An international exchange program can involve a change in nutritional routines, causing symtoms of Bulimia and Anorexia to develop or to spin out of control. It is possible though for participants with Bulimia or Anorexia to successfully complete international exchange, whether they come into the program with a diagnosed condition or if they develop symptoms after departure.
In the cafeteria lunch line of the Cité Scolaire Albert Camus, I stood between two high school teachers and a small group of giggling junior high girls who recognized me as “elle,” or “her”— the American girl who was spending a year as an English language assistant. Shyly, one of the girls dared to test out her English skills, and tentatively offered a greeting, “Hello?”
With a deep-fried scorpion staring at me from the end of my chopsticks, I couldn't help but think how this delicacy in China would stump even my best diabetes doctors in the United States. How much insulin does my body require for a scorpion?!
Many study abroad programs are moving to an online application system which also means collecting confidential or sensitive disability and health history information.
Participants who receive funding for a personal assistant through Medicaid or other government support are not able to use that funding once outside their home country. Travel insurance companies typically do not pay for personal assistants for daily care overseas or durable medical equipment that is not related to a first occurrence of an illness or injury overseas.
Since these costs are unlikely to be covered for people with existing needs, exchange programs or institutions should work with a participant to cover the costs.
By removing health insurance barriers, you can support diverse students to safely participate in your international exchange programs.With these options in place, it shouldn’t prevent qualified individuals from participating in exchanges and alleviate some of the difficult health cost issues that exchange staff and students need to deal with during the program.
Plans offered to international exchange participants for less than a year of coverage are not fully licensed products so changes to U.S. health laws through the Patient Protection and Affordable Care Act (ACA) do not apply. These plans can increase costs, have pre-existing condition exclusions, or deny enrollment to an individual based on health status.
Most international exchange participants are issued a J-1 or F-1 visa in order to enter the United States. Most of the rules and regulations for visas are the same for participants with or without disabilities, but there are also some additional considerations that people with disabilities should know. Find out how visa regulations may be impacted by a chronic illness, a pre-existing health condition, or personal assistance.
“If I expect the program to fully include me, then I need to provide them with as much information as possible," says Betsy Valnes, who has a brain injury and has participated in several overseas programs. "In my experience, people are more understanding about my need to excuse myself for a while if they know my reasons for fatigue."
I’ve gone in a shed, I’ve gone in the forest and I’ve gone in the middle of the desert. I’ve gone on top of a mountain, and yes, ladies and gentlemen, I have gone behind a bus.
Some international programs make it a policy to include a confidential health history and clearance form signed by a medical provider and/or an accommodation request form in the acceptance packet sent to each participant. These forms encourage the individual to talk with the medical provider about what is needed while on the program, and allows participants the option to disclose disability information and request accommodations they may require while abroad with the program staff.