Health Care – Page 22 – immigrationcourtside.com

BREAKING: GOP SENATORS ANNOUNCE PLAN TO TRASH HEALTH CARE FOR 10S OF MILLIONS OF AMERICANS, FUND MORE TAX BREAKS FOR RICH CRONIES! — Why? — Because They CAN!

http://www.slate.com/articles/news_and_politics/politics/2017/06/why_the_gop_would_pass_an_objectively_bad_health_care_bill.html

Jamelle Bouie writes in Slate:

“It is difficult to overstate the sheer unpopularity of the American Health Care Act, the Republican Party’s plan to “repeal and replace” the Affordable Care Act. And it’s not hard to understand why the bill is so unpopular. What’s mystifying is why Republicans insist on passing it, acting as if there won’t be political consequences for a plan that promises pain for tens of millions of Americans.

JAMELLE BOUIE

Jamelle Bouie is Slate’s chief political correspondent.

At Obamacare’s least popular moment, in the fall of 2014, 56 percent of Americans held a negative view of the law, versus 37 percent who approved. Compare that with the Republican version of the AHCA that passed the House of Representatives in early May. In a recent survey from CBS News, 59 percent of Americans disapprove of the GOP proposal, versus 32 percent who approve. A Roper Center analysis shows the proposal with just 29 percent support, making it the most unpopular piece of legislation Congress has considered in decades. And its unpopularity isn’t just a function of blue states like California, New York, and Illinois—there is no state in the union where a majority of voters support the bill.

If the AHCA ends up improving outcomes for Americans—if it delivers affordable health insurance or protects families from medical bankruptcy—it might recover some popularity in the implementation, as was true with the Affordable Care Act, which now has majority support. But we know from the Congressional Budget Office’s evaluation of the House bill that it would increase the number of uninsured by an estimated 23 million people; there are no signs the Senate version will be any less damaging. What’s more, the AHCA may upend the employer health market as well; its deregulatory measures could result in lifetime limits and substantially higher out-of-pocket costs for people who receive insurance through work. The universe of people potentially left worse off by the Republican bill is close to a cross-section of the American public: salaried employees, ordinary workers who rely on the Obamacare exchanges, and the millions of low-income people, children, elderly, and disabled Americans who rely on Medicaid.

Under most circumstances, this would be the ballgame. As a general matter, lawmakers don’t pass hugely unpopular legislation that might harm constituents in such a direct way. It’s easy to say that, for House and Senate Republicans, their “constituents” are those wealthy Americans who receive huge tax cuts under the bill. Still, it’s also true that winning donors isn’t the same as winning elections. Politicians don’t need to value the public interest to reject a bill like the AHCA; a survival instinct should be enough.

Which gets to what’s mystifying about the present situation. If the health care bill becomes law, there’s every indication the Republican Party will suffer for passing it. It is already responsible for a substantial and so-far enduring decline in the president’s approval rating, and it is fueling grass-roots opposition to the already-unpopular Trump administration. If Republicans face an increasingly difficult environment for the 2018 general election, it is at least in part because of the AHCA. And yet, Republicans are intent on passing the bill. Senate Majority Leader Mitch McConnell has cannily adopted an unprecedentedlysecretive process meant to insulate the proposal from criticism and expedite its passage. There have been no hearings and no debate. The plan, as it exists, is for a one-week period of public input before Congress votes.

It’s likely that Republicans know the bill is unpopular and are doing everything they can to keep the public from seeing its contents before passing it. As we saw with the Affordable Care Act, the longer the process, the greater the odds for a major backlash. But this presupposes a pressing need to pass the American Health Care Act, which isn’t the case, outside of a “need” to slash Medicaid, thus paving the way for large-scale, permanent tax cuts. The Republican health care bill doesn’t solve any urgent problem in the health care market, nor does it represent any coherent vision for the health care system; it is a hodgepodge of cuts and compromises, designed to pass a GOP Congress more than anything. It is policy without any actual policy. At most, it exists to fulfill a promise to “repeal Obamacare” and cut taxes.

Perhaps that’s enough to explain the zeal to pass the bill. Republicans made a promise, and there are forces within the party—from hyperideological lawmakers and conservative activists to right-wing media and Republican base voters—pushing them toward this conclusion. When coupled with the broad Republican hostility to downward redistribution and the similarly broad commitment to tax cuts, it makes sense that the GOP would continue to pursue this bill despite the likely consequences.

But ultimately it’s not clear the party believes it would face those consequences. The 2018 House map still favors Republicans, and the party is defending far fewer Senate seats than Democrats. Aggressively gerrymandered districts provide another layer of defense, as does voter suppression, and the avalanche of spending from outside groups. Americans might be hurt and outraged by the effects of the AHCA, but those barriers blunt the electoral impact.

The grounds for political combat seem to have changed as well. If recent special elections are any indication—where GOP candidates refused to comment on signature GOP policies—extreme polarization means Republicans can mobilize supporters without being forced to talk about or account for their actual actions. Identity, for many voters, matters more than their pocketbooks. Republicans simply need to signal their disdain—even hatred—for their opponents, political or otherwise. Why worry about the consequences of your policies when you can preclude defeat by changing the ground rules of elections, spending vast sums, and stoking cultural resentment?

It seems, then, that we have an answer for Republicans insist on moving forward with the American Health Care Act. Because they can. And who is going to stop them?”

Here’s some analysis of the GOP Senate Bill from the Washington Post:

“The Senate proposal largely mirrors the House measure with significant differences, according to a discussion draft circulating Wednesday among aides and lobbyists. While the House legislation would peg federal insurance subsidies to age, the Senate bill would link them to income, as the ACA does.

The Senate measure would cut off expanded Medicaid funding for states more gradually than the House bill but would enact deeper long-term cuts to the health-care program for low-income Americans. It also would eliminate House language aimed at prohibiting federally subsidized health plans from covering abortions, a provision that may run afoul of complex Senate budget rules.

