Health Risks To Farmworkers Increase As Workforce Ages

Dec 1, 2017
Originally published on December 5, 2017 3:56 pm

That bag of frozen cauliflower sitting inside your freezer likely sprang to life in a vast field north of Salinas, Calif. A crew of men and women here use a machine to drop seedlings into the black soil. Another group follows behind, stooped over, tapping each new plant.

It is backbreaking, repetitive work. Ten-hour days start in the cold, dark mornings and end in the searing afternoon heat.

More than 90 percent of California's crop workers were born in Mexico. But in recent years, fewer have migrated to the U.S., according to the U.S. Department of Labor. Researchers point to a number of causes: tighter border controls; higher prices charged by smugglers; well-paying construction jobs and a growing middle-class in Mexico that doesn't want to pick vegetables for Americans.

As a result, the average farmworker is now 45 years old, according to federal government data. Harvesting U.S. crops has been left to an aging population of farmworkers whose health has suffered from decades of hard labor. Older workers have a greater chance of getting injured and of developing chronic illnesses, which can raise the cost of workers' compensation and health insurance.

"The slowdown is happening," says Brent McKinsey, a third-generation farmer and one of the owners of Mission Ranches in Salinas. "You start to see your production drop, but it's difficult to manage because there aren't the younger people wanting to come in and work in this industry."

After a long day hunched over, cutting and bunching mustard leaves, Gonzalo Picazo Lopez, a farmworker, says the pain shooting down his leg is acting up. Lopez has been working in the fields since the 1970s, when he crossed over from Mexico. At 67 years old, he looks timeworn, with silver hair and a white beard. Deep lines mark his face.

As Lopez describes how he carefully picks the leaves with his right hand and bunches with his left, he opens and closes his fingers with difficulty.

"In 2015 my left hand started to hurt," says Lopez. "I went into work one morning and my hand was cold — ice cold."

Lopez is a U.S. citizen and has Medicare. He hopes to work for almost another decade, until his wife, who is 61 and picks broccoli, can collect her Social Security.

Chronic pain is a common complaint at Clinica de Salud in Salinas. Nearly all of the patients at this community clinic are farmworkers. Many don't have health insurance and pay what they can for medical care. Those fortunate enough to have immigration papers, rely on Medicaid.

Oralia Marquez, a physician's assistant at the clinic, says older farmworkers often develop arthritis, back pain, foot infections and breathing problems from pesticides.

Many of her patients, like Amalia Buitron Deaguilera are also struggling with diabetes. Deaguilera is 63. She has Medicaid for insurance, but she's losing her vision from the disease.

"When I was working in fields," says Deaguilera, "I never had time to take care of myself and my health."

Workers in the fields who have diabetes often cannot take their insulin because they have no place to refrigerate it, says Marquez. And they miss doctors' appointments during the busy harvesting seasons because many don't get paid when they don't work.

"Most of our patients want just something to relieve the pain and to continue working," she says. "Most of the time they don't ask for disability. They don't ask for days off. They say they don't have time to miss days."

Field laborers often delay health care, and that can lead to serious medical problems. Compared to older whites, older Latino farmworkers are much more likely to end up in the hospital, according to researchers at the Central Valley Health Policy Institute at California State University, Fresno.

Faced with an aging and dwindling workforce, Mission Ranches' McKinsey says farmers are trying to mechanize planting and harvesting to reduce their labor needs.

But machines can only do so much, McKinsey says. You can replace the human hand in a factory, perhaps. But out here, the fields are bumpy and the winds are strong and you need people to bring the plants to life.

Sarah Varney is a senior national correspondent at Kaiser Health News, an editorially independent news service that is part of the nonpartisan Henry J. Kaiser Family Foundation.

Copyright 2017 Kaiser Health News. To see more, visit Kaiser Health News.

KELLY MCEVERS, HOST:

President Trump often talks about getting tough on illegal immigration, especially along the U.S.-Mexico border. But authorities actually have been clamping down on that since the administration of President George W. Bush. And that has led to some unexpected results, among them the farm workers who are harvesting the nation's crops are overall older and struggling with health problems caused by decades of physical labor. Sarah Varney has our story.

