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Healey Under Pressure to Address Steward Health Care Crisis, Brighton Hospital At Risk | News – Harvard Crimson

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Massachusetts Governor Maura T. Healey 92 is under increasing pressure to address the financial crisis facing Steward Health Care, which operates nine hospitals statewide including the Brighton-based St. Elizabeths Medical Center.

Healey will speak to the Public Health Council Wednesday morning about the crisis, her spokesperson Karissa Hand wrote in an email, amid mounting questions about whether Steward can find a buyer to assume ownership of some of its hospitals.

A Boston Globe investigation last month revealed the health care system was tens of millions behind on rent, making some of its hospitals vulnerable to service reductions or closures.

If St. Elizabeths were to close, it could have immense ramifications for both Allstons economy and the health of its residents, said Anna Leslie, executive director of the Allston Brighton Health Collaborative.

Not only is it the largest healthcare provider in the neighborhood, it's the largest employer in the neighborhood, Leslie said.

In an email to The Crimson, a spokesperson for Boston Mayor Michelle Wu 07 wrote that city officials are in contact with the state and unions and are monitoring the situation closely.

Paul Hattis, a former member of the state Attorney Generals Health Policy Commission, said Healeys administration has several options at its disposal, although at the moment, the ball seems to be in Stewards court. Those options include a court-appointed receivership, inspection of Stewards hospitals, or helping finance the sale of the hospitals to other regional healthcare groups.

The state could also bail out the company, a possibility Healey has publicly dismissed. In a statement on Feb. 2, the Executive Office of Health and Human Services announced they are conducting daily on-site monitoring visits at St. Elizabeths and two other hospitals to evaluate day-to-day staffing, supplies, and patient count.

EOHHS also said they were working to determine the patient capacity of other health care providers in the state, suggesting the administration is taking steps to prepare for the possibility of hospital closures.

On Feb. 2, Steward claimed to have secured enough financing to keep all its Massachusetts hospitals open while it looks for new owners of some of its hospitals. Still, some prominent state lawmakers including House Speaker Ron Mariano, a Quincy Democrat, remain suspicious of the health care giant, which has not released the details of its bridge funding plan.

Leslie said the crisis at Steward could have been foreseen well in advance.

St. Elizabeths had failed to pay $150,000 it owed to the ABHC as part of a non-binding community benefits agreement, Leslie said in an interview Tuesday morning. Later on Tuesday, St. Elizabeth paid the $50,000 it owed the ABHC for 2023, Leslie wrote in an email Tuesday night.

Its troubling that it got this far, Leslie said. There were a lot of warning signs directly from staff, from community partners like us.

A spokesperson for St. Elizabeths did not respond to a request for comment. In an email, Caroline Whitehouse, a spokesperson for the EOHHS wrote that Healeys administration had been in communication with Steward over its finances for months.

Hattis said Steward has exhibited a pattern of failing to disclose information about its finances to the state. Steward sued the state Center for Health Information and Analysis in 2016 to prevent the handover of their financial statements.

By that point, the health care giant had been fined hundreds of thousands of dollars in fines for refusing to disclose required financial data to the state.

In Boston, the City Council will hold a hearing on the Steward crisis on Thursday, Feb. 22, which will include testimony from members of the public.

Staff writer Jina H. Choe can be reached at jina.choe@thecrimson.com.

Staff writer Jack R. Trapanick can be reached at jack.trapanick@thecrimson.com. Follow him on X @jackrtrapanick.

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Healey Under Pressure to Address Steward Health Care Crisis, Brighton Hospital At Risk | News - Harvard Crimson

The Darin Gap migration crisis in six graphs, and one map – The New Humanitarian

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A record 520,000 migrants crossed the treacherous jungle corridor connecting Colombia and Panam known as the Darin Gap in 2023. Less than a decade ago, that figure was only a few thousand, but the number has been doubling annually in recent years, and a further surge is expected in 2024.

2023 has broken all records. It has been a huge, terrible maelstrom, Elas Cornejo, who runs Fe y Alegra, an NGO promoting education and social advancement for migrants in Panam, told The New Humanitarian. And we expect a new increase [in 2024].