[Complete live coverage: The Senate health-care bill]

But McConnell faces the prospect of an open revolt from key conservative and moderate GOP senators, whose concerns he has struggled to balance in recent weeks. Republicans familiar with the effort said Senate leaders have more work to do to secure the 50 votes needed to pass the measure, with Vice President Pence set to cast the tiebreaking vote, from the pool of 52 GOP senators. No Democrats are expected to support the bill.

According to two Republicans in close contact with Senate GOP leadership granted anonymity to describe private conversations, McConnell is threatening to bring the bill to a vote next week even if he doesn’t have the votes to pass it. But some believe that message is aimed at trying to pressure Republicans to support the bill, rather than an absolute commitment. A McConnell spokeswoman declined to comment.

[Democrats begin mobilizing to fight health-care bill]

Republican aides stressed that their plan is likely to undergo more changes to secure the votes needed for passage, but there were major concerns Wednesday from senators on opposite ends of the GOP spectrum.

“My main concern is I promised voters that I would repeal — vote to repeal Obamacare. And everything I hear sounds like Obamacare-lite,” said Sen. Rand Paul (R-Ky.).

Sen. Shelley Moore Capito (R-W.Va.), whose state expanded Medicaid and has been pushing for a more gradual unwinding of that initiative than many conservatives prefer, said she is waiting to scrutinize what is released but has not seen anything yet that would make her drop her concerns with the proposal.

“Up to this point, I don’t have any new news — tomorrow we will see it definitively — that would cause me to change that sentiment,” she said.

Like the House bill, the Senate measure is expected to make big changes to Medicaid, the program that insures about 74 million elderly and lower-income Americans and was expanded in most states under the ACA. In effect, the revisions would reduce federal spending on the program.

The Senate measure would transform Medicaid from an open-ended entitlement to one in which federal funding would be distributed to states on a per capita basis. The Senate measure would also seek to phase out the program’s expansion — although at a more gradual rate than the House version.

Yet the Senate bill would go further than the House version in its approach to cutting Medicaid funding in the future. In 2025, the measure would tie federal spending on the program to an even slower growth index than the one used in the House bill. That move could prompt states to reduce the size of their Medicaid programs.”

Here’s a link to the complete Post article: https://www.washingtonpost.com/powerpost/senate-gop-leaders-set-to-unveil-health-care-bill/2017/06/22/56dbe35c-5734-11e7-a204-ad706461fa4f_story.html?hpid=hp_rhp-top-table-main_healthcare835am%3Ahomepage%2Fstory&utm_term=.31690d0232b7

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As long as folks stubbornly keep voting for their own demise, that is, against their own best interests, Trump and the GOP are going to take them to the cleaners every time. The GOP Congressional leadership has “bought into” the Trump “Time Square” theory: “There’s absolutely nothing that we could do that would make these folks vote against us. And, we’re going to take full advantage of them by sticking it to them just like they were Democrats or minorities (or both).”

I suppose if it works, why not line your pockets (and those of your buddies) to the full extent possible at the expense of the People until the party ends (which it might never do — and, if it does, the GOP will be laughing all the way to the bank)?

PWS

06-22-17

THE HUMAN TOLL OF IMMIGRATION DETENTION: Mother Attempts Suicide After 6 Months In Texas “Family Detention Centers!”

http://www.huffingtonpost.com/entry/mother-family-detention-suicide-attempt_us_59271267e4b062f96a34da5c?45b

Roque Planas reports in HuffPost:

“AUSTIN, Texas ― A woman locked at a family immigrant detention center tried to take her own life this month in what legal advocates described as a desperate effort to free her two kids.

Samira Hakimi, an Afghan national, has spent the last six months detained with her two young children despite a federal ruling that dictates they should have been released within three weeks. The case reinforces the longstanding concerns of immigrant rights groups that say asylum-seeking families should not be forced into prolonged detention.

“They told us you will only be a couple of days in there,” Hakimi told HuffPost. “I never thought that I would be detained here for such a long time. That I’m detained here because I’m from Afghanistan and that’s all. But I’m human.”

In Afghanistan, the Hakimi family had established a high school and multi-branch private university that used Western curricula, taught in both English and Dari and offered more than half its scholarships to women, according to lawyers representing Hakimi and her husband.

Since 2013, the Taliban repeatedly threatened the family for its work. To avoid the danger of commuting, the family moved onto the university campus and contracted private security guards that year.

It wasn’t enough for them to feel safe. “We could not go outside,” Hakimi said. “My children could not go to school. We thought they might be kidnapped. This was always in our minds…. They have their lives to live. They should live happy and free from every small thing, going to school and enjoying their lives.”

Last year, they fled Afghanistan with Hakimi’s brother-in-law and his pregnant wife, who were facing similar threats.

In December, the two families crossed into the United States from Mexico through a legal port of entry, where they all asked for asylum. The men were separated and sent to all-male immigrant detention centers, where they remain. Hakimi and her kids, as well as her sister-in-law and her newborn baby, were sent to the South Texas Family Detention Center in the town of Dilley and later transferred to the Karnes County Residential Center outside San Antonio.

Hakimi passed her “credible fear” interview ― the first step toward applying for asylum. It’s common practice for Immigration and Customs Enforcement to free people who pass these interviews so they can pursue their cases in immigration court, but ICE declined to release her and her children. The agency did not respond to a request for comment explaining why it refuses to release them. Hakimi’s sister-in-law is also still at Karnes with her 10-month-old baby.
DREW ANTHONY SMITH VIA GETTY IMAGES
The Karnes County Residential Center houses mothers who enter the United States with their children. Most of them seek asylum or other forms of humanitarian exemption from deportation.
Hakimi told HuffPost she had suffered from bouts of clinical depression before being detained. Advocates with RAICES, a nonprofit that provides legal services to detained families, say she had attempted suicide in the past and told medical workers at Karnes that her condition had worsened as her case appeared to stall. Neither medicine nor therapy would alleviate the problem, she argued. Her depression stemmed from remaining locked up in the detention center with her children.

