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As the Trump administration unwinds years of protections for hundreds of thousands of people from Haiti, twin populations of vulnerable people find themselves in the crosshairs: caregivers in jobs to which those immigrants have flocked, and the older adults and disabled people who rely on them.
Around the U.S., care homes and home health agencies are bracing for the loss of workers with TPS, which stands for temporary protected status, even as they continue to reel from other immigration policy changes that have squeezed an already short-staffed industry.
For businesses, it is a predicament that could hurt bottom lines and tax remaining workers. For their clients, it threatens to upend every aspect of their lives.
“They have become like family,” says Katy Sanchez, who lives in a group home for disabled people in Nanuet, New York, run by The Arc Rockland, which stands to lose 19 caregivers with TPS, on top of 20 others it lost in immigration changes last year. “If they are forced to leave, it would be devastating.”
The Supreme Court sided with the Trump administration, saying it could end temporary protected status. The ruling specifically pertained to 350,000 Haitians and 6,000 Syrians, but immigration advocates and legal observers say it could be applied to a broader group of 1.3 million people from 17 countries.
Around 1 in 5 workers in the U.S. is foreign-born, according to the Bureau of Labor Statistics, but immigrants are overrepresented in caregiving roles. Among home health aides, for example, one-third are immigrants, according to Paraprofessional Healthcare Institute (PHI), a nonprofit focused on the caregiving workforce.
In lives upended by age or disability, a cherished caregiver is a lifeline. For someone living in their own home, they may be the last line of defense before institutionalization. For those in a care facility, they may be their strongest advocate, who notices subtle changes before anyone else, ensures small comforts like dollar-store word search books, and brings a sense of humanity to the humiliation of being incontinent.
Like similar facilities around the country, Cabrini of Westchester, a nursing home in Dobbs Ferry, New York, is prepared to scramble to secure replacement staffers from nursing agencies and plead with remaining workers to take overtime shifts. Cabrini’s workforce is about 75% immigrant. Among those with TPS, Smith senses “almost a hopelessness.”
This article was provided by The Associated Press.