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.”
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Coming Soon: Deductible Relief Day!
You may be familiar with the concept of Tax Freedom Day – the date on which you have earned enough to pay all of your taxes for the year. Focusing on a different kind of financial burden, analysts at the Kaiser Family Foundation have created Deductible Relief Day – the date on which people in employer-sponsored insurance plans have spent enough on health care to meet the average annual deductible.
Average deductibles have more than tripled over the last decade, forcing people to spend more out of pocket each year. As a result, Deductible Relief Day is “getting later and later in the year,” Kaiser’s Larry Levitt said in a tweet Thursday.
Chart of the Day: Families Still Struggling
Ten years into what will soon be the longest economic expansion in U.S. history, 40% of families say they are still struggling, according to a new report from the Urban Institute. “Nearly 4 in 10 nonelderly adults reported that in 2018, their families experienced material hardship—defined as trouble paying or being unable to pay for housing, utilities, food, or medical care at some point during the year—which was not significantly different from the share reporting these difficulties for the previous year,” the report says. “Among adults in families with incomes below twice the federal poverty level (FPL), over 60 percent reported at least one type of material hardship in 2018.”
Chart of the Day: Pragmatism on a Public Option
A recent Morning Consult poll 3,073 U.S. adults who say they support Medicare for All shows that they are just as likely to back a public option that would allow Americans to buy into Medicare or Medicaid without eliminating private health insurance. “The data suggests that, in spite of the fervor for expanding health coverage, a majority of Medicare for All supporters, like all Americans, are leaning into their pragmatism in response to the current political climate — one which has left many skeptical that Capitol Hill can jolt into action on an ambitious proposal like Medicare for All quickly enough to wrangle the soaring costs of health care,” Morning Consult said.
Chart of the Day: The Explosive Growth of the EITC
The Earned Income Tax Credit, a refundable tax credit for low- to moderate-income workers, was established in 1975, with nominal claims of about $1.2 billion ($5.6 billion in 2016 dollars) in its first year. According to the Tax Policy Center, by 2016 “the total was $66.7 billion, almost 12 times larger in real terms.”
Chart of the Day: The Big Picture on Health Care Costs
“The health care services that rack up the highest out-of-pocket costs for patients aren't the same ones that cost the most to the health care system overall,” says Axios’s Caitlin Owens. That may distort our view of how the system works and how best to fix it. For example, Americans spend more out-of-pocket on dental services ($53 billion) than they do on hospital care ($34 billion), but the latter is a much larger part of national health care spending as a whole.