As the months dragged on, she lost hope. “Here, no one talks to us,” Hakimi said. “They don’t give us the reason why I’m detained in here. I never thought that I would be detained here for such a long time.”

Her son came to her one day asking her why other families were allowed to leave but not them. “That was really triggering her,” Amy Fisher, RAICES’s policy director, told HuffPost. “She was crying and really depressed. And she went into this thought process, when she was really low, thinking, ‘Well, if I’m no longer here, maybe my children can be free.’” Kids cannot be held without their parents or guardians in family detention.

After she made an effort to take her own life, she woke up in the medical unit of the detention center and was taken to a nearby hospital, where two members of the detention center staff sat with her continuously.

“I told them, ‘I’m just crying for my children, please,’” she said in a recording with one of her legal providers. “I’m not sick. But they gave me medicine. And they told me take this every four hours, but I didn’t take it anymore.”

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Read the full story at the link.

Don’t think that a few (or even many) attempted suicides or preventable deaths in immigration detention are going to change the Administration’s plans to establish an “American Gulag.” After all, what better “deterrent” than death to put a dent in migration.

No, the only thing that might get in the way is if Democrats start winning elections and wielding some political power in Washington. (Not that Democrats have been particularly enlightened when it comes to immigration detention, either. After all, Dilley, Karnes, Berks County, and other “family residential prisons” were Obama initiatives. But, that’s another story.)

But, as I just pointed out in an earlier blog, Dems appear lost in the political wilderness with no path out.

PWS

05-26-16

POLITICS: David Leonhardt In The NYT: Don’t Get Distracted From GOP’s Dishonesty & Cruelty!

“David Leonhardt
Op-Ed Columnist
The Congressional Budget Office’s analysis of the House health care bill is a devastating indictment.
The report, released yesterday, showed that millions of Americans would lose health insurance and the quality of insurance for millions more would deteriorate. The savings from that carnage — to borrow a favorite word of President Trump’s — would pay for tax cuts for the wealthy.
And yet the immediate reaction to the C.B.O. report also shows why you should be worried that the Senate will nonetheless decide to pass a version of the House bill.
Here’s what I mean: Much of this initial reaction has missed the point. It has focused on the modest differences between the new C.B.O. report, which analyzed the final House bill, and a C.B.O. analysis from March of an earlier version of the bill. Among the differences, the final bill would deprive an estimated 23 million people of insurance, compared with the 24 million in the March analysis.
Don’t be distracted by these small differences.
Distraction is a tactic of the politicians who are trying to take away health insurance from people. These politicians can’t sell their proposals on the merits. That’s why both the House and, thus far, the Senate have refused to hold any hearings. They know that virtually every expert across the ideological spectrum — including groups representing doctors, nurses, hospitals, patients and senior citizens — opposes the bill.
Unable to win a debate on its merits, Republican leaders need to change the subject. They can’t let their proposals be judged on whether they improve the American health care system, because they don’t. They need to create a lower standard by which the plan will be judged.
The House did so in the frantic week that it passed its bill by pointing to a last-minute amendment that made a superficial improvement. House members then claimed they had fixed their bill.
Senate leaders are showing signs of following the same path — and the C.B.O. report gives them a chance to start down it. The report will encourage top Republicans to claim that their bill is already getting better and that the Senate will keep improving it in coming months.
In truth, the bill is fatally flawed. Its objective is to reduce federal spending on health insurance for the middle class, poor, sick, elderly and disabled in order to cut taxes for the wealthy. Maybe the final version, once the Senate has made its tweaks, will take insurance from 23 million people, or maybe 15 million people. But any law based on the House bill is guaranteed to worsen the health care system.
That’s the overwhelming message of the C.B.O. report.
The saddest part of this situation is that our health care system, including Obamacare, very much needs improvement. And there are solid bipartisan ideas out there, including some that would increase states’ flexibility or lower consumer expenses. The Senate has members from both parties with the savvy and the policy chops — like Lamar Alexander and Patty Murray — to turn those ideas into a bill.
Is it too much to hope that they cast aside the distractions from the House’s failed plan and start fresh?
The full Opinion report from The Times follows, including Abbe Gluck on the G.O.P.’s sabotage of Obamacare.”

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GOP’S WAR ON AMERICA EXPOSED — 23 Million Would Lose Health Coverage To Provide Tax Breaks To Fat Cat Cronies!

https://www.nytimes.com/2017/05/24/us/politics/cbo-congressional-budget-office-health-care.html?hp&action=click&pgtype=Homepage&clickSource=story-heading&module=first-column-region®ion=top-news&WT.nav=top-news

Robert Pear reports in the NYT:

“WASHINGTON — A bill to dismantle the Affordable Care Act that narrowly passed the House this month would leave 14 million more people uninsured next year than under President Barack Obama’s health law — and 23 million more in 2026, the Congressional Budget Office said Wednesday. Some of the nation’s sickest would pay much more for health care.

Under the House bill, the number of uninsured would be slightly lower, but deficits would be somewhat higher, than the budget office estimated before Republican leaders made a series of changes to win enough votes for passage. Beneath the headline-grabbing numbers, those legislative tweaks would bring huge changes to the American health care system.

In many states, insurance costs could soar for consumers who are sick or have pre-existing conditions, while premiums would fall for the healthy, the new estimate concludes.

The forecast by the nonpartisan Congressional Budget Office, Capitol Hill’s official scorekeeper, is another potential blow to efforts to undo Mr. Obama’s signature domestic achievement. Republican senators have said they will make substantial changes to the measure passed by the House, but even Senator Mitch McConnell of Kentucky, the majority leader, sounds uncertain about his chances of finding a majority to repeal and replace the health law.”

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Read Robert’s complete article at the link. Decades ago, when we were both young, Robert covered the “immigration beat” for the NYT. In the days before Administrations of both parties went to war with the press, he used to call me on a regular basis to get the “official INS position” on various controversies, particularly those involving legal issues.

