Seeking care in any type of healthcare facility is generally not an individual's favorite activity. It is probably a “necessary evil,” something that must be done but is not pleasantly anticipated. Making the encounter between healthcare professional and client both useful and therapeutic is a challenge. The major issues in treating uninsured clients are continuity of care and collection of payments for services. For those living in poverty, this is especially true. In my research, the only constant the client expressed about their visit to the doctor was embarrassment, fear, anger, and anxiety. Embarrassment at not having health insurance, fear of unknown procedures and diagnosis, anger at being in such a vulnerable position, and anxiety about the cost, payment obligations, and impact on the family budget. A help talk is a conversation between a professional healthcare professional and a person in need and is a common communication tool in any healthcare setting. The three components of the helping interview are 1) orientation of the professional and the client towards each other, 2) identification of the client's problem and 3) resolution of the client's problem (Tamparo & Lindh). Control is a critical factor during the counseling interview and should not be overused. Help talk clearly involves people in an unequal partnership. Clients should be empowered as much as possible through the experience of the helping encounter, because empowered clients are likely to participate more fully in their care and return to health more quickly (Tamparo & Lindh). The financially distressed client already feels inadequate, worthless, helpless, embarrassed, scared, and angry. Maintenance therefore cannot be illicit ...... middle of paper ...... to guarantee basic survival needs. Research shows that racial or ethnic minorities have, on average, more difficult access to health insurance and health care than racial or ethnic minorities. those who are white. Regardless of cultural diversity, race, ethnicity, or religion, understanding the roles of citizenship status and language is important in developing policies to reduce disparities in coverage and provision. access to health care. A person's citizenship status (e.g., citizen, legal immigrant, or undocumented alien) affects eligibility for benefits such as Medicaid or the State Children's Health Insurance Program (SCHIP) and the ability to obtain a job offering health insurance benefits. Proficiency in English affects a person's ability to communicate in our English-dominant society, and specifically, to discuss medical issues with a doctor or nurse or complete an insurance application..