Services like Fe y Alegra on both sides of the Colombia-Panama border are becoming engulfed as the needs of vast numbers of vulnerable people traversing dangerous territory overwhelm local communities and aid groups trying to help.

The migrants take the 97-kilometre jungle trek over steep and muddy terrain and along fast-flowing rivers because it is the only overland route from South America into Central America. Once in Panam, where government reception centres are overrun, most hope to head northwards through Mexico to the southern US border, but these journeys are also full of risks.

Read more: The challenges facing the humanitarian response

The few humanitarian agencies and organisations operating on the ground in and around the Darin Gap are struggling to meet the soaring needs of those crossing, not least because of the insecurity in the region.

The Colombian side of the jungle is mostly controlled by the Gulf Clan a criminal organisation involved in drug and human trafficking that made an estimated $57 million from extortion along the migration route in just 10 months last year. The cartel controls most aspects of the route, determining who can assist and therefore heavily restricting the humanitarian response. In Panam, several international organisations help the migrants who reach the Indigenous communities of Bajo Chiquito and Canan Membrillo, and in government-run reception centres at the edge of the jungle, in San Vicente and Lajas Blancas. Those facilities, however, are meant to host less than 1,000 people per day. Instead, in 2023, they were receiving up to 5,500.

Diana Romero, emergency specialist at UNICEF Panam, told The New Humanitarian that coming up with the right emergency response hasn't been easy in a high-income country that was unprepared to deal with such needs. Panama had not faced situations of disasters or crises, so they didnt have the implementation partners needed, she said. In 2019, there were no local humanitarian teams, because there never was a demand for that. There were no specialists in WASH, gender, or nutrition.

As they cross the Darin Gap and beyond, migrants face unchecked abuses by criminal groups, rampant sexual violence, a cascade of physical and mental health impacts, and worse: Between January 2021 and March 2023, Panamanian authorities found a reported 124 bodies on the route, mostly through drowning, but thats thought to be a fraction of the real number of deaths, as many go unreported.

Many making these difficult journeys are escaping regional violence and economic crises in countries like Venezuela, Haiti, and Cuba, but increasing numbers have also been coming from countries in the Middle East, Africa, and Asia, including China.

With no sign of a let-up in 2024, here are six graphs (and one map) that show the scale and evolving nature of the crisis, with analysis to unpack those trends.

A number of factors caused the dramatic 2023 uptick in Darin Gap crossings. Changes in migration policies across the region have made it more difficult for those trying to reach the United States from South America to cross borders legally. Several countries imposed visa restrictions on Venezuelans and Haitians, even as countries such as Chile and Peru militarised their borders, pushing migrants to leave northward. In 2023, US President Joe Bidens administration ended Title 42 a pandemic-era border restriction which motivated more people to head to the United States even though Biden soon adopted measures making it extremely difficult for them to seek asylum, and ramped up deportations. The lack of adequate integration policies has also been a driver. Among Haitians and Venezuelans in the Darin, many are migrating for the second time, from countries such as Brazil and Chile where they faced xenophobia, obstacles to regularise their status, and poor job opportunities. In April, Panam, Colombia and the United States agreed on a tripartite plan to open up new regular migration routes to stem the flow, but so far no progress has been made.

From 2019 to 2022, most migrants crossing the Darin were Haitian and Cuban, but in the past two years Venezuelans have taken the lead, and the number of Ecuadorians seeking to escape from violence and poverty has also significantly increased. However, far from all the migrants crossing the Darin are Latin American, and the growing presence of migrants from other continents is garnering the attention of humanitarians, who must now cater their responses to those who dont speak Spanish and are foreigners to the region. Chinese, Afghans, Indians, and nationals of different African countries have to confront language and cultural barriers, as well as the other dangers.

The journey through the Darin Gap usually starts in the Colombian ports of Necocl or Turbo, where local communities offer maritime transportation to the towns of Acand or Capurgan. Migrants are charged high amounts of money for every section of the trip. After crossing by boat, they must pay again to be allowed to continue through the jungle to the Panamanian side. There are three main paths leading to the government-run reception centres of Lajas Blancas and San Vicente, through the communities of Bajo Chiquito or Canan Membrillo. The crossing lasts from 5 to 15 days and total costs range from $435 to more than $1,000 per person. There is also a more expensive VIP route, mostly used by Chinese. Migrants and asylum seekers then continue their trip to the Temporary Attention Center for Migrants (CATEM) in Costa Rica, from where, since October, they are directly transferred by bus to the Costa Rica-Nicaragua border. Many, however, run out of money before starting the trek and remain stranded in Turbo and Necocl, where they are vulnerable to extortion, violence, and human trafficking.

