Seeking care in any type of healthcare facility is not usually any individual's favorite activity. It is probably seen as a “necessary evil,” something that needs to be done but is not expected in a pleasant way. Making the encounter between healthcare provider and client useful and therapeutic is a challenge. The biggest problems in dealing with uninsured clients are continuity of care and collecting payment for services. For those living in poverty, this is especially true. In my research, the only constant expressed by clients about visiting the doctor was embarrassment, fear, anger, and anxiety. Embarrassment at not having health insurance, fear of unknown procedures and diagnoses, anger at being in such a vulnerable position, and anxiety about costs, payment obligations, and the impact on the family budget. A help conversation is a conversation between a professional healthcare provider and a person in need and is a common communication tool in any healthcare setting. Three components of the helping interview are 1) mutual orientation of the professional and client, 2) identification of the client's problem, and 3) resolution of the client's problem (Tamparo and Lindh). Control is a critical factor in the help interview and should not be abused. The helping conversation clearly involves people in an unequal partnership. Clients should be empowered as much as possible by the help interview experience, as empowered clients are likely to participate more fully in their care and return to health more quickly (Tamparo and Lindh). The client with financial difficulties already feels inadequate, useless, helpless, embarrassed, afraid and angry. So the interview may not be illicit... middle of paper... to ensure basic survival needs. Research shows that racial or ethnic minorities have, on average, poorer access to health insurance and healthcare than those who are white. Despite cultural diversity, race, ethnicity, or religion, understanding the roles of citizenship status and language is important to develop policies that help reduce disparities in health coverage and access. A person's citizenship status (for example, citizen, legal immigrant, or undocumented alien) affects eligibility for benefits such as Medicaid or the State Children's Health Insurance Program (SCHIP) and ability to obtain a job that offers health insurance benefits. English proficiency affects a person's ability to communicate in our English-dominant society and, more specifically, to discuss medical problems with a doctor or nurse or to complete an insurance application.