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Migrants Are Increasingly Avoiding Seeking Health Services, Fearing Deportation: 'That Will Put Me In Their Radar'

Migrants Are Increasingly Avoiding Seeking Health Services, Fearing Deportation: 'That Will Put Me In Their Radar'

President Donald Trump's mass deportation operations have led migrants to be detained in mundane places: at restaurants, mass transit, and even immigration appointments. The raids have left migrants vulnerable and scared, with some even avoiding going to hospitals for fear of being detained, and later deported, by Immigration and Customs Enforcement (ICE).
Across the country, doctors, nurses and social workers have reported growing concerns that people with serious medical conditions, including injuries, chronic illnesses and high-risk pregnancies, are forgoing medical care out of fear of being apprehended by immigration officials, a new report from The New York Times reveals.
For instance, Emily Borghard, a social worker who hands out supplies to the homeless through her nonprofit, recently found a man laying on a New York City sidewalk with a gunshot wound. When she found him, she tried to call 911, but the man begged her "no, no, no," and not to make the call.
"He said, 'If I go to the emergency department, that will put me on their radar'," she recalled in an interview with the Times. The man's concerns came despite federal law requiring hospitals to treat patients, regardless of immigration status.
Likewise, Jim Mangia, president of St. John's Community Health Network in Los Angeles , described one patient with diabetes who stopped showing up for a weekly diabetes education class. When a clinic staff called the woman, they discovered she was afraid to even go to the grocery store, and had been subsisting for days on tortillas and coffee, he said.
"Thank God we reached her and she came in," said Mangia, whose network serves an estimated 25,000 undocumented patients across more than 20 locations. Tests at the clinic showed that her blood sugar had become dangerously high.
"That's what we're going to see more and more of," Mangia said. "It kind of breaks my heart to talk about it."
But the man is not the only one facing these concerns. In a recent survey conducted by KFF , a health policy research organization, 31% of immigrants said that worries about immigration status— their own or that of a family member— were negatively affecting their health. About 20% of all immigrants surveyed said they were struggling with their eating and sleeping; 31% reported worsened stress and anxiety.
Doctors say that the drop in migrant care is apparent. For instance, Dr. Amy Zeidan, an emergency room physician in Atlanta, said that requests for Spanish-language interpretation in her hospital's emergency department have fallen more than 60% from January to February.
If the trend continues, health care officials say, the list of consequences could be long: infectious diseases circulating unnecessarily; worsening health care costs because of untreated chronic illnesses; and dangerous birth complications for women who wait too long to seek help, among others. Research also shows that immigration crackdowns are linked with poorer birth outcomes and mental health status, lapses in care, and fewer people accessing the types of public programs that reduce illness and poverty overall.
"We're really creating not just very serious health risks , but economic risks in the long run for our country," Julie Linton, a pediatrician and member of the committee on federal government affairs for the American Academy of Pediatrics, told The Times. "These policies are creating very real fear and uncertainty for people and have a tremendous impact on their ability to function on a day-to-day level."
The Trump administration quickly dismantled a previous law that prevented undocumented migrants from being arrested at sensitive locations like schools, churches and hospitals when he returned to the White House, making these concerns even more real. The move reversed guidance that had been in place for over a decade that sought to provide some protections to the vulnerable community.
"This action empowers the brave men and women in CBP and ICE to enforce our immigration laws and catch criminal aliens— including murderers and rapists— who have illegally come into our country. Criminals will no longer be able to hide in America's schools and churches to avoid arrest," the Department of Homeland Security said in a statement back in January.
Originally published on Latin Times

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AI in the Middle East: Fact-checkers fight fire with fire
AI in the Middle East: Fact-checkers fight fire with fire

