Migrant farmworkers represent one of the most marginalized and underserved populations in the United States. Acculturation theory cannot be easily mapped onto the transnational experience of migrant farmworkers, who navigate multiple physical and cultural spaces yearly, and who are not recognized by the state they constitute, “the Citizen’s Other” (Kerber, 2009). This paper utilizes narrative analysis of a case study to illustrate, through the relationship of the narrator to migrant farmworkers and years of participant observation by the coauthors, how isolation from family and community, as well as invisibility within institutions, affect the health and well-being of migrant farmworkers in southeastern Georgia. Invisibility of farmworkers within institutions, such as health care, the educational system, social services, domestic violence shelters, and churches contribute to illness among farmworkers. The dominant American discourse surrounding immigration policy addresses the strain immigrants put on the social systems, educational system, and the health care system. Nurses who work with farmworkers are well positioned to bring the subjective experience of farmworkers to light, especially for those engaged with socially just policies. Those who contribute to the abundant agricultural produce that feeds Americans deserve the recognition upon which social integration depends. 1. Introduction The agricultural industry in the Southeast of the United States is an important contributor to the economy of the region. The industry relies on the manual labor of farmworkers who plant and harvest crops, work in packing houses, processing plants, and preparation facilities associated with farms [1]. The majority of farmworkers in the southeastern United States are migrants from Latin America, with some representation from other regions [2]. A migrant farmworker is defined as an individual whose principal employment (at least 51%) is in agriculture on a seasonal basis and lives in temporary housing (US Code, Public Health Services Act, “Migrant Health”). Currently, there are over 3 million migrant farmworkers in the United States [1]. In 1964, the USA federal H-2A program was created to meet agricultural production needs. The H-2A temporary agricultural program enables farmers who are unable to recruit sufficient domestic workers to bring foreign workers to USA to perform agricultural labor or services of a temporary or seasonal nature. Legal protections that apply to these H-2A workers are enforced through the Wage and Hour Division of the United States Department
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