‘I have a PhD in not having money’

David Velasquez learned his first clinical lesson early on: The health care system wasn’t made to care for people like him. Velasquez, 24, never had a primary care physician, because his parents, immigrants from Nicaragua, couldn’t afford the bills. When he was 12, his godmother, who was in the country illegally, died of cancer, having avoided hospitals until it was too late. Velasquez, the only college-bound member of his family, knew he needed to become a doctor.

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