At an Institute for Family Health center near Union Square in New York City, medical student Sara Stream asks a new patient named Alicia what brings her in. The 34-year-old woman arrived last summer from Guatemala, and says she hasn't been seen by a doctor in many years.
Her list of ailments is long.
"I have trouble seeing, headaches, problems with my stomach," says Alicia, who declined to use her full name, because she is in the country illegally. "I feel depressed."