Long-term care facilities face immigration crackdown and looming Medicaid cuts

Jackline Conteh is a nursing assistant in Va. She emigrated 
to the U.S. from war-torn Liberia. (KFF News photo)

Long-term care facilities call for immigration reform and push against Medicaid cuts as the sector faces "a double whammy from President Donald Trump’s crackdown on immigrants and the GOP’s proposals to reduce Medicaid spending," reports Jordan Rau of KFF Health News. "More than 800,000 immigrants and naturalized citizens comprise 28% of direct care employees at home care agencies, nursing homes, assisted living facilities, and other long-term care companies."

While labor shortages are not new to the eldercare sector, once the Trump administration canceled the industry's "protected" status in January and allowed Immigration and Customs Enforcement to raid health care facilities, the dynamics changed. Katie Smith Sloan, president of LeadingAge, an association of nonprofits that care for older adults, told Rau, “People may be here on a green card, and they are afraid ICE is going to show up."

The long-term and senior care industries are "urging the federal government to expand legal immigration channels for essential workers in healthcare and other sectors," reports Kimberly Bonvissuto of McKnights. "The Essential Worker Immigration Coalition sent a letter to Homeland Security Secretary Kristi Noem that [said] the shortage of legal immigration channels for essential workers 'threatens the stability of our supply chains, the viability of small businesses and the strength of the American economy.'"

Besides additional staffing shortages brought on by immigration issues, long-term care facilities continue to lobby against the Republican party's Medicaid spending cuts, which passed the House and are under Senate review. Rau writes, "Federal spending cuts under negotiation may strip nursing homes of some of their largest revenue sources by limiting ways states leverage Medicaid money and making it harder for new nursing home residents to retroactively qualify for Medicaid."

Given the current issues, providers, patients and employees all have reasons to be concerned. "The long-term care industry expects demand for direct care workers to burgeon with an influx of aging baby boomers needing professional care," Rau writes. Jackline Conteh, a U.S. nursing assistant originally from Liberia, told him, "If all these people leave the United States, they go back to Africa or to their various countries, what will become of our residents? What will become of our old people that we’re taking care of?"

Report: Social Security trust fund needs attention now if it's going to stay viable past 2034

If changes aren't made, the Social Security trust fund 
will run out of money by 2034.  (Adobe Stock photo) 

Social Security benefits play a vital role in communities nationwide; however, rural areas may be more dependent on the program because their populations skew older. Regardless of region, 73 million Americans currently depend on the program’s monthly payments; however, its 2025 Trustee Report indicates that the program needs attention to meet its expenses, reports Gopi Shah Goda for Brookings.

The report outlines how the Social Security trust fund will run out of money by 2034, and will "no longer be able to make all of its promised benefit payments," Goda explains. According to the report, the shortfall will continue to grow since the program lacks sufficient payroll taxes to cover its ongoing and predicted future costs.

"The shortfall amounts to 3.82% of taxable payroll, meaning that the payroll tax rate would have to be raised immediately—and permanently—from the current rate of 12.4% of taxable earnings to 16.1% in order for the program to be able to pay all promised benefits through 2099," Goda writes. "In 2025, that increase would have amounted to an extra $374 billion in program revenue."

Even if the Trump administration were able to eliminate all Social Security fraud, overpayments and any other human error costs, it would not compensate for the billions needed. "Even this unrealistic, pie-in-the-sky scenario would only yield 'savings' of $10.2 billion per year, barely moving the needle in terms of the program’s $1.48 trillion annual cost," Goda adds. "Social Security is already a lean operation."

Cutting more Social Security staff members would likely result in reduced services and even longer wait times for disability determinations. Goda writes, "It is very likely that any additional cuts in staffing will make it harder for Americans — particularly the most vulnerable — to access benefits they have earned, with dire consequences."

While there are solutions, few are likely to be popular. "There is no free lunch. . .changes would involve difficult tradeoffs between beneficiaries and workers as well as current and future generations," Goda writes. "Policy options that raise revenues include increasing the payroll tax rate or broadening the income base to which that the payroll tax is applied. . . . .Cutting benefits across the board, raising the retirement age at which a beneficiary is eligible for full benefits, reducing benefits disproportionately for higher earners. . . .Some action will be necessary within the next decade."

A new study shows the 'surprising breadth of student reporting' in the United States

College students are working to keep American journalism connected and relevant in the communities they serve. A recent study by the Center for Community News at the University of Vermont used "FCC data, original research and outreach to stations to map the extraordinary overlap between America’s colleges and its public media outlets," reports CNN. Their research shows the "surprising breadth and scope of college student journalism at public media organizations." A few research highlights include:

• 88% of public media organizations provide opportunities for college students to help cover their community (282 of 319 NPR and/or PBS affiliates.)
• 59% of public media organizations provide intensive, regular and ongoing opportunities for college students (188 of 319 stations.)
• Some public media organizations (41 of 319) make teaching students their core mission.
• Students at these public media organizations serve rural, suburban and urban audiences, many in news deserts. Public radio signals reach over 95% of Americans.
• 50% of all public media organizations are licensed to a college or university (161 of 319 stations.)

Yellow circles indicate some level of student reporting. Grey circles indicate little or no student reporting. Eighty-eight percent of NPR stations provide opportunities for college students.

Study researchers suggest that "even more student journalists could contribute to public media organizations through deeper news/academic partnerships involving both internships and in-class production."

