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Trump threat to immigrant health care tempered by economic hopes
On wokeness, patriotism and change, Kamala Harris’s defeat has lessons for StarmerLOS ANGELES — President-elect Donald Trump’s promise of mass deportations and tougher immigration restrictions is deepening mistrust of the health care system among California’s immigrants and clouding the future for providers serving the state’s most impoverished residents. At the same time, immigrants living illegally in Southern California told KFF Health News they thought the economy would improve and their incomes might increase under Trump, and for some that outweighed concerns about health care. Community health workers say fear of deportation is already affecting participation in Medi-Cal, the state’s Medicaid program for low-income residents, which was regardless of residency status over the past several years. That could undercut the state’s progress in reducing the uninsured rate, which reached a record low of 6.4% last year. Immigrants lacking legal residency have long worried that participation in government programs could make them targets, and Trump’s election has compounded those concerns, community advocates say. The incoming Trump administration is also expected to target Medicaid with , which activists worry could threaten the Medi-Cal expansion and kneecap efforts to under Covered California to all immigrants. “The fear alone has so many consequences to the health of our communities,” said , director of policy with the Latino Coalition for a Healthy California. “This is, as they say, not their first rodeo. They understand how the system works. I think this machine is going to be, unfortunately, a lot more harmful to our communities.” Alongside such worries, though, is a strain of optimism that Trump might be a boon to the economy, according to interviews with immigrants in Los Angeles whom health care workers were soliciting to sign up for Medi-Cal. Since Election Day, community health worker Yanet Martinez said, people are more reluctant to hear her pitch for subsidized health insurance or cancer prevention screenings. “They think I’m going to share their information to deport them,” Martinez said. (Vanessa G. Sánchez/KFF Health News/TNS) Clinics and community health workers encourage immigrants to enroll for health coverage through Medi-Cal and Covered California. But workers have noticed that fear of deportation has chilled participation. (Vanessa G. Sánchez/KFF Health News/TNS) Community health workers like Yanet Martinez encourage people to enroll for health benefits. But many California immigrants fear that using subsidized services could hurt their chances of obtaining legal residency. (Vanessa G. Sánchez/KFF Health News/TNS) Since Election Day, community health worker Yanet Martinez said, people are more reluctant to hear her pitch for subsidized health insurance or cancer prevention screenings. “They think I’m going to share their information to deport them,” Martinez said. (Vanessa G. Sánchez/KFF Health News/TNS) Selvin, 39, who, like others interviewed for this article, asked to be identified by only his first name because he’s living here without legal permission, said that even though he believes Trump dislikes people like him, he thinks the new administration could help boost his hours at the food processing facility where he works packing noodles. “I do see how he could improve the economy. From that perspective, I think it’s good that he won.” He became eligible for Medi-Cal this year but decided not to enroll, worrying it could jeopardize his chances of changing his immigration status. “I’ve thought about it,” Selvin said, but “I feel like it could end up hurting me. I won’t deny that, obviously, I’d like to benefit — get my teeth fixed, a physical checkup.” But fear holds him back, he said, and he hasn’t seen a doctor in nine years. It’s not Trump’s mass deportation plan in particular that’s scaring him off, though. “If I’m not committing any crimes or getting a DUI, I think I won’t get deported,” Selvin said. Petrona, 55, came from El Salvador seeking asylum and enrolled in Medi-Cal last year. She said that if her health insurance benefits were cut, she wouldn’t be able to afford her visits to the dentist. A street food vendor, she hears often about Trump’s deportation plan, but she said it will be the criminals the new president pushes out. “I’ve heard people say he’s going to get rid of everyone who’s stealing.” Although she’s afraid she could be deported, she’s also hopeful about Trump. “He says he’s going to give a lot of work to Hispanics because Latinos are the ones who work the hardest,” she said. “That’s good, more work for us, the ones who came here to work.” Newly elected Republican Assembly member Jeff Gonzalez, who flipped a seat long held by Democrats in the Latino-heavy desert region in the southeastern part of the state, said his constituents were anxious to see a new economic direction. “They’re just really kind of fed up with the status quo in California,” Gonzalez said. “People on the ground are saying, ‘I’m hopeful,’ because now we have a different perspective. We have a businessperson who is looking at the very things that we are looking at, which is the price of eggs, the price of gas, the