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One third of the institutionalized elderly suffer from this condition. Incontinence sufferers, however, often hesitate to ask their doctors for help because they are embarrassed or ashamed. The 1993 American survey discovered that only one sixth of those experiencing soiling had sought medical advice, and only one half of those afflicted with gross ..

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“If I make less than what I make to try to qualify for the government program, how could I pay my rent?”Jaden ambivalence demonstrates the cultural and language hurdles that California and several other states are facing as they build exchanges or health insurance marketplaces try to expand coverage to ethnic and hard to reach populations.California has the largest minority population of any state, about 22.3 million people. That followed by Texas with 13.7 million, New York with 8.1 million, Florida with 7.9 million and Illinois with 4.7 million.In Illinois, where nearly 1.2 million residents don speak English well, the task of translating information about the health care overhaul into other languages has fallen to nonprofit groups and community organizations.”So far it fallen to us, and we don know what (the state capacity will be to go beyond Spanish,” said Stephanie Altman of Health and Disability Advocates.The state intends to submit an outreach plan to the federal government this spring. Illinois officials expect federal grant money eventually will be available to help reach non English speakers, said Mike Claffey, a spokesman for Democratic Gov.