PWS

05-24-16

POLITICS: GOP Senate’s “Stealth Plan” To Strip Health Care From Millions While Enriching Fat Cats Exposed!

https://www.nytimes.com/2017/05/23/opinion/health-care-bill-senate.html?emc=edit_ty_20170523&nl=opinion-today&nlid=79213886&te=1&_r=0

David Leonhardt writes in a NY Times op-ed:

“While the rest of the country has been transfixed by Trumpian chaos, members of the Senate have spent the last two weeks talking about taking health insurance from millions of Americans.

There is an alarmingly large chance that they’ll decide to do so. But if they do, they will almost certainly rely on a political sleight of hand to disguise their bill’s damage. Understanding that sleight of hand — and calling attention to it — offers the best hope for defeating the bill.

The effort to take health insurance from the middle class and poor and funnel the savings into tax cuts for the rich is a little like mold. It grows best in the dark.

That’s why Republican leaders in the House handled their bill as they did. They did not hold a single hearing, because they knew that attention would have been devastating.

Just imagine a hearing featuring the leaders of these groups, every one of which opposes the House bill: the American Medical Association, American Nurses Association, American Hospital Association, American Academy of Pediatrics, American Cancer Society, American Heart Association, American Diabetes Association, American Lung Association, March of Dimes and AARP.
The House also passed its final bill without waiting for the Congressional Budget Office to estimate how many Americans would lose insurance. The C.B.O. will release that analysis tomorrow afternoon. There is no precedent, outside of wartime, for passing a bill this important in such haste.

After the House did, many observers assumed the bill was too flawed to have much chance in the Senate. Republican senators, aware of the bill’s unpopularity, were careful to say publicly that they would start fresh. But the early signs suggest that Mitch McConnell and his Republican caucus are actually mimicking the House approach.

Think of it as the Upton strategy, and I’ll explain the name in a minute.”

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Yet, the voters keep putting these guys in office. Unless you are part of the tiny percentage of over-privileged, rich elite in America, you’re voting against not only our country’s best interests, but your own!

Amazingly, however, the Democrats have failed to come up with an effective strategy to capitalize on this. And, to date, I’m not sure I’ve heard any compelling arguments as to how and why Democrats will do better in the next election.

Yeah, Trump and his cohorts have problems galore. But, highlighting/relying on that was Hillary’s primary strategy in 2016. And, it failed! Big time! What positive plan do Democrats have for making America better for everyone (including most Trump supporters)?

PWS

05-23-17

DEATH WATCH: Average 1/MO Dies In ICE Custody — And It’s Only Just Beginning, As Another ICE Detainee Dies, This Time In Atlanta!

http://www.cnn.com/2017/05/17/us/ice-atlanta-detainee-dies/index.html

Catherine E. Shoichet reports for CNN:

“Atlanta (CNN) A man in Immigration and Customs Enforcement custody has died after being hospitalized for shortness of breath, officials said Wednesday.

Atulkumar Babubhai Patel was pronounced dead at Atlanta’s Grady Memorial Hospital on Tuesday afternoon.

The 58-year-old Indian national’s death is the second death of a detainee in ICE custody this week — and the second this week in the state of Georgia.

Officials said complications from congestive heart failure were ruled the preliminary cause of death.

Patel arrived at the Atlanta airport on May 10 on a flight from Quito, Ecuador. Authorities denied him entry into the United States because he did not have the necessary immigration documents, ICE said.

He was transferred to ICE custody in the Atlanta City Detention Center on Thursday, according to the agency. An initial medical screening at the time determined he had high blood pressure and diabetes. Two days later, Patel was transported to the hospital after a nurse checking his blood sugar noticed he had shortness of breath, ICE said. He died on Tuesday afternoon.

In its statement announcing Patel’s death, officials said fatalities in ICE custody are “exceedingly rare.”

“ICE is firmly committed to the health and welfare of all those in its custody and is undertaking a comprehensive agency-wide review of this incident, as it does in all such cases,” ICE said.

Second death this week

Patel is the eighth person to die in ICE custody this fiscal year, which began in October.

Authorities are also investigating the death of another immigrant detainee in Georgia. Jean Jimenez-Joseph, 27, was found unresponsive in his cell on Monday with a sheet around his neck. The preliminary cause of death was self-inflicted strangulation.

Immigrant detained at Stewart Detention Center dies in apparent suicide

He’d been in solitary confinement for more than two weeks at the Stewart Detention Center in Lumpkin, Georgia.

The recent deaths have drawn sharp criticism from immigrant rights activists, who have long decried conditions in immigration detention centers and called on the government to close such facilities.

US President Donald Trump has called for increasing detention as part of his crackdown on illegal immigration. And Congress recently upped its funding for immigrant detention, approving a spending bill that pays for an average of more than 39,000 detention beds per day.

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“Exceedingly rare?” Like in two deaths in one week in ICE custody in Georgia? In addition to ruined lives, the Trump/Sessions/Kelly vision for an “American Gulag” is certain to cause more preventable deaths in DHS custody, in light of the well-documented substandard conditions in such facilities, particularly those run by private contractors and local jailers. I guess each member of the “Triumvirate of Death” is well enough off so a few million in civil judgments wouldn’t be a problem. But, the taxpayers are likely to be shelling out megabucks for some tort claims.

PWS

05-17-17

DEADLY CARE: Trump Immigration Detention Policies Could Be Life-Threatening For Vulnerable Migrants!

http://www.businessinsider.com/immigrant-detention-centers-condition-2017-5

Business Insider republished a recent report from Christie Thompson of The Marshall Project:
“Even as the Trump administration prepares to loosen oversight over immigrant detention facilities, medical care already can be so substandard that cancer is treated with ibuprofen, schizophrenia with Benadryl and serious mental illness with solitary confinement, two new reports found.

Human Rights Watch, along with the nonprofit Community Initiatives for Visiting Immigrants in Confinement, asked outside medical experts to review 18 deaths in immigration facilities between May 2012 and June 2015 — and found alleged medical neglect contributed to the early deaths of seven detainees, according to their joint report released Monday. The nonprofit organizations also interviewed 90 current and former detainees for the report.

