“How long have you been driving for Lyft?” I asked my Lyft driver, Renaldo. “A few months. It’s my second job and a great way to practice my English,” he eagerly replied.

“Oh! What’s your first job? And does it provide benefits?” As a family doctor, I can’t help myself. I want everyone to have health coverage and I worry particularly about undocumented patients with multiple jobs.

Renaldo has great health insurance through an Oakland program that offers jobs to refugees. After crossing the Mexico dessert for the third time (“They give you one little bolsa and I got caught twice”), he was held in Texas for seven months (“Jail was actually nice…I got malaria from drinking dirty water on my journey and once they believed me, I got really good treatment!”), he finally joined his family in the Bay Area.

Renaldo is most worried about being deported (“It’s not safe for me in my country”), but health care isn’t an insignificant concern. His sister just had a baby and he’s worried that she won’t be able to get care come January. He’s nervous that the Oakland program – and his health insurance – could get cut. And he understands the risk of potential hospital bills for his aging undocumented parents. He’s doing everything he can – working two jobs and improving his English – but I worry that the biggest risk for him now occupies the White House.