Every day, millions of workers pick or prepare our food, lay concrete at construction sites, and drive through the night to deliver stock for the shelves we reach for tomorrow. They show up before dawn and work physically demanding jobs through heat and cold.
Many of them are Hispanic, including one-third of construction workers and 3 in 4 agriculture workers. Hispanic workers represent 78% of net new U.S. workers this decade, per the Bureau of Labor Statistics.
But our health system wasn’t built for them, and we can now measure the compounding impacts of reduced healthcare access on the health and wellbeing of this crucial labor force.
drawn from over 30,000 telehealth consults and 6,000 on-site screenings conducted across 17 states in 2025. It's the most comprehensive look we've taken at what's actually happening inside this workforce.
Nearly half of the workers in our dataset are living with obesity. Four in ten are at elevated risk for diabetes. Fewer than half of men had normal blood pressure. Nine in ten had a cholesterol profile that warranted clinical attention.
These are the people whose labor underlies industries worth hundreds of billions of dollars, carrying serious, largely unmanaged cardiometabolic risk into workplaces every day.
The consequences show up on the balance sheet regardless of whether employers can see the cause: absenteeism, safety incidents, turnover, rising claims on health insurance and workers' compensation. The health risk and the business risk are the same risk, logged in different columns.
Workers historically labeled "hard to reach" are highly engaged when care is built around them, in their language, during their hours, at or near their worksite. We've seen 80% engagement. We've seen measurable outcomes–including an average of 16 pounds lost, and reversal of diabetes. We've seen what actually works to support this population in meaningfully improving their health.
Download The State of Hispanic Worker Wellbeing 2026 to walk through the full findings.
