Mr. and Mrs. Akinfemiwa narrate their experiences immigrating to the U.S. discussing how they navigated life with and without health insurance, dealing with pregnancy without any health insurance, the birth of their children, where they chose to live, and how that impacted the care that they received. Interestingly, they also share how possession of health insurance became one of the most significant factors in the decisions that they made. They explain what impact these experiences had on their lives and reflect on ways that the American healthcare system can improve.