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Dual threats from Trump and GOP imperil nursing homes and their foreign-born workers

  • The long-term care industry faces a double threat from President Trump's immigration crackdown and GOP proposals to reduce Medicaid spending in 2025.
  • This crisis emerges amid ongoing staffing shortages worsened by COVID-19 and an aging population projected to grow from 63 million to 82 million by 2050.
  • Goodwin House Alexandria, a faith-based nonprofit rated among the best-staffed nursing homes, employs 1,450 workers, 40 percent of whom are foreign-born caregivers like Jackline Conteh.
  • Conteh, a naturalized nurse assistant from Sierra Leone hired in 2012, provides daily care for retired rector Donald Goodness, who expressed deep appreciation for the staff, saying they have become a vital part of the community.
  • If immigrant workers leave due to policy changes, experts warn nursing homes could face severe staffing shortages, threatening quality care for increasingly vulnerable elderly residents.
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npr broke the news in Washington, United States on Thursday, June 26, 2025.
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