Monday, October 13, 2025

Trump’s immigration insurance policies rattle residence well being care staff : NPR

A watercolor illustration of a caregiver assisting an older woman walking down a city street.

Immigrants make up a big share of staff caring for older adults and folks with disabilities. Now some who had authorized authorization to reside and work within the U.S. are dropping these protections.

Jackie Lay/NPR


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Jackie Lay/NPR

LOS ANGELES — Aurora was working as a nurse at a hospital in her residence nation of Honduras when she determined to depart for good. A mom of two, she yearned for a greater future for herself and her younger daughters. So in 1990, she went searching for that, making the journey by Mexico into the USA.

She finally discovered work in Los Angeles, taking good care of older adults of their properties. She bathes, feeds and modifications them and typically takes them locations, like the wonder salon. She typically stays with the identical purchasers for years, by good well being and dangerous and, in some instances, till demise.

For some time, she did this work with out authorized standing. However then, in late 1998, Hurricane Mitch devastated Honduras. Shortly thereafter, the U.S. granted non permanent protected standing (TPS) to Hondurans, citing the environmental catastrophe the hurricane had wrought.

For the primary time, Aurora had authorities permission to reside and work in the USA.

“I felt protected,” she says in Spanish. NPR agreed to not use Aurora’s final identify as a result of she now fears being focused by immigration authorities.

TPS for Hondurans was renewed a number of occasions through the years. However this 12 months, the Trump administration determined to terminate it, efficient Sept. 8.

“Short-term Protected Standing was designed to be simply that—non permanent,” stated Homeland Safety Secretary Kristi Noem in a press release in July. “It’s clear that the Authorities of Honduras has taken all the vital steps to beat the impacts of Hurricane Mitch, virtually 27 years in the past. Honduran residents can safely return residence.”

The choice is being challenged in court docket. However on Wednesday, a panel of judges on the ninth Circuit Courtroom of Appeals overturned a decrease court docket ruling, paving the way in which for the Trump administration to terminate TPS for Hondurans whereas litigation continues.

With Sept. 8 rapidly approaching, Aurora faces a way forward for uncertainty.

“We do not know what is going to occur,” she says. “We do not know something.”

An finish to immigration packages designed to offer non permanent refuge

Since returning to workplace, President Trump has ended quite a lot of packages granting immigrants refuge from unsafe circumstances again residence, citing nationwide safety issues.

“For many years, TPS has been abused as a de facto amnesty program to permit unvetted aliens to stay within the U.S. indefinitely,” Homeland Safety Assistant Secretary Tricia McLaughlin wrote in a press release to NPR. “Too typically, these packages have been exploited to permit legal aliens to come back to our nation and terrorize Americans.”

McLaughlin’s assertion included photographs of Hondurans with TPS who’ve been convicted of crimes within the U.S., together with aggravated assault and a intercourse offense in opposition to a toddler.

Aurora, who has spent most of her grownup life in Los Angeles, desires to convey a distinct message concerning the roughly 72,000 Hondurans granted TPS through the years, in addition to these from different nations.

“Not all immigrants are criminals,” she says. “We’re hardworking folks incomes an sincere residing.”

Few alternatives to realize everlasting standing

Like so many different noncitizens within the U.S., Aurora needs she might grow to be a everlasting resident or perhaps a citizen. Her union, Service Staff Worldwide Union Native 2015, representing roughly half 1,000,000 long-term care staff in California, has been pushing lawmakers to create a path to citizenship for folks like her.

“They offer a lot. I believe they’re deserving of us with the ability to discover a system that works for them,” says SEIU Native 2015 President Arnulfo De La Cruz.

De La Cruz notes that caregivers represented by the union serve California’s lowest-income older adults and folks with disabilities — those that qualify for government-funded care.

The union doesn’t observe the immigration standing of its members, however the long-term care sector depends closely on immigrants. In a 2023 report, the California Well being Care Basis estimated that near half of California’s direct care workforce — these caring for older adults or disabled folks of their properties or in amenities — are immigrants. With a quickly getting old inhabitants, California might face a scarcity of between 600,000 and three.2 million care staff by 2030, the report says.

Earlier than the termination of TPS for a lot of immigrants, “we have been already in an enormous care scarcity,” says De La Cruz. “There’s not sufficient caregivers to be matched with individuals who want care.”

De La Cruz has heard the argument that immigrants ought to get in line and wait their flip. He says that it isn’t that easy.

“It is not an software that you simply fill out and also you get processed,” he says, including that the few pathways that do exist, together with by marriage to a U.S. citizen or political asylum, are tough given the necessities.

De La Cruz is struck recalling that only a few years in the past, amid the COVID-19 pandemic, care staff have been acknowledged as important, even heralded as heroes. The nation couldn’t do with out them. And now, for no less than a few of them, the message is: Go residence. “To go from that to this … I believe, is creating an unlimited quantity of stress,” he says.

Roberto Oronia, photographed from about the shoulders up, is wearing a blue scrub shirt and glasses.

Roberto Oronia, a licensed nursing assistant, says the Trump administration’s stepped-up immigration enforcement has introduced anxiousness to the care workforce, together with to U.S. residents like himself.

Roberto Oronia


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Roberto Oronia

Elevated anxiousness for the care workforce

Roberto Oronia is feeling that stress, regardless that he’s a U.S. citizen, born in Los Angeles.

“This has contaminated all people,” he says. “I say contaminated. It is not affected. It has contaminated the psyche.”

Oronia works as a licensed nursing assistant at a nursing residence within the San Fernando Valley, alongside numerous immigrants who, like him, have relations, buddies and associates who worry getting caught up in Trump’s immigration enforcement.

The sweeping immigration raids in Los Angeles this summer time stay contemporary on everybody’s thoughts. Reviews that officers have been detaining folks based mostly on their look and that authorized U.S. residents have been amongst these arrested have stoked worry that no particular person of colour is protected, Oronia says.

“What’s it matter whether or not I am born right here?” he says. “It is only a matter of your pores and skin colour and your final identify.”

Oronia worries that the anxiousness he and different care staff are experiencing might have penalties for the folks beneath their watch.

“When anxiousness’s elevated, individuals are nervous, individuals are pressured, their minds are on different issues,” he says. “Accidents occur.”

Aurora doesn’t need to return to Honduras. Though practically three a long time have handed since Hurricane Mitch, she says her residence nation continues to be harmful, wracked by large poverty, gangs and corruption.

She’d reasonably take her probabilities right here.

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