DW

time20-06-2025

  • DW

AI in the Middle East: Fact-checkers fight fire with fire

Conflicts, crisis and information vacuums in the Middle East mean AI-generated disinformation is overflowing. But fact-checkers are turning Arabic-language AI into weapons on their mission to counter disinformation. In 2014, the news about a miracle herb from Lebanon that could treat skin cancer was spread on social media. If rubbed on the skin, the herb promised to immediately cure all symptoms. It was that promise which made Moath Althaher's cousin stop her chemotherapy treatment for skin cancer. She passed away just a few months later. For medical student Moah Althaher, this was the moment he decided that he needed to do something to fight health-related disinformation. He had just witnessed the power of such misinformation to cause severe damage firsthand. The idea for the fact-checking platform Fatabyyano was born, initially with a focus on health-related disinformation. A real risk to social cohesion and regional stability Misleading health claims are only a drop in the ocean in the vast disinformation landscape in the Middle East. The nature and content of disinformation in the MENA region vary significantly, depending on the specific country context. Ongoing political conflicts and instabilities such as the outbreak of the Israel-Hamas war or the recent fall of the Assad regime in Syria are the main drivers for the spread of toxic content, increasingly created by AI tools. After witnessing the impact of health misinformation firsthand, Moath Althaher launched the fact-checking platform Fatabyyano Image: Yuan-Bin Zhao Walid Al-Saqaf, a professor of journalism and AI at the Doha Institute, explains: "The MENA region's fragmented and government-controlled media, as well as its limited digital literacy, heighten vulnerability to AI-driven disinformation. AI has substantially accelerated the proliferation of disinformation in the MENA region, thereby posing serious risks to societal cohesion and regional stability." Al-Saqaf also says that the development of AI technologies has exacerbated the spread of disinformation as more sophisticated deepfakes and AI-generated images and audio can be created with the help of easily available and cheap AI tools. Next level disinformation A single piece of disinformation spread in Arabic could potentially reach an audience of more than 400 million Arabic speakers. Fatabyyano founder Moath Althaher has noticed a change in both the character and quality of disinformation that has been spread over the years. While in the early days of Fatabyyano, disinformation was often created with a silly or entertaining undertone which made it easy to detect, it now looks different. "Disinformation has gained a more serious tone and has become more sophisticated due to the development of AI tools," says Althaher. "Disinformation is now on another level and can even appear as deepfakes, using the voice or image of public figures." A piece of disinformation that was fact-checked by the Fatabyyano team was a Facebook reel that appeared to show Ahmad Fakhouri, host of the BBC show "Trending," presenting a herbal spray that could help people quit smoking. While the host elaborates on the health benefits of the spray, instructions on how to buy it are provided right below the deepfake video. Fact-checking such a video now requires a multilayered approach: It needs to be checked for its claim, as well as the voice and images used. Fatabyyano debunked a deepfake of BBC host Ahmad Fakhouri promoting a fake anti-smoking spray, showcasing the complexity of modern fact-checking Image: Fatabyyano There has also been a shift in the motivation behind the spreading of disinformation. When Moath first started his fact-checking work, fake news were often being spread for entertainment or communication purposes. Now the main motivation is to deceive in order to generate profit - as the immediate buying instructions in the case of the herbal spray video demonstrates: It sells at 25 Euro for a pack of four. Moath Althaher is part of a vibrant community of fact-checkers in the Middle East who are trying to keep up with the huge amounts of false and misleading information. AI tools seem like potential allies in an impossible task, however they come with their own set of challenges. "The data that Arabic language models are trained on is of low quality in comparison to English language models, both in terms of quality and quantity," Althaher explains. "This leads to limited performance." The complexity of Arabic, with its many dialects and writing styles, makes AI training and language processing especially challenging Image: Floris Van den Abbeele/DW The complexity of the Arabic language further complicates the situation. With dozens of regional dialects, the creation and processing of datasets become increasingly difficult. Abed Khooli, an AI researcher based in Ramallah, explains: "Arabic also uses different accents that can alter the meaning of words, varying writing styles, and numerous regional and country dialects, in addition to Modern Standard Arabic (MSA), which complicates processing." Digging deeper: Understanding the underlying narratives The Fatabyyano team is currently developing the tool, which is an AI-powered instrument designed for real-time fact-checking and trend analysis in Arabic. This tool aims to keep pace with the immense amount of high-quality, AI-generated disinformation. goes beyond simple fact-checking: It helps to uncover and understand the underlying disinformation narratives, which is especially helpful in the health sector. To overcome the impediment of low-quality data, the model has been trained on a decade's worth of fact-checking done by the Fatabyyano team, which presents a significant qualitative and quantitative dataset. The tool can respond to any requests by users based on this curated data, as well as draw on other trusted and specified sources. Furthermore, the team utilizes advanced AI tools across multiple trusted platforms to build a larger database. "A piece of misinformation is always the symptom of a narrative. If you understand the narrative, you can tackle the problem at its root," explains Althaher. Palestinian Territories: Fact-checking in times of war Narratives play an important role in the ongoing conflict between Palestinians and Israelis and shape the public discourse. "Decades of tension and violence between Palestinians and Israelis have led to an environment where misinformation and disinformation has flourished," explains Elliot Higgins from Bellingcat in a BBC podcast . People are generally less likely to question information that confirms their views. Following the October 7th terrorist attack on Israel by Hamas, the level of disinformation was at an unprecedented scale. Journalists in Gaza work under extreme conditions, verifying information despite displacement and limited access to internet and electricity Image: Hamed Sbeata/Middle East Images/picture alliance Fact-checkers from the Palestinian Territories do not only work in an environment fertile for disinformation, they also operate out of a war zone. Riham Abu Aita, based in Ramallah, founded the fact-checking organisation Kashif in 2019. The majority of fact-checking requests that the Kashif team currently receives are related to the situation in Gaza. One of Kashif's team members, Ahmad, is based in Gaza and is facing tough circumstances on the ground. He has been displaced more than three times and is currently with his family in Khan Younis. Access to connectivity or