By Victoria Clayton
SALINAS, Calif. — This coastal valley made well-known by the novelist John Steinbeck is typically identified affectionately as “America’s salad bowl,” although the planting and harvesting is finished largely by immigrants from Mexico.
For Taylor Farms, a serious world purveyor of packaged salads and reduce greens, that’s made it a logical place to pioneer a novel kind of well being take care of its workforce, one that would have broad utility within the smartphone period: cross-border medical consultations by way of an app.
The corporate is among the many first prospects of a startup referred to as MiSalud, which connects Spanish-speaking Taylor Farms staff to physicians and psychological well being therapists in Mexico. Suppliers aren’t licensed within the U.S. and might’t prescribe drugs however as a substitute function well being coaches who can dispense recommendation and work with a U.S.-based physician if wanted.
Amy Taylor, who has led the corporate’s wellness initiative since 2014 and is the daughter-in-law of firm founder Bruce Taylor, stated about 5,600 of Taylor Farms’ 6,400 staff who work the place MiSalud is presently out there have signed up for the app, and a pair of,300 have used the app not less than as soon as. The service is free for workers and as much as three members of the family.
Amy Taylor stated the corporate hopes the app, which is a part of a broader wellness program, will help staff keep more healthy whereas protecting well being care and different labor prices in verify. She plans a full analysis as soon as this system has been in place for 2 years.
The well being of farmworkers is a serious concern for the state’s agricultural economic system. A 2022 examine led by researchers from the College of California-Merced evaluated the well being of greater than 1,200 farmworkers and located that 37% of males and 47% of girls reported having not less than one power situation, together with frequent circumstances equivalent to diabetes, hypertension, and anxiousness.
Taylor stated her firm’s staff, starting from fieldworkers and drivers to retail packaging and workplace employees, mirror the examine’s findings. She stated predominant well being considerations amongst staff embrace weight problems, hypertension, diabetes, and psychological well being.
“These are the people who are feeding America healthy food,” Taylor stated of the corporate’s staff. “They should also be healthy.”
MiSalud — or “My Health” — was the inspiration of Bismarck Lepe, a serial entrepreneur and Stanford graduate, who hails from a migrant farmworker household. Till age 6, when his household settled in Oxnard, California, they might journey between Mexico, California, and Washington state to reap fruit. He noticed that household and associates typically delayed well being care till they may return to Mexico as a result of the U.S. system was too tough to navigate, and insurance coverage protection too costly or laborious to seek out.
“My mother still prefers to get her health care in Mexico,” Lepe stated. “It’s easier for her.”
Lepe and co-founders Wendy Johansson and Cindy Blanco Ochoa launched MiSalud Well being in 2021 with $5 million from a enterprise capital fund backed by Melinda French Gates’ Pivotal Ventures, which focuses on social-impact investing. It has since added Samsung Subsequent and Ulu Ventures as traders.
MiSalud began out by providing consultations with Mexican physicians for people who downloaded the app, Johansson stated. However folks eager sufficient to seek out the app, obtain it, and join this system themselves weren’t finally those that wanted it most, and in 2023 the corporate pivoted to providing its service to corporations as an worker profit. (People can nonetheless use it too.)
Moreover Taylor Farms, the corporate counts the California metropolis of Lynwood amongst a couple of dozen different purchasers, in accordance with Johansson. MiSalud touted that almost 40% of staff served by its platform say that with out the app they might both have ignored their well being considerations or waited till they may journey to Mexico to see a physician.
Paul Brown, a UC-Merced professor of well being economics who contributed to the college’s farmworker well being examine, warned that telehealth consultations aren’t ample substitutes for in-person care by a major care doctor or a specialist. Nevertheless, “to the extent that these types of programs can kind of link people into more standard care, that’s good,” he added.
Brown stated MiSalud’s strategy may very well be simpler if insurance policies modified to permit Mexican medical doctors to extra simply deal with sufferers within the U.S. A California program begun in 2002 permits Mexican medical doctors to journey to the Salinas Valley and different closely Latino communities and deal with sufferers, however cross-border telemedicine, even between states, stays restricted.