Their findings come on the heels of a survey of 83 detainees about conditions in two for-profit detention centers in Georgia, released last week by a separate group of nonprofit organizations. The detainees claimed, among other grievances, that their requests for medical care were often ignored and even landed some in segregation.

A spokeswoman for Immigration and Customs Enforcement said the agency will review the Human Rights Watch and CIVIC report to determine if any changes needed to be made.

“ICE is committed to ensuring the welfare of all those in the agency’s custody, including providing access to necessary and appropriate medical care,” said spokeswoman Jennifer Elzea, who added that all detainees had access to licensed mental health providers. “At no time during detention will a detainee be denied emergent care.”

ICE spokesman Bryan Cox in Georgia said both centers there — Stewart and Irwin — were in compliance with ICE’s detention standards and subject to regular inspections. “The Department of Homeland Security Office of the Inspector General and ICE’s Office of Professional Responsibility investigate all allegations of abuse,” he wrote in an email.

Immigrants can be held in ICE-funded facilities or in local jails that are paid contract fees. As it ramps up enforcement against undocumented immigrants, the Trump administration has been hunting for more jailers to hold detainees — and perhaps lowering the bar to find them. The New York Times reported last month that the Department of Homeland Security was planning to loosen requirements for county jails that hold immigrant detainees. Three of the deaths identified by Human Rights Watch happened in a local facility.

The Department of Homeland Security has also closed the Office of Detention Policy and Planning, which was tasked with leading ICE’s effort to reform its detention facilities. Elzea, the ICE spokeswoman, noted that oversight is still provided by on-site detention service managers, as well as several other offices within the agency.

Advocates fear conditions will worsen. “The records revealed ICE’s failure to monitor and correct problems even when they themselves identified them,” said Grace Meng of Human Rights Watch, one of the authors of the report. In three deaths at Eloy Detention Center in Arizona, for example, staffers delayed calling 911 because they weren’t sure who was allowed to make the call under the facility’s protocol, Meng said.

“I’m even more concerned now that we have an administration that wants to cram more people into these broken detention centers,” Meng said.

Human Rights Watch and CIVIC detailed the suicide of another woman who was repeatedly held in solitary confinement without mental health treatment. “The medical staff kept doing the same thing, expecting a different outcome. That she finally killed herself should not have come as a surprise,” wrote one of the doctors reviewing ICE’s records.

In both reports, multiple immigrants reported seriously inadequate mental health care; one detainee in Georgia told advocates that the mentally ill were locked in a segregation cell in handcuffs and a helmet.

Immigrants and their families have few outlets for relief. Immigrants told Human Rights Watch that the grievance forms are written only in English and Spanish and that grievances, once filed, often disappeared without any response. “I have no idea if there are mental health services here, nor do I know how to file a grievance,” an immigrant at Stewart Detention Center told Georgia advocates.

Others alleged they were punished, even put in solitary confinement, for complaining. Few detainees have access to an attorney, which means filing a lawsuit is generally beyond their reach.

“By not properly tracking and investigating each complaint, our government sends a message that medical neglect of immigrants will be tolerated,” said Christina Fialho, co-executive director of CIVIC.

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I think that migrants are likely to die or be seriously harmed by poor conditions in DHS detention. Taxpayers then will be on the hook for some big damage awards. Additionally, in light of the available information, including internal reuports on poor conditions in detention, I believe that some high-ranking officials at DHS and DOJ could be subject to “Bivens suits” for knowingly and intentionally violating the constitutional rights of civil detainees.

PWS

05-13-17

Two New Tools To Help You Understand/Practice Immigration Law: 1) USCIS “StatPack” & 2) Travel Ban Litigation Guide!

Nolan “Eagle Eyes” Rappaport kindly alerted me to this comprehensive source of USCIS immigration and citizenship data:

https://www.uscis.gov/tools/reports-studies/immigration-forms-data

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Additionally, Dan “Mr. Blog” Kowalski over at Lexis was kind enough to send me this like to a nationwide “Travel Ban” Litigation Database from “Lawfare,” helpfully organized by Circuit:

https://urldefense.proofpoint.com/v2/url?u=https-3A__lawfareblog.com_litigation-2Ddocuments-2Dresources-2Drelated-2Dtrump-2Dexecutive-2Dorder-2Dimmigration&d=DQIFAg&c=euGZstcaTDllvimEN8b7jXrwqOf-v5A_CdpgnVfiiMM&r=CeRQeXwCO1XABbcnui0VccohOAIcGihP TU6SjunQmI&m=8DFHNqD9Wh7TH2g60EeuBylX7190m96Q_YTMDTMs5P0&s=evpzDZD-Isv1nTFviIW1D-wNdPdmyJyu9fl1qEQXgf8&e=

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Check both of these out! Thanks again to Nolan and Dan for their tireless efforts to promote an informed approach to immigration law and policy!

PWS

05-07-17

WashPost: Administration Warns Employers Not To Use H-1B Program To “Dis” U.S. Workers!

https://www.washingtonpost.com/politics/us-tells-companies-not-to-overlook-qualified-americans/2017/04/04/87fa4e06-1909-11e7-8598-9a99da559f9e_story.html?utm_term=.fe6b3da5783c

Sadie Gurman reports for the AP:

“WASHINGTON — The Trump administration has issued a stern warning to U.S. companies as they begin applying for coveted skilled-worker visas, cautioning that it would investigate and prosecute those who overlook qualified American workers for jobs.

The message came on the opening day of applications for American employers seeking visas known as H-1B, which are used mostly by technology companies to bring in programmers and other specialized workers from other countries.

“U.S. workers should not be placed in a disfavored status, and the department is wholeheartedly committed to investigating and vigorously prosecuting these claims,” Tom Wheeler, acting head of the Justice Department’s Civil Rights Division, said in a statement.

