrant farmworkers still suffer mortality and morbidity rates greater than the majority of the American population, due in part to the combination of poverty, limited access to health care, hazardous working conditions, and the lack of regulations. Agriculture remains one of the most hazardous occupations in the US. In 2013, the fatality rate for agriculture, forestry, fishing and hunting dropped to 23.2/100,000 but still remained strikingly higher than the overall industry fatality rate of 3.3/100,000. Hispanic workers are more likely than other ethnic groups to be involved in a fatal occupational injury, and recent years’ data has shown increases in fatal work injuries involving Hispanic or Latino workers.2 Farmworkers experience a range of occupational health injuries and illnesses including musculoskeletal strains, lacerations, falls, trauma, exposure to pesticides and other chemicals, heat and cold extremes, and exposure to sun, irritants, and allergens. (Please visit our Environmental and Occupational Health page for more on work injuries in mobile populations.)
Many migrant farmworkers have their permanent residence in the US, moving from one location to another during the warmer months, and returning to their homebase in the winter. Every year, roughly 50,000 to 100,000 additional workers are given temporary foreign certification through the federal H2A program, which brings temporary workers into the US for a specified amount of time, after which they return to their country of origin.3 Still others attempt an unauthorized crossing of the US-Mexico border every year, in order to secure seasonal work and return to their home country after the completion of work.
Health Care Access
All migrant farmworkers who are lawfully present in the US, including H2A workers, may receive coverage under the Affordable Care Act and are in fact mandated to have minimal essential coverage. Legal farmworkers whose annual income is below 138% of the federal poverty line may receive health care through Medicaid; those above 138% may be eligible for subsidized insurance due to their low incomes.4 Because of their temporary status, their employers are not required to provide health insurance by the ACA. Workers who are unauthorized cannot receive health insurance through the ACA, and may have difficulty in purchasing private health insurance in the US. (In some states, unauthorized pregnant women and children may obtain health care services; see our Women’s Health page for more on prenatal and child health care.) The impact of the ACA on migrant farmworkers’ access to health care remains unclear. Recent farmworker focus groups conducted by Farmworker Justice indicated that farmworkers continue to be unable to access health insurance due to immigration status, affordability, or exemptions for seasonal work under the employer mandates. Many eligible migrant workers found the enrollment process lengthy and complicated, the application itself a barrier for non-citizen applicants. For those who are enrolled in health insurance, high co-pays and deductibles, and lack of familiarity with the US health care system may discourage some agricultural workers from using their health insurance, according to the focus groups.7 Additionally, migratory status can interfere with the ability to remain in care. Read more about the health care barriers of migrant workers on our Migrant Health Overview page. Learn more about MCN’s position on health care access and health justice on our Advancing Health Justice page.
Many community health centers across the country receive funding from the Health Resources and Services Administration (HRSA) Migrant Health Center Program, specifically to care for migrant and seasonal farmworkers. In recent years, HRSA-funded health centers have served almost a million agricultural workers and their families.
Farmworkers Feed Us All: The Labor and Health of Migrants in Maine
The following slideshows illuminate the daily lives of migrant farmworkers associated with the Maine Migrant Health Program, a 501(c)3 nonprofit that provides primary care to farmworkers in Maine through mobile medical units and outreach. The slideshows, entitled “Farmworkers Feed us All,” feature photos by Earl Dotter and audio recordings by Tennessee Watson. Please visit the Maine Migrant Health Program for more information on their programs.
A Photography Exhibit
by Earl Dotter and Tennessee Watson
They are the backbone of the agricultural economy. Without them we wouldn’t have the nourishing food that keeps us healthy and productive.