According to Diana Romero, emergency specialist at UNICEF Panam, one in five migrants crossing the Darin is a child half of them under the age of five. Although there are no accurate figures, there are many reports of children dying during the trek. The number of unaccompanied children is of particular concern. In 2022, UNICEF assisted about 1,000 unaccompanied minors, but in 2023 that figure reached 3,300. Of those, 67% were teenagers, 21% children aged between 6 and 12, and of the rest, 10% are babies, Romero said. Often, younger children get separated from their relatives during the trek only managing to reunite later on. According to Francisco Pulido, Plan Internationals director of humanitarian action and stabilisation in Colombia, teenagers tend to travel in friend groups often motivated by misinformation shared on social media. In other cases, the entire family cannot afford to continue the trek so parents leave their children in camps, hoping to send them money to follow on later.

Most of the medical cases that aid organisations come across and treat are related to the dangers of the jungle itself, or due to the lack of access to clean water and food en route. Theres no data available, but humanitarian groups say there has also been a rising number of migrants travelling with pre-existing chronic conditions psychiatric disorders, diabetes, hypertension, or asthma. These people often require emergency assistance because their medications get lost or stolen.

The traumatic experience of those crossing the Darin is also causing high numbers of mental health consultations. According to a recent Action Against Hunger report, women bear the brunt, and are often carrying children with no support. While survivors of sexual violence may suffer from depression, suicidal thoughts, and sleep disorders, others feel the emotional burdens and stress of caring for the family in such extreme conditions.

During 2022, Mdecins Sans Frontires (MSF) treated 232 survivors of sexual violence in the Darin Gap. Between January and November 2023, that number had soared to 462. According to what patients tell us, the modus operandi is getting crueller, Cristina Zugasti, MSF representative in Panam, told The New Humanitarian. Large groups are being kidnapped, forced to lay down face to the ground, and then robbed, physically attacked, and sexually abused. MSF figures, she added, are much lower than the reality. Many cases remain unreported because survivors don't see sexual attacks as a medical emergency, and they also don't want to delay the arrivals to their destinations. Threats from the perpetrators are another reason for survivors not to seek assistance.

Reported from Santiago, Chile by Daniela Mohor, with data visualisation from Zurich, Switzerland by Sofa Kuan.

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The Darin Gap migration crisis in six graphs, and one map - The New Humanitarian

‘Cities for Action’ to address Caribbean asylum seeker crisis Caribbean Life – Caribbean Life

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With the unrelenting influx of Caribbean and other migrants crossing the southern border of the United States and travelling to major cities, such as New York City and Chicago, Mayor Eric Adams and the Mayors Office of Immigrant Affairs (MOIA) Commissioner Manuel Castro on Monday disclosed that the city will host the Eighth Annual Cities for Action.

Officials say many of the immigrants arriving in New York City from the southern border are nationals from Venezuela, Cuba, Haiti and Guatemala.

Adams told a press conference that representatives from over 20 cities are expected to participate in the two-day event.

Since the founding of Cities for Action in 2014, immigration issues have only become more urgent. And, in the 20 months since we began managing a national asylum seeker crisis almost entirely on our own, cities have been the ones to step up and lead the way, the mayor said.

As we continue to tackle the current humanitarian crisis, New York City is proud to host this convening of municipal leaders who are working on the frontlines and advocating for the federal government to finish the job they started by providing more financial and logistical support to cities across the country, he added.

As a city of immigrants, we look forward to continuing the work with our municipal partners to advance compassionate solutions on-the-ground and immigrant-inclusive policies nationwide, Adams continued.

Castro said he looked forward to strategizing with other municipal leaders.

Its incredibly powerful to have so many city offices of immigrant affairs from across the nation come together in New York City this week, he said.

In a time where cities are leading the way in responding to the asylum seeker humanitarian crisis, it is timely we are coming together to strategize and advocate together on behalf of our cities and our immigrant communities, he added.