West Virginia's waterway 'reclamation' yields cleaner water, rare earth metals and a growing outdoor industry

Deckers Creek is flowing with fresh water and 
wildlife again. (Wikipedia photo)

Coal mines left waterways across West Virginia polluted by sulfuric acid and metals, but that’s not the end of their story. "Set on a quiet hillside, a series of cascading ponds are doing their small part to fix a big problem," reports Mira Rojanasakul of The New York Times. The three-pond system slowly "reclaims" the state's waterways for wildlife and people to enjoy once again, and it comes with a side benefit of rare earth elements.

The three-pond system works to reduce water acid and then remove metals. The first pond allows water to "percolate through limestone and organic matter," Rojanasakul explains. The second pond completes more filtration, allowing the aluminum to drop out. By the time the water flows from the third pond, the iron has dropped out. "Fish and sensitive species like salamanders and frogs are returning to Deckers Creek, which for decades flowed rust-orange and lifeless from iron and other pollution."

Deckers Creeks is "one of dozens of cleanup sites being installed across West Virginia, helping the state make progress on a global environmental issue: waterways poisoned from coal mining," Rojanasakul reports. "A few miles downstream, a new, higher-tech version of this cleanup process is yielding an unexpected bonus: 'Rare earth' elements, essential for clean energy technologies and military equipment, are being recovered from the pollution."

Decreasing water acidity and removing metals isn’t just helpful for wildlife and biodiversity -- acid mine drainage "can corrode pipes and threaten drinking water for many residents of rural West Virginia who rely on backyard wells," Rojanasakul writes. 

Federal and state officials help guide West Virginia's waterway reclamation efforts, but the "boots on the ground" are often small nonprofits. Rojanasakul adds, "They monitor sprawling watersheds and build relationships within communities, even talking private landowners into opening up their backyards for cleanup work."

Many locals view their reclaimed waterways as a potential path to a new revenue source for residents and the state. Rojanasakul reports, "Employment in the state’s outdoor recreation economy is starting to rival other industries, with 20,300 jobs in 2023 compared with 17,700 workers in mining and support activities that same year."

Flora & Fauna: Axolotl is the 'comeback king;' corn seed miracle; big snake haul; two-note song; tracking butterflies

Known for their regenerative powers, scientists are learning
from the 'adorable' axolotl. (Photo by TK, Unsplash)

Limb regeneration may sound like an 'X-Files' episode, but U.S. scientists are working on it. "With a silly smile and frilly gills, the axolotl has wriggled its way into the hearts of millions," reports Dino Grandoni of The Washington Post. "But this adorable species of salamander is also helping researchers investigate a serious medical mystery: Could the human body be coaxed to regrow a severed arm or leg? Scientists are turning to the axolotl because it is an expert at regeneration. . . .The species is also a comeback king, able to regrow not only lost limbs but also tissue in the heart, lungs and even the brain."

It's hot and humid, and corn tasseling season is almost here. "If someone writes a book about the 'seven great wonders of agriculture,' tasseling and pollination must be on the list," reports Tom J. Bechman of Farm Progress. "The process of producing hundreds of new corn kernels per plant, all from one original seed, is simple yet complex at the same time." Read how the miracle of corn happens here.

135lb female Burmese python found while radio-tracking 
a male scout snake. (Conservancy of Southwest Florida photo)

'Snakes on a Plane' might be a good summer movie fun, but in Florida, hundreds of people drop the film drama and eradicate snakes on land. "It was a milestone moment in Florida’s 25-year war on invasive Burmese pythons: an eye-popping announcement that biologists had removed 20 tons of the slithering invaders from waters in and around the Everglades in little more than a decade, as well as shattering their previous record for a single-season haul," reports Richard Luscombe of The Guardian. "The successes of the team at the Conservancy of Southwest Florida showcase the progress that has been made in efforts to reverse the snakes’ takeover of the state’s natural wilderness."

The only thing sharks can regenerate is their teeth.
That's probably enough. (Photo by Wai Siew, Unsplash)

Two notes + Razor-sharp teeth = One summer blockbuster. “Da, duh. E and F have become synonymous with tension, fear and sharks, representing the primal dread of being stalked by a predator," writes media history scholar Jared Bahir Browsh for The Conversation. "Fifty years ago, Steven Spielberg’s blockbuster film – along with its spooky score composed by John Williams – convinced generations of swimmers to think twice before going in the water. . . . I decided to take a deeper dive into the staying power of these two notes. . . "

Pollen is a way to track butterflies.
(Jozsef Szabo photo, Unsplash)

If you want to help the world be a better place for all creatures, then do one small thing to help insects: Provide an insect-friendly habitat. "This includes supporting a variety of native plants that can provide both nectar and leaves, which are food for many herbivorous insects throughout their lives. A good habitat also provides places for insects to nest, such as bare ground or leaf litter. Bigger patches are better, but even small gardens can be helpful," write Christopher Halsch and Eliza Grames for The Conversation. "At the same time, limiting exposure to other threats is important. Actions such as dimming artificial lights at night and reducing the use of pesticides can help."

How can the fluttering trails and migrations of butterflies be traced and mapped? With pollen. "Those tiny pollen grains are helping researchers study a process that until now has been largely inscrutable: the migratory patterns of insects as they move around the globe," reports Saugat Bolakhe for Knowable magazine. "Analyzing pollen collected from 264 butterflies from 10 different countries . . researchers identified 398 different plants they could use to track the butterflies’ movements."