SARAH VARNEY: That bag of frozen cauliflower sitting inside your freezer likely sprang to life here in a vast field north of Salinas, Calif. A crew of men and women use a machine to drop seedlings into the black soil. Another group follows behind stooped over, tapping each new plant. It's back-breaking, repetitive work, 10-hour days that start in the cold, dark mornings and end in the searing afternoon heat.

Brent McKinsey, a third-generation farmer and one of the owners at Mission Ranches, surveys his freshly planted fields. He has over 7,500 acres here and grows vegetables for major retailers like Costco and Walmart. But with fewer younger farmworkers coming from Mexico, McKinsey relies largely on older immigrants, who after years of demanding physical work are aging and slowing down.

BRENT MCKINSEY: The slowdown is happening. You could just see your production drop. But it's difficult to really manage because there's not - the younger people aren't wanting to come in and work in this industry.

VARNEY: Gonzalo Picazo Lopez limps down a side street in Salinas.

GONZALO PICAZO LOPEZ: (Speaking Spanish).

VARNEY: After a long day hunched over cutting and bunging mustard leaves, the pain shooting down his leg is acting up. Lopez has been working in the fields since the 1970s, when he crossed over from Mexico. At 67 years old he looks time-worn with silver hair and a white beard. Deep lines mark his face.

LOPEZ: (Speaking Spanish).

VARNEY: As Lopez describes how he carefully picks the leaves with his right hand and bunches with his left, he opens and closes his fingers with difficulty.

LOPEZ: (Speaking Spanish).

UNIDENTIFIED WOMAN #1: He says that in 2015 his left hand started to hurt. He went into work one morning and his hand was cold - ice cold.

VARNEY: Lopez is now a citizen and has Medicare. He hopes to work for almost another decade until his wife, who is 61 and picks broccoli, can collect her Social Security. Chronic pain is a common complaint at Clinica de Salud in Salinas. Nearly all of the patients at this community clinic are farm workers or their children. Many don't have health insurance and pay what they can for medical care. Those fortunate enough to have immigration papers rely on Medicaid.

(SOUNDBITE OF KNOCKING)

ORALIA MARQUEZ: (Speaking Spanish).

UNIDENTIFIED WOMAN #2: (Speaking Spanish).

MARQUEZ: (Speaking Spanish).

VARNEY: Oralia Marquez, a physician's assistant here, says older farmworkers often develop arthritis, back pain, foot infections and breathing problems from pesticides.

AMALIA BUITRON DEAGUILERA: (Speaking Spanish).

MARQUEZ: (Speaking Spanish).

VARNEY: Many of her patients, like Amalia Buitron Deaguilera, are also struggling with diabetes. Deaguilera is 63. She has Medicaid for insurance, but she's losing her vision from the disease.

MARQUEZ: When she was working in the fields she never had time to take care of herself, herself and her health.

VARNEY: Health workers in the fields often can't take their insulin because they have no place to refrigerate it, says Marquez. And they miss doctor's appointments during the busy harvesting seasons because many don't get paid when they don't work.

MARQUEZ: Most of our patients want just something to relieve from the pain and to continue working. Most of the time they don't ask for disability. They don't ask for days off. They say that they don't have time to miss days.

VARNEY: Field laborers often delay care, which can lead to serious medical problems. Older Latino farmworkers are much more likely to end up in the hospital compared to older whites, according to researchers at the Central Valley Health Policy Institute at Fresno State.

Back at Mission Ranches, owner Brent McKinsey says faced with an aging and dwindling workforce, farmers are trying to mechanize planting and harvesting and reduce their labor needs.

MCKINSEY: The guys would come up to this piece of sprinkler pipe.

VARNEY: But machines can only do so much, he says. You can replace the human hand in a factory perhaps. But out here the fields are bumpy and the winds are strong, and you need people to bring the plants to life. I'm Sarah Varney in Salinas, Calif.

ROBERT SIEGEL, HOST:

Sarah Varney is with our partner, Kaiser Health News. Transcript provided by NPR, Copyright NPR.