safety.” Gonzalez said he’s not going to comment about potential Medicaid cuts, because Trump has not made any official announcement. Unlike most in his party, Gonzalez said he supports the extension of health care services to . Health care providers said they are facing a twin challenge of hesitancy among those they are supposed to serve and the threat of major cuts to Medicaid, the federal program that provides over 60% of the funding for Medi-Cal. Health providers and policy researchers say a loss in federal contributions could lead the state to roll back or downsize some programs, including the expansion to cover those without legal authorization. California and Oregon are the only states that offer comprehensive health insurance to all income-eligible immigrants regardless of status. About 1.5 million people without authorization have enrolled in California, at a cost of over $6 billion a year to state taxpayers. “Everyone wants to put these types of services on the chopping block, which is really unfair,” said state Sen. Lena Gonzalez, a Democrat and chair of the California Latino Legislative Caucus. “We will do everything we can to ensure that we prioritize this.” Sen. Gonzalez said it will be challenging to expand programs such as Covered California, the state’s health insurance marketplace, for which immigrants lacking permanent legal status are not eligible. A big concern for immigrants and their advocates is that Trump could reinstate changes to the which can deny green cards or visas based on the use of government benefits. “President Trump’s mass deportation plan will end the financial drain posed by illegal immigrants on our healthcare system, and ensure that our country can care for American citizens who rely on Medicaid, Medicare, and Social Security,” Trump spokesperson Karoline Leavitt said in a statement to KFF Health News. During his first term, in 2019, Trump broadened the policy to include the use of Medicaid, as well as housing and nutrition subsidies. The Biden administration rescinded the change in 2021. KFF, a health information nonprofit that includes KFF Health News, found than people born in the United States. And about 1 in 4 likely undocumented immigrant adults said they have avoided applying for assistance with health care, food, and housing because of immigration-related fears, according to a . Another uncertainty is the fate of the Affordable Care Act, which was opened in November to immigrants who were brought to the U.S. as children and are protected by the Deferred Action Childhood Arrivals program. If DACA eligibility for the act’s plans, or even the act itself, were to be reversed under Trump, that would leave roughly 40,000 California DACA recipients, and about , without access to subsidized health insurance. On Dec. 9, a federal court in North Dakota issued blocking DACA recipients from accessing Affordable Care Act health plans in that had challenged the Biden administration’s rule. Clinics and community health workers are encouraging people to continue enrolling in health benefits. But amid the push to spread the message, the chilling effects are already apparent up and down the state. community health worker Yanet Martinez said, asking residents whether they had Medi-Cal as she walked down Pico Boulevard recently in a Los Angeles neighborhood with many Salvadorans. she shouted, offering help to sign up, free of charge. said one young woman, responding with a no thanks. She shrugged her shoulders and averted her eyes under a cap that covered her from the late-morning sun. Since Election Day, Martinez said, people have been more reluctant to hear her pitch for subsidized health insurance or cancer prevention screenings. “They think I’m going to share their information to deport them,” she said. “They don’t want anything to do with it.”None
Remember the story about the elephant seen from different perspectives? Here’s a twist. A biologist with a telescope peered at the animal and said, I see a hairy grayness horizon to horizon. A toenail fungus specialist examined its feet, and prescribed antibiotics. A climate change specialist didn’t see the elephant because he was fixated on plucking the dry grass. A physicist looked at the elephant and had nothing to say. Elon Musk was there, and he told them not to waste their time standing around an elephant. We need results in quantum mechanics, he explained; we need superconductivity at room temperature, we need research piped straight to technology. We need science to serve technology, which as you know improves man’s condition. This may not be the story as you remember it, but I assure you that a few things about it are true. The people around the elephant are scientists, but even in science, we can only see with the tools we have, and we create those tools in anticipation of what we might see. As a result, we are limited in our capacity to break out of this circle. We are primed to see or not in a certain way. However, breakouts can and do happen — often when two incommensurate ideas meet each other. Consider what happened when homo economicus or “economic man,” theory met psychology: a new field was born, behavioral psychology. Or consider the friction between gravity and God, a meeting of concepts that caused a huge shift in human society’s relationship to astronomy and