Proposed 'Public Charge' Rule Poses Danger to Individuals, Communities

Monday, September 24, 2018

Statement attributable to:
Michael Munger, MD
American Academy of Family Physicians

"The proposed regulation that changes long-standing rules governing how and whether immigrants can be determined to be a ‘public charge’ poses a danger to the health of individuals and communities. With such a change, the proposed rule would open the door to fundamentally alter our immigration process based on potential future economic factors versus the merits of the individuals’ request for legal status.

"Family physicians’ greatest concern about this proposed rule is that, regardless of their immigrant status, patients will risk their own health and safety—and that of the community—by avoiding needed health services from their trusted doctors. Not only does this scenario endanger public health, but it also lays the groundwork for higher health spending at the expense of U.S. taxpayers. Delaying necessary care can lead to worsening conditions and complications that require more complex and costly medical treatment.

"The American Academy of Family Physicians urges the administration to abandon this effort and to work with health care professionals to ensure broader access, improved quality and more affordable care to help build resilient communities with healthy families."

Editor's Note: To arrange an interview with Dr. Munger, contact Leslie Champlin, (800) 274-2237, Ext. 6252, or

# # #

Founded in 1947, the American Academy of Family Physicians represents 134,600 physicians and medical students nationwide, and it is the only medical society devoted solely to primary care.

Family physicians conduct approximately one in five of the total medical office visits in the United States per year – more than any other specialty. Family physicians provide comprehensive, evidence-based, and cost-effective care dedicated to improving the health of patients, families and communities. Family medicine’s cornerstone is an ongoing and personal patient-physician relationship where the family physician serves as the hub of each patient’s integrated care team. More Americans depend on family physicians than on any other medical specialty.

To learn more about the AAFP and family medicine, visit Follow us on Twitter,( and like us on Facebook. For information about health care, health conditions and wellness, visit the AAFP’s award-winning consumer website,