Even so, Taylor Farms staff say the app has been useful. Rosa “Rosita” Flores, a line supervisor with the corporate’s retail operations, stated she determined to provide MiSalud a strive after co-workers raved about it.
A current firm wellness truthful, partly sponsored by MiSalud, had alerted her to the significance of monitoring her blood sugar and blood strain ranges, so she booked an appointment on the app to debate it. “The app is very easy to use,” she stated in Spanish. When she needed to cancel a video chat after her daughter bought sick, the well being coaches adopted up by textual content.
Proponents of cross-border drugs say the strategy helps bridge linguistic and cultural limitations in well being care. Virtually half of all U.S. immigrants — about two-thirds of whom are native Spanish audio system — have restricted proficiency in English, and analysis has repeatedly proven that language limitations typically discourage folks from searching for care.
For instance, Alfredo Alvarez, a MiSalud well being coach who’s a licensed doctor in Mexico, pointed to perception in el mal de ojo, or the “evil eye” — the concept a jealous or envious look by somebody may cause hurt, particularly to youngsters. An American physician could be dismissive of the notion, however he understands.
“This isn’t uncommon here,” he stated of Mexico. “It’s a belief in traditional medicine.”
It’s not that Alvarez encourages his socios, or members, to cross an egg over the kid or make the kid put on a particular bracelet — conventional methods of diagnosing and treating el mal de ojo. Fairly, he acknowledges their traditions and steers them to evidence-based drugs.
MiSalud’s coaches can attempt to break stereotypes as nicely. For instance, Alvarez stated, a Mexican reverence for machismo can translate to the concept “men don’t do doctor visits.” In the meantime, he stated, girls might overlook their well being in prioritizing different members of the family’ wants.
Coaches additionally attempt to take away the stigma round searching for psychological well being therapy. “A lot of our socios have been extremely uncomfortable with or wary of mental health professionals,” stated Rubén Benavides Crespo, a MiSalud psychological well being coach who’s a licensed psychologist in Mexico.
The app tries to interrupt by way of by making it straightforward to guide counseling appointments and asking questions equivalent to whether or not somebody has bother sleeping, relatively than invoking extra worrisome or probably stigmatizing phrases like anxiousness or melancholy.
MiSalud representatives say the app noticed a 50% enhance in requests for psychological well being assist following the November presidential election. A extra frequent request, nonetheless, is grief counseling, typically following the lack of a cherished one.
“Loss requires adaptation,” Benavides stated.
For Sam Chaidez, director of operations for a Taylor Farms location in Gonzales, MiSalud is a welcome addition for weight administration. The son of fieldworkers, Chaidez graduated from UC-Davis and returned to the Salinas Valley to work for the corporate in 2007.
In 2019, Chaidez, a brand new dad or mum on the time, started to know his danger for diabetes and different well being issues due to Taylor Farms’ wellness program. By way of weight loss plan and train and, extra not too long ago, teaching by MiSalud, Chaidez has shed 150 kilos.
Chaidez encourages co-workers to stroll with him at lunch, and he credit MiSalud coaches for serving to him hold the burden off and keep wholesome. “It’s been a great help,” he stated.
This text was produced by KFF Well being Information, which publishes California Healthline, an editorially unbiased service of the California Well being Care Basis.
KFF Well being Information is a nationwide newsroom that produces in-depth journalism about well being points and is among the core working applications at KFF—an unbiased supply of well being coverage analysis, polling, and journalism. Study extra about KFF.
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This story might be republished without cost (particulars).
KFF Well being Information is a nationwide newsroom that produces in-depth journalism about well being points and is among the core working applications at KFF—an unbiased supply of well being coverage analysis, polling, and journalism. Study extra about KFF.
Subscribe to KFF Well being Information’ free Morning Briefing.
This text first appeared on KFF Well being Information and is republished right here underneath a Artistic Commons license.
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