The first few months of a refugee’s life in the U.S. are filled with new experiences. And with doctor’s visits. All that initial care is covered by federal medical assistance. But when that coverage ends, refugees may still have outstanding health issues and no way to pay for them. Gov. Tom Corbett isn’t expanding Medicaid in Pennsylvania this year. It’s estimated that there are more than 600,000 people who could benefit from the Medicaid expansion, but for people like Tamang who face a disappointing reality, even the cheapest insurance plan would still cost him too much.

With close to 10,000 letters in tow, a group of community leaders traveled to Baton Rouge Friday morning to make an in-person delivery to Governor Piyush Jindal. The Jeremiah Group, a faith-based, non-partisan community organization, started their “Life, Liberty, and Healthcare for All” letter campaign in July. The signed letters urge Jindal to accept Medicaid expansion for Louisiana and were collected from residents across New Orleans.