information are limited and Ahmad often relies on a wide network of people he knows on the ground and calls them to verify any information for fact-checks or reaches out to journalists or medical staff. Some of the fact-checking requests that the Kashif team receives are related to a term coined "Pallywood," which refers to a disinformation campaign that accuses Palestinians of faking suffering and civilian deaths in their conflict with Israel. One particularly disturbing aspect of these claims involves accusations that images of deceased children are staged and show dolls rather than children. In such cases, the Kashif team relies on their network to contact the children's families for testimonies or photos of the children — in order to prove that the accusations of staging are false. "We were not able to respond to all those requests because we are a small team, that's why we decided to integrate a chatbot into our website," explains Riham Abu Aita. The "Kashif bot" responds to requests by users to fact-check specific information or answer questions. It functions as an interactive bot that is trained by the Kashif team and provides the users with verified and trusted information only. The bot makes sure that the users receive answers quickly, as the requests do not have to be responded to by individual team members. The Kashif bot also helps the team understand which topics are of interest to the users of Kashif. Riham Abu Aita co-founded Kashif, a Palestinian platform promoting media literacy and fighting misinformation through fact-checking and ethical journalism Image: DW Akademie "The process of building the chatbot was much more complicated than expected," recalls Riham Abu Aita. "It took us more than six months to make sure that the chatbot was treating our content properly. It was difficult to even find a chatbot provider, as most providers do not focus on Arabic language." So far, the performance of the chatbot has been satisfying; People are using it frequently and the team is continuing to train it. However, Abu Aita acknowledges that her team's fact-checking capabilities are constrained by the environment in which they operate. "Sometimes the public asks us for fact-checks that would need security or military information," she explains. "But we do not have access to such information." Lebanon: Battling disinformation on social media Another hotspot where false and misleading information circulates is in Lebanon. There, disinformation is mostly shared and spread among friends or family members on WhatsApp groups, with content and interactions peaking during times of crisis or events. To fight fire with fire, the fact-checking platform Sawab was initially founded as a WhatsApp group in 2022. During the 2023 earthquake in Turkey and Syria, disinformation spiked, and it became difficult for people to navigate, which brought the number of users in the Sawab WhatsApp group from a few hundred up to 2000 within only four or five months. During the earthquake, the number of AI-generated images circulating on WhatsApp was striking, such as the image of a dog sitting on top of the rubble under which a child's hand protrudes. Such images were likely spread to evoke sympathy or to gain traction or views. Due to the high demand for fact-checks, the Sawab team soon explored other social media channels and started their website in 2024. Just one of many images the Sawab team has identified as fake Image: Sawab Sawab has recently welcomed a special new member to its team of 14 part-time members: a virtual AI bot named VERIFAI that supports the team around the clock. The Sawab team was recently put to the test in the light of the high influx of disinformation emerging during the war in Gaza and the military escalation between Israel and Lebanon. The team members who commit to Sawab alongside full-time jobs or study commitments were simply not able to keep up with the amount of content. The VERIFAI Sawab bot now supports them on their mission of verifying news and combating hate speech. The VERIFAI bot assists the team in research, information gathering or specific editorial tasks while the team makes sure that the bot is given very precise instructions or reliable sources to use. However, the bot's contribution so far remains limited. "Until now, our virtual team member is not a fact-checker," explains Sawab's 22-year-old co-founder Youssef Al-Amin, a student at Doha Institute. "It is difficult to teach him (VERIFAI) how to use reliable sources. He still needs time to learn." The AI bot has been trained in Sawab's editorial style and platform-related specificities to be able to support its human team members in the best possible way. The bot was able to render some of the workflows more time efficient, which has helped other team members to free up and dedicate more of their time to fact-checking tasks. Youssef Al Amin, a Lebanese journalist and co-founder of Sawab, brings his fact-checking expertise to the stage at a DW Akademie conference in Tunis Image: DW Akademie The Sawab team has noticed that the bot still has significant limitations in its performance in Arabic language or its application in the Arabic context. "We still mostly use English prompts, as there are more mistakes made in Arabic. We also noticed that there is a lack of understanding on local realities on the ground, especially when the task concerns smaller communities or villages in Lebanon," recalls Al-Amin. One major caveat is that the bot would never admit to its own limitations or knowledge gaps, but would rather provide made-up answers, but with a strong degree of confidence. AI tools to detect misinformation such as AI generated images, also lag behind their English-language counterparts. "They are still bad at detecting AI-generated images. Every time the tools used to generate AI content improve, the more difficult our mission becomes, as the gap widens," explains Al-Amin. Election periods make it harder for users to spot disinformation online Image: Vahid Salemi/AP/picture alliance With municipal elections taking place in Lebanon in 2025 and parliamentary elections in 2026, the Sawab team anticipates a high rise in disinformation, as well as its spread by chatbots and on coordinated accounts, and has already started to prepare for what is yet to come. Fact-checkers from the Middle East operate in very specific country contexts, but there is one thing that unites them all: Giving up is not an option. They all do their best to respond to each request and deliver any fact-check demanded. Despite all the hardships and difficulties they face, they continue to do their work and follow ambitious aims. "We do whatever we can. We hope that the bot could help to reduce hate speech, incitement as well as gender-based disinformation," says Riham from Kashif. The Middle Eastern fact-checkers try to make the region a better and safer place through verified information: One step at a time — and now assisted by machine effort through their narrative detection tool, chatbots or even virtual team members. Jenna Kleinwort is a project manager in the Middle East and North Africa Department at DW Akademie and a member of the DW Akademie's Community of Practice on Artificial Intelligence. She holds an MSc in Economics of the Middle East from Marburg University. She wrote her thesis on Female Entrepreneurs in the United Arab Emirates, where she also worked as a reporter. Fluent in Arabic, Jenna has spent over seven years in North Africa and the Gulf region. She is also a 2023 Rosalynn Carter Fellow for Mental Health Journalism.