The Obama administration sued companies for violating the Immigration and Nationality Act’s anti-discrimination provisions, including businesses that favored foreigners over U.S. workers. But Monday’s warning in a news release at the start of the visa process appeared to be a first-of-its kind signal to employers not to put American workers at a disadvantage.

U.S. Citizenship and Immigration Services also announced that it would step up its reviews of employers that use H-1B visas, saying “too many American workers who are qualified, willing and deserving to work in these fields have been ignored or unfairly disadvantaged.”

The statements were the latest indication that even legal immigration will be scrutinized under the Trump administration.”

***********************************

Interesting that Jeff Sessions and the DOJ’s Civil Rights Division are getting so involved in the H-1B program. Normally, H-1B enforcement would be a matter for the DHS, the U.S. Department of Labor, and the Office of Special Counsel for Unfair Immigration-Related Employment Practices at the DOJ. But, I suppose without any voting rights or police abuse cases to investigate, the Civil Rights Division will have some time on its hands for taking on some new immigration enforcement responsibilities.

Another thought. Rather than battling the Administration over the H-1B program and threatening to move tech operations to Canada and elsewhere if their demands are not met, why don’t U.S. tech companies and Democrats “think outside the box.”

Why not make areas of the “Rust Belt” with willing workers and high unemployment the new “Silicon Valley East?” Use H-1Bs to re-train U.S. workers for permanent jobs in technology. Build new offices or refurbish abandoned plants. Establish training programs with local community colleges and technical colleges. Fund some opioid addiction treatment programs to get capable workers off of drugs and into jobs where they have some future. Support regional airports in “the hinterlands” that Trump is trying to shut down.

Trump seems only vaguely interested in addressing the real problems of unemployed and underemployed workers. If he actually does succeed in so-called “health care reform,” (that is transferring money from the needy to the rich) their situation will become immeasurably worse. Futile grandstanding like relaxing environmental controls for an “ain’t gonna happen” revival of the coal industry, appointing Gov. Chris “The Bridge” Christie to a form a new governmental committee on opioid addiction, or having Jeff Sessions divert the Civil Rights Division into H-1B investigations aren’t serious attempts to address the issues.

But, so far, the Dems and the leaders of the tech industry have been largely MIA on practical solutions to these problems that Trump seems unlikely to address in any realistic manner. So, while the Dems are tilting at the “Gorsuch Windmill,” which I can guarantee you isn’t a concern for most “Dems turned Trump voters” in the Rust Belt, the opportunity for real leadership, genuine concern for U.S. workers, and demonstrated problem solving is going by the boards. Maybe that’s how Donald Trump became President with 46.4% of the vote.

Just proving once again the Trump might not have to act presidential or accomplish much of positive value to be a two-term President. And, as he has already shown, he can do that relatively easily even if he never attains the approval of the majority of Americans.

PWS

04/04/17

POLITICS: Dear DT, You’re Not On Reality TV Any More — You Can’t “Fire” The Freedom Caucus — Only Their Constituents Can Do That — And GOP Gerrymandering Insures That’s Not Going To Happen!

https://www.washingtonpost.com/news/powerpost/paloma/daily-202/2017/03/31/daily-202-how-trump-s-threats-against-the-freedom-caucus-may-backfire/58de0ed5e9b69b72b2551089/

James Hohmann writes in the Washington Post:

“– Trump tried carrots, offering pizza parties and invitations to the White House bowling alley. Since that hasn’t worked, he’s using the stick. Niccolo Machiavelli wrote that one should try to be loved and feared. “But, because it is difficult to unite them in one person, it is much safer to be feared than loved,” the Italian diplomat explained in “The Prince.”

This approach makes much less sense in America circa 2017 than it did in the Italy of 1532.

In practice, throughout the history of our republic, this has almost never been an effective way to govern. Franklin Roosevelt, vastly more popular than the current occupant of the Oval Office, went all-in during the 1938 midterms against Southern Democrats who weren’t consistently voting for New Deal programs. The ensuing debacle, in which all but one primary challenger FDR supported lost, is a cautionary tale that Trump may want to consider before he follows through on his threats to knock off members of the House Freedom Caucus if they don’t quickly fall in line.
The defiance we saw from several members of the Freedom Caucus yesterday, including Sanford, strongly suggests that Trump’s gambit will fail. Rather than cower, principled movement conservatives wore the attacks as badges of honor. They saw the threats as testaments to their courage. And they pledged to never back down. The fact that Sanford went to the Charleston paper to say Trump had threatened him reflects the degree to which these guys are not scared.

“I have zero worries about it,” Rep. Mo Brooks (R-Ala.) told the Heritage Foundation-backed Daily Signal. “Trump’s tweets reaffirm that the Freedom Caucus is having a major impact on public policy in Congress — that the Freedom Caucus is not a force to be ignored. … If you want me to vote for a piece of legislation, either persuade me it is good for America or change it so that it is good for America.”

Rep. Scott DesJarlais (R-Tenn.), one of Trump’s earliest endorsers, said the Freedom Caucus won’t change no matter what the president does. “We’re elected as Republicans to put forth good conservative policy, and I’m on board as soon as we start doing that,” he told Roll Call. “In my district, we’re very conservative, so if he gets me out office, he’s going to get someone more conservative than me.”

“If somebody can get to the right of me in the primary, God bless him,” added Freedom Caucus member Trent Franks (R-Ariz.).”

*************************************

Vladimir Lenin (an earlier generation Russian strongman) could have told President Trump that while Bakuninists (like the Freedom Caucus) can be useful in taking power, when you go to consolidate and exercise the power of government, well, not so much.

Lenin had a straightforward solution. He simply had Trotsky and the Red Army exterminate the Bakuninists, along with others who opposed his one-man rule. (Yes, long before he became the grandfatherly figure of the Frida Kahlo movies and stories, LT was a cold-blooded mass-murderer who had the misfortune to lose a power struggle to an even greater and more ruthless mass murderer, Joe Stalin) The survivors scattered and went into exile. Presto, problem solved.