Adams said 23 jurisdictions from across the nation will participate in the event. They include: Los Angeles, San Diego, San Francisco, San Jose, Oakland, and Santa Clara Counties, CA; Aurora and Denver, CO; Miami-Dade County, FL; Atlanta, GA; Chicago, IL; Louisville, KY; Boston and Somerville, MA; Baltimore City and Baltimore County, MD; Saint Paul, MN; Philadelphia and Pittsburgh, PA; Austin, Houston, and El Paso County, TX; and Seattle, WA.

The mayor said more than 140,000 migrants and asylum seekers have converged on New York City, seeking shelter, since the crisis started.

He said his administration has adopted fast and urgent action in addressing the humanitarian crisis, with smaller-than-expected aid from the federal government.

Meantime, as Republicans in the US Senate continue attempts to block aid for Caribbean and other migrant and asylum seekers, the New York Immigration Coalition (NYIC) is appealing to lawmakers in the nations capital to support critical asylum protections and push back against the Republicans radical agenda.

Recently, US immigration authorities reported an influx of Chinese migrants crossing the border in attempting to seek asylum in the US.

NYIC, an umbrella policy and advocacy organization that represents over 200 immigrant and refugee rights groups throughout New York, prides itself in serving one of the largest and most diverse newcomer populations in the United States.

NYICs Executive Director Murad Awawdeh noted on Tuesday that US Senate Republicans, in their weeks-long budget negotiations on President Joe Bidens emergency supplemental funding request to support the war in Ukraine, are unrelenting in attempting to block aid to Caribbean and other migrants and asylum seekers, unless the budget includes extreme changes in immigration policy, including barriers to seeking asylum in the United States, humanitarian parole and enforcing stricter border policies.

As cities across the country continue to welcome newly-arrived asylum seekers, it is crucial that lawmakers in Washington support critical asylum protections and push back against the Republicans radical agenda, including cutting back on humanitarian parole, resuming construction on parts of the southern border wall, reinstating remain in Mexico, as well as the safe third country banall of which would ultimately result in the end of our asylum system, Awawdeh told Caribbean Life.

There is no reason to include increased use of inhumane policies like family separation as part of a foreign budget package, except pure cruelty, he added. Instead, lawmakers must expand effective and humane measures that will alleviate the pressure from the southern border, allow for more secure processing of asylum seekers, and ensure that localities like New York City, which have received thousands of new arrivals, are able to support and integrate them into our communities.

After embarking on a treacherous journey to the United States, immigrant communities deserve to feel protected and thrive in our country to live out their American dream, Awawdeh continued.

In his continuing efforts to manage, as best as he can, the expanding asylum seeker crisis, Adams recently launched the broadening of the Asylum Application Help Center.

With funding from New York State, Adams said he will open two new satellite sites in aiding asylum seekers in submitting applications for asylum, Temporary Protected Status (TPS) and work authorization.

Last month, the mayor launched the citys first satellite sites for immigration application assistance in Harlem and Lower Manhattan.

While we continue to call for a national strategy to solve a national crisis, New York City continues to do its part to support asylum seekers, he said. For over a year, we have asked the federal government to put forward a resettlement strategy, expedite work authorizations for asylum seekers, and provide New York City with much needed and meaningful financial support.

In the absence of that national strategy, New York City continues to lead building out the legal and resettlement infrastructure needed to address this crisis, the mayor added. We hope the federal government will join us in these efforts and finish the job they started.

Since its launch this summer, bolstered by aid from state partners, Adams said the citys help center has supported the filing of over 7,200 asylum applications, about 2,900 work authorization applications and nearly 2,900 TPS applications.

He said New York City has also helped Caribbean and other asylum seekers file over 3,100 work authorization applications during two clinics hosted in partnership with the federal government and city-based nonprofits, totaling more than 16,000 asylum, work authorization and TPS applications.

As he continues to prioritize helping asylum seekers live independently, without significant or timely state and federal assistance, Adams said he plans to proceed, in January 2024, with a 20 percent reduction in spending on the migrant crisis in his Fiscal Year 2024 Preliminary Budget.

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'Cities for Action' to address Caribbean asylum seeker crisis Caribbean Life - Caribbean Life