divinity. Second, it’s not by chance that the examples cross the bridge between what we call humanistic knowledge and what we call science. Their conceptual distance from each other results in the possibility for innovation. The role played by metaphors in biology introduces future paths for research. Schizophrenics have a better prognosis when they are told they’re like shamans. Darwin’s nature acts, despite herself, as a causal force — like the very God that evolution puts into question. Falling in love felt so powerful that the ancients thought seeing the love object caused a wound in your eyes. It worked well with the theory that eyes emitted rays. You cannot, it turns out, take the human out of the science. Third, in separating the humanities and science, we are voting to blind ourselves for the future and to deplete the richness of multiple perspectives on reality. Worse, our now-isolated sciences are in danger of being kidnapped and reared as technology’s handmaiden. It wasn’t always so: the Aristotles, Leonardos and al-Haythams — even the Turings — had an intellectual background that incorporated the humanities, the social sciences, and the sciences, and their discoveries came out of that multifaceted approach. Now we have teams of specialists working for market-minded research that is not about truth, or even the search for truth, but for profit. Science is done at scale, and that is making a huge difference to its relationship to other fields of knowledge. There’s a place where we can intervene, but no one seems to be doing it. That place is higher education. We could teach our students that there is no hard boundary between science and humanistic learning. We could teach them how these fields influence each other. We could take down the hard walls around different fields, both bureaucratically and literally. Instead, we reproduce these unhealthy gulfs in our university’s outdated departments and divisions, which generate the kind of specialist knowledge without context that is our growing problem. If we want education to be relevant to the bigger problems we all face, this has to change. Perhaps the public feels this already, or our colleges wouldn’t be in a crisis of irrelevance. We need to put these forms of knowledge back together so that they can work with each other. Shadi Bartsch is a professor in humanities at the University of Chicago and former director of the Institute on the Formation of Knowledge. She wrote this column for the Chicago Tribune.The Russian Direct Investment Fund (RDIF) has announced the launch of an alliance within the BRICS group aimed at joint development of Artificial Intelligence (AI). RDIF chief executive, Kirill Dmitriev made the announcement on Wednesday on the sidelines of the AI Journey conference in Moscow. Over 20 companies from six of the bloc’s member-states (Russia, China, India, Brazil, Iran and the UAE) have already joined the BRICS+AI alliance. Among the 50+ companies reportedly in favour of creating an alliance are universities, medical companies, pharmaceutical developers, financial infrastructure developers, telecommunications innovators, manufacturers of electric batteries and of semiconductors, according to Dmitriev. The new alliance will focus on digital technologies in the public and commercial sectors, according to RDIF. “This is particularly important given the fact that many Western countries are seeking to limit the access of BRICS to AI technologies,” Dmitriev said, underlining the “important role” of the new alliance. The alliance could ensue that the BRICS group develops AI technologies “faster and more powerfully,” through joint developments, the RDIF chief executive stressed. RDIF is Russia’s sovereign wealth fund created by the government in 2011 to make investments in companies of high-growth sectors of the Russian economy. The idea of creating BRICS+AI alliance was presented to Russian President Vladimir Putin during the BRICS Kazan Summit in October. Addressing the AI conference on Wednesday, Putin said that the development of the technology is crucial for Russia’s scientific and ideological sovereignty, while stressing the country’s readiness to partner internationally with innovators. BRICS was initially comprised of Brazil, Russia, India, China, and South Africa, and expanded when Egypt, Iran, Ethiopia, and the United Arab Emirates officially became members on January 1, 2024. Last month, Russian ally Belarus announced that it had also officially become a BRICS partner country. Such status has been also awarded to Indonesia, according to Russian Deputy Foreign Minister Aleksandr Pankin. ‘Partner country’ status provides for permanent participation in special sessions of BRICS summits and foreign ministers’ meetings, as well as other high-level events. Partners can also contribute to the group’s outcome documents. Bolivian Foreign Minister Celinda Sosa Lunda revealed in November that her nation had received an invitation from Russia to become a partner country of BRICS, saying they “responded positively to the invitation.” The list of aspiring partners has not been officially announced, but media reports have also mentioned Algeria, Cuba, Kazakhstan, Nigeria, Türkiye, Uganda, Uzbekistan, and Vietnam as potential candidates.
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