But, our system doesn’t work like that, at least not at present. Most members of the Freedom Caucus were in office before Trump came along, and they fully expect to be there after he’s gone. And, giving in to the demands of the Freedom Caucus eventually would force some of the small number of less conservative Republicans (true moderates no longer exist in the GOP) to pal up with the Dems to block the most disastrous parts of the Freedom Caucus agenda.

Running for the Presidency is harder than being on reality TV. And, governing is much more difficult than running. So far, the message doesn’t seem to have gotten to DT. Will it?

PWS

04-02-17

LINDY WEST IN THE GUARDIAN: The Party of “No Care!” — With Trump & The GOP, There Are No Positives, Only Negatives!

https://www.theguardian.com/us-news/commentisfree/2017/mar/28/america-party-less-caring-21-century-republicans-gop?CMP=fb_gu

“I don’t know that America has ever seen a political party so divested of care. Since Trump took office, Republicans have proposed legislation to destroy unions, the healthcare system, the education system and the Environmental Protection Agency; to defund the reproductive health charity Planned Parenthood and restrict abortion; to stifle public protest and decimate arts funding; to increase the risk of violence against trans people and roll back anti-discrimination laws; and to funnel more and more wealth from the poorest to the richest. Every executive order and piece of GOP legislation is destructive, aimed at dismantling something else, never creating anything new, never in the service of improving the care of the nation.

Contemporary American conservatism is not a political philosophy so much as the roiling negative space around Barack Obama’s legacy. Can you imagine being that insecure? Can you imagine not wanting children to have healthcare because you’re embarrassed a black guy was your boss? It would be sad if it wasn’t so dangerous.

That void at the heart of the party, that loss of any tether to humanity, is breeding anxiety on both sides of the political divide. According to the Atlantic, Florida Republican Tom Rooney recently turned on his cohort with surprising lucidity: “I’ve been in this job eight years and I’m racking my brain to think of one thing our party has done that’s been something positive, that’s been something other than stopping something else from happening. We need to start having victories as a party. And if we can’t, then it’s hard to justify why we should be back here.”

Vindictive obstructionism, it seems, is not particularly nourishing for the soul.”

*********************************************

West has a pretty good point. Every day, the Administration repeals, cuts, removes, reduces, blocks, restricts, revokes, disses, insults, backs away from, abrogates, disputes, defunds, threatens, shrinks, deregulates, withdraws, withholds, threatens — only the rich and corporations “get” anything or are taken care of. Everyone else is on his or her own with neither help nor encouragement from the Government. Or in the worst case, the most vulnerable among us, migrants, Muslims, the poor, gays, children, the sick, the disabled, are actually picked on, bullied, shamed, and blamed by Trump and his minions.

PWS

03/29/17

immigrationcourtsidePOLITICS: Somewhere Out In Ohio Yesterday Afternoon . . .

at about 3:45 PM EST, an already well-tanned man was sunning himself, dragging on a cigarette, enjoying a big glass of red wine, with tears of joy streaming down his face, his feet propped up, and thinking “YES, there is justice in this world!”

MATT FLEGENHEIMER and THOMAS KAPLAN write in the NY Times that Speaker Paul Ryan is now in “damage control mode” after he and President Trump were “stiffed” by their own party (no Trumpster, you can’t blame this on the Dems, who were kept “locked in the hallway” while this circus was going on, probably having to check Fox News to see what time the vote was scheduled), suffering a stunning, but well-deserved, defeat on their horrible bill to “repeal and replace Obamacare:”

“The episode not only demonstrated an inability to honor a longstanding pledge that powered Republicans through a string of election cycles. It was also a remarkable setback for Mr. Ryan as the body’s principal arm-twister, in his first major test as the speaker under a Republican president.

In January, he coasted to re-election with almost unanimous party support, prompting allies to gloat that he had tamed the hard-line House Freedom Caucus far more deftly than his predecessor, John A. Boehner.

By Friday, his bill had at once alienated those archconservatives and more moderate members who abandoned the legislation as Mr. Ryan and Mr. Trump began caving to demands of the far right, to little effect.

“We were a 10-year opposition party, where being against things was easy to do,” Mr. Ryan said at a sheepish news conference shortly after the bill was pulled, adding with uncharacteristic candor that Republicans were not yet prepared to be a “governing party.”

“We will get there,” Mr. Ryan said, “but we weren’t there today.”

His job will not get easier. With disparate coalitions in his conference, outside groups like the political arm of the Heritage Foundation pushing lawmakers to pursue conservative purity, and a less-than-popular president whom some members have appeared more willing to buck recently, there are few establishment forces helping Mr. Ryan keep the peace.”

*****************************

PWS

03/25/17

BREAKING: NQRFPT! — Trumpcare Tanks! — Prez Tells Ryan To “Pull” Doomed Bill!

NQRFPT = “Not Quite Ready For Prime Time” a term sometimes used to describe certain cases on the Arlington Immigration Court docket.

https://www.washingtonpost.com/powerpost/house-leaders-prepare-to-vote-friday-on-health-care-reform/2017/03/24/736f1cd6-1081-11e7-9d5a-a83e627dc120_story.html?hpid=hp_rhp-top-table-main_housevote715a:homepage/story&utm_term=.e92b3451c27c

The WashPost reports:

“House Republican leaders abruptly pulled a Republican rewrite of the nation’s health-care system from consideration on Friday, a dramatic acknowledgment that they are so far unable to repeal the Affordable Care Act.

“We just pulled it,” President Trump told the Washington Post in a telephone interview.

The decision came a day after Trump delivered an ultimatum to lawmakers — and represented multiple failures for the new president and House Speaker Paul D. Ryan (R-Wis.).

The decision means the Affordable Care Act remains in place, at least for now, and a major GOP campaign promise goes unfulfilled. It also casts doubt on the GOP’s ability to govern and to advance other high-stakes agenda items, including tax reform and infrastructure spending. Ryan is still without a signature achievement as speaker — and the defeat undermines Trump’s image as a skilled dealmaker willing to strike compromises to push his agenda forward.

