Crain'S Chicago Business
Mr. Speaker, on February 6, 2018, Crain's Chicago Business published an op-ed, ``The looming crisis in health care'' by Sara McElmurry, a nonresident fellow for immigration at Chicago Council on Global Affairs. The piece highlights the…
Mr. Speaker, on February 6, 2018, Crain's Chicago Business published an op-ed, ``The looming crisis in health care'' by Sara McElmurry, a nonresident fellow for immigration at Chicago Council on Global Affairs. The piece highlights the effect that cancellation of Temporary Protected Status (TPS) and failure to extend Deferred Action for Childhood Arrivals (DACA) would have on Midwesterners' access to home care. I urge my colleagues to read this op-ed and consider the human consequences of anti-immigrant policies.
Mr. Speaker, I include in the Record the following:
[From Crain's Chicago Business, Feb. 6, 2018]
The Looming Crisis in Health Care
(By Sara McElmurry)
When the White House unveiled a hard-line plan last week to
choke off immigration, it issued a threat to a crucial
pipeline of Midwestern workers: home health care aides.
In the crosshairs is a region that's graying at a rapid
clip yet stubbornly conflicted about immigrants--a region
where foreign-born workers punch well above their weight.
Immigrants are currently 24 percent of the nation's home
health aides. And while they make up 13 percent of the U.S.
population, more immigrants are in their prime working age
and have a higher rate of job participation compared to their
native-born peers, representing 17 percent of the overall
workforce, according to a new report by the Chicago Council
on Global Affairs.
Examining the mushrooming demand in one industry--home
health--illustrates the crisis to come. Analysts expect 1.1
million of these jobs to come online by 2026 as America's
population of seniors rises to 71.5 million by 2030. Chicago,
Columbus, Minneapolis and Cleveland are already four of the
top five metropolitan areas with the highest employment
levels for the occupation. But in a region that has lost
nearly a quarter of its native-born working-age population
since 2000, where will the Midwest find new workers to meet
the demand?
Home health aides log long, physically demanding hours
taking care of people who cannot care for themselves and
helping families who need extra hands to care for loved ones.
They bathe and feed ailing clients, check vitals, monitor
medications, and change bedpans and bedsheets. These jobs are
certainly not glamorous and decidedly hard to fill, given the
physically--and emotionally--challenging duties.
While many home health aides complete on-the-job training
and hold professional certificates, the positions often
require only a high school degree and no previous work
experience, making them an accessible entry point into the
U.S. labor force for immigrants and refugees.
Yet these so-called ``low-skilled'' workers will prove
difficult to replace if the pipeline of immigrants suddenly
slows. Home health aides earn a mean $23,840 annually in
Illinois. Improved pay and benefits should be top of
employers' to-do lists but may prove futile in attracting
aging U.S.-born workers, particularly Midwesterners, who are
closing in on retirement themselves.
Yet the U.S. immigration system is increasingly hostile to
the foreign-born talent needed to fill the gaps. The fast-
approaching end to Deferred Action for Childhood Arrivals on
March 5, coupled with the Trump administration's cancellation
of many Temporary Protected Status programs, could hit health
care hard. One in five DACA recipients is employed in health
care, and many TPS holders--especially among the 50,000
Haitians who received TPS after an earthquake leveled the
island in 2010--work in home health care.
Moving forward, many would-be home health aides will not
meet the lofty criteria of the points-based immigration
systems being championed by the White House. And if the
administration is successful in implementing its plans to
curb family-based immigration, end the ``diversity'' visa
lottery and dismantle other elements of our immigration
system as outlined in last week's State of the Union address,
the pool of foreign-born health workers will be further
compromised.
In recent years, the Midwest has led the charge to bring
more immigrant workers into health care. Local nonprofits
like Chicago's Institute del Progreso Latino have pioneered
immigrant-friendly pipeline programs that provide language
skills and certifications for in-demand health care careers.
Several Midwestern states, including Illinois, have made
higher education more accessible for immigrants by offering
in-state tuition rates at public institutions. Missouri and
Minnesota have created licenses and policies that help more
qualified immigrants enter tough-to-fill health care jobs.
These innovative local programs are ripe to be scaled
nationally. But instead, the federal government's immigration
crackdown threatens their success by pushing out current
work-authorized immigrants and limiting the channels for new
workers to enter the country to replace them.