It seems almost every day that Breitbart publishes a new investigative report on Tuberculosis in refugees arriving in the US. I will bet every one of you, before Michael Leahy began his series, believed that we screened TB and other infectious diseases out of the legal immigrant flow to America—not so! Here is Leahy’s lateston the state becoming the epicenter of growing revelations about carelessness with refugee health screening.
The Michigan Department of Health and Human Services, most county health departments in the state, and the local Michigan offices of refugee resettlement agencies are hiding refugee latent tuberculosis (TB) infection rates from the public.
Michigan’s culture of concealment stands in contrast to how several other states deal with latent TB infection rates among refugees.
As Breitbart News reported, the Michigan Department of Health and Human Services (MDHHS) does not collect latent TB infection rate data from the county health departments and local resettlement agency providers it hires to conduct initial domestic medical screenings for arriving refugees, nor does it acknowledge its clear legal obligation to do so under the Refugee Act of 1980.
“We do not have that data,” MDHHS spokesperson Bob Wheaton told Breitbart News when asked for data on LTBI infection rates based on the entire population of refugees screened.
MDHHS has hired several county health departments and, in some counties, private refugee health screen services working in cooperation with local resettlement agencies to conduct initial domestic medical screenings of arriving refugees. Under Centers for Disease Control (CDC) and MDHHS guidelines, every refugee who completes such a screening is tested for latent TB infection.
But MDHHS says neither the counties nor the private refugee health screening services share this data with them, and the counties and private refugee health screening services who have the refugee latent TB infection data refuse to make that information public.
In the case of at least one private refugee health screening service, the Arab American and Chaldean Council, which MDHHS has hired to conduct refugee health screenings in Wayne County, Macomb County, and Oakland County, that data is also not being shared with health departments in those counties. Providing that data to local county health departments is a requirement of the Refugee Act of 1980. [Too bad we don’t have a legal foundation devoted solely to bringing lawsuits as the Refugee Act is being violated on a regular basis—ed]
Here is the AP storyfrom Saturday published at the Eagle Tribune.
The timing of the arrest is suspicious (is the FBI helping Hillary again, will she bring it up in the debate on Wednesday as an example of right wing extremism?), but otherwise we will wait and see what comes of this.
For background, you might want to see our archive on Garden City, KS (click here) where Tyson Foods has long been a draw for cheap refugee laborers. For more information on refugee resettlement in Kansas generally, go here.
One of my all-time favorite posts on Garden City is one from 2010 where Somali Muslims wanted a taxpayer supported cemetery to set aside a section just for Muslims so they wouldn’t have to be with infidels even after death.
For serious students of the history of Somalis and Tyson Foods in Kansas see our entire category on Emporia, KS by clicking here. It is a classic case of how a flood of refugees pushed a town over the edge. (Tyson ultimately closed the plant and moved refugees elsewhere.)
This is a bit of the AP story from over the weekend.
WICHITA, Kan. (AP) — Three members of a Kansas militia group were charged Friday with plotting to bomb an apartment complex that’s home to Somali immigrants in the western Kansas meatpacking town of Garden City, a thwarted attack prosecutors say was planned for the day after the November election.
The arrests were the culmination of an eight-month FBI investigation [suspicious timing?—ed] that took agents “deep into a hidden culture of hatred and violence,” Acting U.S. Attorney Tom Beall said.
A complaint unsealed Friday charges Curtis Wayne Allen, 49; Patrick Eugene Stein, 47; and Gavin Wayne Wright, 49, with conspiring to use a weapon of mass destruction. Their first court appearance is Monday.
Prosecutors said the men don’t yet have attorneys. Publicly listed phone numbers for the men couldn’t immediately be found.
The men are members of a small militia group that calls itself “the Crusaders,” and whose members espouse sovereign citizen, anti-government, anti-Muslim and anti-immigrant extremist beliefs, according to the complaint.
Editor:This is another excellent testimony submitted for the record on Senator Sessions’ hearing (Judiciary Committee Subcommittee on Immigration and the National Interest) we reportedhere.
We posted another testimony from a concerned citizen, here, on October 9th. I know it is much more interesting to read about some hot news on refugee and immigration issues generally, but I encourage you to take the time to read expert testimony like this (below) so that you have a deeper understanding of how the UN/US Refugee Admissions Program works.
You cannot effectively seek to ‘reform’ this program if you have only a cursory understanding of how it works.
As over-used as the phrase is, it is still imperative to understand that ‘knowledge is power’ (which has been a driving motivation for my 9 years of writing this blog). Joanne from Tennessee responded to my request that some of you send in testimony, here. If you sent testimony and want me to have a look at it (with the possibility of posting it here at RRW), please send it to email@example.com with a prominent subject line using the word ‘testimony.’ I apologize if you have done it already and I’ve missed it. Please send it again.
Here is Joanne’s testimony:
October 1, 2016
The Honorable Jeff Sessions
Senate Judiciary Committee
Subcommittee on Immigration and the National Interest
Washington, DC 20510
Dear Senator Sessions,
First I would like to thank you for your leadership on the issue of refugee resettlement and for exposing some of the ways in which this program operates to the extreme detriment of national security and the economic prospects of many struggling American citizens.
If ever there was a federal program that should be required to appear in public to answer questions and justify any funding, it is the one you oversee. The federal refugee resettlement program has increasingly operated without sufficient public scrutiny or meaningful input from all stakeholders, but with plenty of ham-handed federal bureaucracy.