“I don’t blame Paul,” Trump said, referring to Ryan.”

****************************************

Read this article from Vox News about how Speaker Ryan “conned” the “Great Conner” into “going all in” on this terrible piece of proposed legislation which directly violated a number of Trump’s specific campaign promises (not that truthfulness has ever been much of a concern for Trump). Additionally, and perhaps not surprisingly, Trump was somewhat handicapped during negotiations by the fact that according to “those in the know” he never even read the bill he was touting. After all, “why sweat the details?”

http://www.vox.com/policy-and-politics/2017/3/24/15039664/paul-ryan-donald-trump-ahca

NWS President’s Trump’s statement that he “didn’t blame” Ryan, if I were “Speaker Paul,” I’d watch my back (and, perhaps, also my front). The President is not widely known as a “good loser.” To paraphrase one of my college buddies who grew up in South Philly, “Nobody cops a sneaky on DT and gets away with it.”

PWS

03/24/17

“POGO RULES!” GOP: “We Have Met The Enemy And It Is Us!” — “Gang That Couldn’t Shoot Straight” Threatens To Shoot Self In Foot — “Great Negotiator” Ends Negotiations Perhaps 40 Votes Short — GOP Leadership To Force Friday Vote On Health Care — They Might Well Lose!

All the reasons why our country is in extreme peril with the GOP “in charge” (so to speak) of the political branches were on vivid display this week. Inept leadership at both the House and White House levels went head to head with the hard core “Bakuninist Wing” on the right which cares not a fig about the overall good of the country or, apparently, about the future of their party either.

It’s still possible, but not probable, that the votes to pass the horrible GOP version of health care “reform” will materialize tomorrow. If it ever became law, it would guarantee misery to the most vulnerable Americans — tens of millions ultimately would lose coverage (about 14 million initially, more to follow) while those who could afford it would likely pay higher premiums than now for less coverage. In simple terms, the GOP’s rich cronies would get huge unneeded and undeserved tax breaks while those Americans (including many short-sighted Trump supporters) most in need would be pushed over the edge. What’s not to like about that?

Asked to explain how stripping 14 million Americans of their health care “Makes America Great,” the GOP has no answers, only evasions. And, with good reason — the real scheme — benefit the rich at the expense of the not so rich and poor — is highly unpalatable. Never let truth get in the way of bogus campaign slogans.

And, if the House bill does pass, it clearly will be DOA in the Senate. Based on this week’s performance, it’s unlikely that the House, Senate, and White House could ever reach a mutually satisfactory agreement.

Meanwhile, Obamacare is at its most popular and clearly has dramatically reduced the number of uninsured individuals in the U.S. The AMA, AARP, American Nurses Association, and American Hospital Association have all panned the current House proposal. Not to mention that the longer the House GOP “massages” the bill, the worse its “score” from the nonpartisan Congressional Budget Office gets. The latest version would decrease budget savings by hundreds of millions while still leaving an amazing 24-26 million uninsured.

Obamacare has flaws. But, they could be fixed within the existing framework. However, that would take statesmanship, skill, bipartisan teamwork, and commitment to the public good. Those concepts have simply ceased to be part of the modern GOP agenda.

So, prepare for a “political reality show” tomorrow in the House. Trump has threatened to leave Obamacare in place if the House bill doesn’t pass. Apparently, the theory is that without support from the Executive and Congress, Obamacare will eventually be strangled and die a slow painful death leaving many without insurance but, at least in theory, allowing some of the blame to be shifted to the Obama Administration. No matter how the vote comes out, responsible government and the common good are almost guaranteed to be the losers.

You can read the 8:29 PM Thursday CNN report on the “final ultimatum” from Trump below.

http://www.cnn.com/2017/03/23/politics/house-health-care-vote/index.html

PWS

03/23/17

WISCONSIN STATE JOURNAL: Betrayal! Ryan, GOP “Gift” To Wisconsin Seniors: Jacked Up Premiums, Suffering, Premature Death! I/O/W “Pay More For Less”

http://host.madison.com/wsj/news/local/health-med-fit/report-wisconsin-s-older-adults-would-pay-thousands-more-under/article_9fdb9c69-1339-5c33-9c77-0bf868071cde.html#utm_source=host.madison.com&utm_campaign=/email/&utm_medium=email&utm_content=26CD42536544E247751EC74095D9CEDC67E77EDB

David Wahlberg reports:

“In Madison, a 64-year-old currently pays $1,852 a year through “Obamacare” after receiving $5,991 in tax credits, according to a Citizen Action of Wisconsin report released Tuesday.

Under the Republican plan, the same person would pay $7,764 a year in premiums after $4,000 in tax credits. That is $5,912 — or more than three times — more, the report says.

Republicans’ proposed American Health Care Act, which the House is expected to vote on Thursday, would reduce tax credits for some groups and allow insurers to charge older adults more.

Those changes mean a 64-year-old in La Crosse would have net premiums of $14,515 a year, up from $1,519 now, the Citizen Action report says. That is $12,996 — or more than eight times — more.

The Republican plan would “result in people suffering and dying prematurely,” said Dr. Cynthia Haq, a professor of family medicine and population health sciences at the UW School of Medicine and Public Health.

“People will have to forgo health insurance coverage,” Haq said. “They will not seek care. They will not get preventive services. They will not be able to manage their chronic diseases. As a result, they’ll show up in the emergency departments of hospitals in extreme crisis.”

***************************************

As I have said previously, it’s going to be a crowded field for “King of the Swamp” honors this year, but Ryan with his inane health care proposal — which even his own party is balking at from both ends of the spectrum — certainly has his eye on the title!

How many will have to suffer and die before the folks in his congressional district finally get him “off the dole” and give him a chance to make his way by doing something more productive in the “real world” that he so much admires yet has avoided for most of his adult life?

PWS

03/21/17

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