than half of non-Iraqi immigrants in a Dearborn, Michigan, study. However, greater barriers existed around transportation, language and successful stress coping mechanisms for refugees versus other immigrants, in addition, refugees noted greater medical conditions. The study also found that refugees had higher healthcare utilization rate (92.1%) as compared to the US overall population (84.8%) and immigrants (58.6%) in the study population. Within Australia, officially designated refugees who qualify for temporary protection and offshore humanitarian refugees are eligible for health assessments, interventions and access to health insurance schemes and trauma-related counseling services. Despite being eligible to access services, barriers include economic constraints around perceived and actual costs carried by refugees. In addition, refugees must cope with a healthcare workforce unaware of the unique health needs of refugee populations. Perceived legal barriers such as fear that disclosing medical conditions prohibiting reunification of family members and current policies which reduce assistance programs may also limit access to health care services. Providing access to healthcare for refugees through integration into the current health systems of host countries may also be difficult when operating in a resource limited setting. In this context, barriers to healthcare access may include political aversion in the host country and already strained capacity of the existing health system. Political aversion to refugee access into the existing health system may stem from the wider issue of refugee resettlement. One approach to limiting such barriers is to move from a parallel administrative system in which UNHCR refugees may receive better healthcare than host nationals but is unsustainable financially and politically to that of an integrated care where refugee and host nationals receive equal and more improved care all around. In the 1980s, Pakistan attempted to address Afghan refugee healthcare access through the creation of Basic Health Units inside the camps. Funding cuts closed many of these programs, forcing refugees to seek healthcare from the local government. In response to a protracted refugee situation in the West Nile district, Ugandan officials with UNHCR created an integrative healthcare model for the mostly Sudanese refugee population and Ugandan citizens. Local nationals now access health care in facilities initially created for refugees. One potential argument for limiting refugee access to healthcare is associated with costs with states desire to decrease health expenditure burdens. However, Germany found that restricting refugee access led to an increase actual expenditures relative to refugees which had full access to healthcare services.