Doctors to Trump: Deporting Illegal Immigrants Would Be Bad for U.S. Health

The American College of Physicians has a message for Donald Trump and any other presidential contender advocating for mass deportation of illegal immigrants: Any plan to kick out those 12 million people from the country could have severe public health consequences.
On Tuesday, the doctors’ group, which represents 143,000 internists, released a statement urging physicians to take a stand against proposals for mass deportation.
Related: Vast Majority of Americans Say Illegal Immigrants Should Stay
“Large-scale deportation of undocumented residents would have severe and unacceptable adverse health consequences for many millions of vulnerable people,” Dr. Wayne J. Riley, the groups’ president, said in a statement. “Numerous studies show that deportation itself, as well as the fear of being deported, causes emotional distress, depression, trauma associated with imposed family separations, and distrust of anyone assumed to be associated with federal, state and local government, including physicians and other health care professionals providing care in publicly-funded hospitals and clinics.”
That distrust, in turn, could result in sick people not getting medical attention, and in cases of patients with infectious diseases, it could even lead to a public health emergency with tremendous costs to the to the overall health care system, the group warned.
On the other hand, having illegal immigrants in the country carries health care costs, too. Medicaid pays around $2 billion a year for emergency treatment for illegal immigrants, Kaiser Health News reported in 2013, adding that the total represents less than 1 percent of total Medicaid costs.
Related: Birthright Citizenship, the New Immigration Scam
Still, the American College of Physicians said doctors have an ethical obligation to advocate for the health interests of all people, without consideration of their residency status.
“Physicians and other health professionals must remind politicians and policymakers that deporting millions of vulnerable people would have adverse health care consequences, not only for the people directly affected and their families, but also for their local communities and for the United States as whole,” Riley said in the statement. “Instead, we need a balanced immigration policy that ensures access to healthcare for all U.S. residents while recognizing that we need appropriate controls over who is admitted.”
Top Reads From The Fiscal Times
- The 10 States with the Worst Roads
- 5 Reasons the Trump Immigration Plan Doesn’t Pass the Reality Test
- Scott Walker Adjusts His Immigration Stance. Again.
Goldman Sachs Says Corporate Tax Rate Cuts May Get Phased In

Despite the challenges the Republican tax overhaul faces, Goldman Sachs still puts the chances of a plan becoming law by early next year at about 65 percent — but its analysts see some substantial changes coming before that happens. “The proposed tax cut is more front-loaded than we have expected; official estimates suggest a tax cut of 0.75% of GDP in 2018. However, we expect the final version to have a smaller near-term effect as competing priorities lead tax-writers to phase in some cuts—particularly corporate rate cuts—over time,” Goldman said in a note to clients Sunday.
The Hidden Tax Bracket in the GOP Plan

Politico’s Danny Vinik: “Thanks to a quirky proposed surcharge, Americans who earn more than $1 million in taxable income would trigger an extra 6 percent tax on the next $200,000 they earn—a complicated change that effectively creates a new, unannounced tax bracket of 45.6 percent. … The new rate stems from a provision in the bill intended to help the government recover, from the very wealthy, some of the benefits that lower-income taxpayers enjoy. … After the first $1 million in taxable income, the government would impose a 6 percent surcharge on every dollar earned, until it made up for the tax benefits that the rich receive from the low tax rate on that first $45,000. That surcharge remains until the government has clawed back the full $12,420, which would occur at about $1.2 million in taxable income. At that point, the surcharge disappears and the top tax rate drops back to 39.6 percent.”
Vinik writes that the surcharge would have affected more than 400,000 tax filers in 2015, according to IRS data, and that it could raise more than $50 billion in revenue over a decade. At a Politico event Friday, House Ways and Means Chairman Kevin Brady said the surcharge, sometimes called a bubble rate, was included to try to drive more middle-class tax relief.
Read the Republican Tax Bill, Plus the Talking Points to Sell the Plan

House Republicans on Thursday released a 429-page draft of their "Tax Cuts and Jobs Act." Read the bill below, or scroll down for the House summary or a more digestible GOP list of highlights.
Another Analysis Finds GOP Tax Plan Would Balloon Deficits
A study by the University of Pennsylvania’s Wharton School, using the Penn Wharton Budget Model (PWBM), finds that three modeled versions of the plan would raise deficits by up to $3.5 trillion over 10 years and as much as $12.2 trillion by 2040. The lowest-cost plan modeled in the study — a version that would tax corporate income at 25 percent instead of the GOP’s proposed 20 percent and pass-through income at 28 percent instead of 25 percent, among a host of other assumptions and tweaks — would lose $1.5 trillion over 10 years, or $1 trillion after accounting for economic feedback effects. (The budget adopted by Republicans last week allows for up to $1.5 trillion to the added to the deficit.) The study also found that workers’ wages would increase by about 1.4 percent over a decade, far shy of the estimated benefits being claimed by the White House.
The Budget Vote May Depend on a SALT Deal
House GOP members concerned about the proposal to repeal the deduction for state and local taxes are supposed to meet with party leaders Wednesday evening. They’re reportedly looking to reach a compromise deal to keep the tax break in some form — and the budget vote might be at stake, Bloomberg reports: “House Republicans hold 239 seats and need 217 votes to adopt the budget — a critical step to passing tax changes without Democratic support. That means 23 defections could sink the budget resolution — assuming no absences or Democratic support.”