Democratic Veterans Could Be Refused Treatment Under Trump's New Rules for VA Hospitals: Report
Democratic Veterans Could Be Refused Treatment Under Trump's New Rules for VA Hospitals: Report

Int'l Business Times

time16-06-2025

  • Int'l Business Times

Democratic Veterans Could Be Refused Treatment Under Trump's New Rules for VA Hospitals: Report

New guidelines implemented under an executive order by President Donald Trump now allow VA hospital staff to refuse healthcare to veterans based on political affiliation and marital status, prompting concerns that Democratic and unmarried veterans may be denied treatment. On January 30, Trump signed an executive order titled "Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government." While its primary aim was to curtail federal protections for transgender individuals, the order also triggered sweeping changes within the Department of Veterans Affairs (VA), according to the Guardian. The VA, which serves over 9 million veterans across more than 170 hospitals and 1,000 clinics, revised its internal bylaws to strip longstanding protections against discrimination based on political party, marital status, sexual orientation and national origin. The updated policies allow doctors, psychologists, dentists and other healthcare workers at VA hospitals to refuse treatment to veterans based on characteristics not explicitly protected by federal law. While veterans are still legally entitled to care, there is now no rule preventing staff from declining service to individuals based on their political beliefs or whether they are unmarried. Internal documents reviewed by the outlet confirm that the changes are already in effect at some VA centers. The VA's press secretary confirmed the revisions were made to align with Trump's executive order but did not clarify what federal law required such shifts. The new rules have drawn sharp criticism from medical experts and ethics professionals. Dr. Kenneth Kizer, the VA's top health official, warned the policy could allow providers to deny care to patients based on rape allegations, political activity or substance use. Dr. Arthur Caplan of NYU's Grossman School of Medicine called the changes "unethical" and "an effort to exert political control over the VA medical staff." Originally published on Latin Times

