An interesting article in this week's New England Journal of Medicine discusses the impact of the Affordable Care Act on illegal immigrants.  The author, who is at the University of North Carolina School of Medicine in Chapel Hill, says:  In my practice in the teaching clinic of a family medicine residency program, I see many patients who are expected to benefit from the expansion of insurance access. Working-class people with costly chronic illnesses who do not qualify for Medicaid and have not reached the Medicare eligibility age will be ushered into the insurance pool and removed from our health care system's list of charity cases. In our practice, there is hope that it will become easier to serve patients who are currently uninsured. I'm quite certain that the care of uninsured citizens is far from ideal, and that libraries of statistics show how their care is fragmented, wasteful, and substandard.    And yet the author sees them in his clinic...at least...(Read Full Post)