UN Slashes Global Aid Plan Over 'Deepest Funding Cuts Ever'
UN Slashes Global Aid Plan Over 'Deepest Funding Cuts Ever'

Int'l Business Times

time16-06-2025

  • Int'l Business Times

UN Slashes Global Aid Plan Over 'Deepest Funding Cuts Ever'

The United Nations said Monday it was drastically scaling back its global humanitarian aid plans because of the "deepest funding cuts ever" -- leaving tens of millions of people facing dire straits. The UN's Office for the Coordination of Humanitarian Affairs (OCHA) said it was seeking $29 billion in funding for 2025 compared to the $44 billion originally requested in December, in a "hyper-prioritised" appeal. Since US President Donald Trump returned to office in January, the United States -- the world's top donor -- has heavily slashed foreign aid, causing havoc in the humanitarian sector across the globe. Drastic US funding cuts have had dramatic consequences for emergency aid, vaccination campaigns and the distribution of drugs to fight AIDS. Other major donor countries have also cut back their contributions in the face of an uncertain economic outlook. "Brutal funding cuts leave us with brutal choices," OCHA chief Tom Fletcher said in a statement. "All we ask is one percent of what you chose to spend last year on war. But this isn't just an appeal for money -- it's a call for global responsibility, for human solidarity, for a commitment to end the suffering." In late April, while visiting a hospital in Kandahar in Afghanistan, Fletcher warned: "Cutting funding for those in greatest need is not something to boast about... The impact of aid cuts is that millions die." With 2025 nearly halfway through, the UN has received only $5.6 billion out of the $44 billion originally sought for this year -- a mere 13 percent. In total, the original plan covered more than 70 countries and aimed to assist nearly 190 million vulnerable people. Even so, that plan acknowledged there were 115 million people the UN would not be able to reach. "We have been forced into a triage of human survival," Fletcher said Monday. The mathematics "is cruel, and the consequences are heartbreaking". "Too many people will not get the support they need, but we will save as many lives as we can with the resources we are given," he said. Aid will now be directed so that it can "reach the people and places facing the most urgent needs", with those in "extreme or catastrophic conditions" as the starting point, said Fletcher. "This will ensure that limited resources are directed where they can do the most good -- as quickly as possible," the statement said. Fletcher's call came as the UN's Food and Agriculture Organization (FAO) and World Food Programme (WFP) issued a joint early warning report identifying worsening hunger in 13 hotspots. Five of those places are facing an immediate risk of starvation -- situations worsened by dwindling funds, the agencies said. Sudan, the Palestinian territories, South Sudan, Haiti and Mali have communities "already facing famine, at risk of famine or confronted with catastrophic levels of acute food insecurity", said the report. "The devastating crises are being exacerbated by growing access constraints and critical funding shortfalls," it said. Yemen, the Democratic Republic of Congo, Myanmar and Nigeria are now considered of very high concern and requiring urgent attention to save lives and livelihoods, it added, with Burkina Faso, Chad, Somalia and Syria the other hotspots. "This report is a red alert," said WFP chief Cindy McCain. "Without funding and access, we cannot save lives. Urgent, sustained investment in food assistance and recovery support is crucial as the window to avert yet more devastating hunger is closing fast." In late March, WFP said it was facing an "unprecedented crisis" due to a 40 percent cut in its funding for 2025, risking life-saving aid for 58 million people. UN agencies have seen their budgets slashed as donations dry up AFP Fletcher presented the UN's Global Humanitarian Overview 2025 in December, but the funding plans have now been slashed AFP Thousands of Gazan children queue every day at community kitchens in the hope of securing food for their families AFP

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