People are rightfully alarmed about increasing information that has exposed the fiction otherwise called “vetting.” The 18-24 month standard reply has now been debunked with the news that the administration is accelerating “vetting” to 90 days, an arbitrary timeline at best. Even more concerning, is the news about looking at “alternative safe pathways” that would bypass the resettlement protocols currently in place in order to meet the President’s artificially established Syrian numbers.
As defined by the U.S. Office of Refugee Resettlement’s report to Congress resettlement stakeholders include: resettlement agencies, state refugee coordinators, refugee health coordinators, ethnic community-based organizations and ORR technical assistance providers. How can it be that the taxpayers in the receiving communities are not considered relevant stakeholders in this process? It would seem that now, more than ever, that ORR must stop excluding residents of local communities from being recognized as having a very real stake in this program and the process.
The federal contractors’ proposed resettlement numbers are never made public prior to acceptance and award of federal funds. The very communities that are directly impacted are not considered stakeholders nor offered any opportunity prior to award for meaningful input into these decisions. This past year I spent a considerable amount of time and effort using FOIA and was still unable to have last year’s resettlement proposals disclosed.
Years ago I served as a volunteer with a resettlement agency. Over time I have watched this program be transformed into an industry for government contractors with little to no oversight, transparency or accountability to taxpayers. The Cooperative Agreement which VOLAGs execute requiring that federal funds only “augment” privately raised funds is simply ignored. For example, the 2014 USCCB financial report shows that $80 million was taxpayer money with another $10 million in administrative fees. That funding was the predominant source of the USCCB money despite the provisions in the Cooperative Agreement they have signed with the State Department.
Nor is the USCCB the exception among the nationally contracted VOLAGs.
In fact, when the cost of the refugee resettlement program is discussed, it is confined to the State Department’s PRM appropriation and does not include the public money sent to resettlement agencies through the many U.S. HHS grants.
Federal grants like the “Refugee Home Based Childcare Microenterprise Development Project” suggest that rather than using even more government funding to employ women in home-based childcare enclaves, the money would be better spent if at all, putting these children and mothers into existing community-based childcare settings where they would be exposed to English and American norms.
While federally funded Ethnic Community Self-Help organizations and Mutual Assistance Associations are made to sound like good ideas, in reality they are yet one more avenue to funnel public dollars to refugee based organizations that use public dollars to claim refugee employment. Rather than assist refugees to integrate or even marginally, assimilate into their new communities, these organizations are designed to “ensur[e] that their charges retain strong ethnic and homeland ties.”
The increased per capita funding structure incentivizes resettlement contractors to increase their numbers regardless of whether it results in a lower standard of services provided to refugees. The 2012 GAO report “Greater Consultation with Community Stakeholders Could Strengthen Program” validates this position:
“Because refugees are generally placed in communities where national voluntary agency affiliates have been successful in resettling refugees, the same communities are often asked to absorb refugees year after year. One state refugee coordinator noted that local affiliate funding is based on the number of refugees they serve, so affiliates have an incentive to maintain or increase the number of refugees they resettle each year rather than allowing the number to decrease.”
No where is there ever an accounting of the federal costs of this federal program that have been openly shifted to state and local governments in direct contravention of the original intent of the Congress that passed the 1980 law. And it goes without saying, that the cost to taxpayers for all public assistance programs such as Medicaid, TANF, public housing and food stamps is likewise not included in assessing the fiscal impact of this program.
Any attempt at objective discourse about how contractor resettlement business impacts the community in which they operate, is met with disdain. Local affiliate offices do not hesitate to publicly denigrate any taxpayer who raises legitimate questions about the functionality and cost of the program. Propaganda films like “Welcome to Shelbyville” and the “Refugee Resettlement 101” now being offered by local affiliates across the country, are used to mislead the public and suggest that anyone who questions what is occurring within the resettlement industry, is at best, just “unwelcoming,” racist and bigoted.
At a minimum, States should have final control over resettlement activities within their state borders
Since states incur the on-going, long-term cost associated with refugees, states should have complete control over resettlement activities within their borders.
The 1981 Select Commission on Immigration & Refugee Policy (“Select Commission”), repeatedly addressed the financial impact on receiving communities. “Many state and local officials are concerned that the costs of resettlement assistance will continue beyond the period of federal reimbursement and that the burden of providing services will then fall upon their governments.”
The Select Commission seemed to well understand the fiscal issue for a federal program where the long-term costs would be passed to state and local governments. “Areas with high concentrations of refugees are adversely affected by increased pressures on schools, hospitals and other community services. Although the federal government provides 100 percent reimbursement for cash and medical assistance for three years, it does not provide sufficient aid to minimize the impact of refugees on community services.”
In 1982, just two years after the 1980 Refugee Act was passed, reduction in federal support started with federal cash and medical assistance reduced to 18 months. In 1988 it was reduced again to 12 months and again in 1991 to 8 months, which remains the current level. In 1986, the federal government began to reduce reimbursement to states for the state-funded portion of welfare, Medicaid and SSI, eliminating it altogether by 1991 and shifting these additional costs to the states.
The cost shift has been openly and repeatedly acknowledged by the federal government. And yet, these increasing costs are never acknowledged when calculating the true dollar cost of the program. The 2010 Senate hearing started to identify the significant costs states are forced to incur because of the federal program.
The U.S. Office of Refugee Resettlement places such a high premium on shifting refugee healthcare costs to states, that even the ORR Voluntary Agencies Matching Grant Program Guidelines on page 9 states that: “ORR recognizes that weekly cash payments may make certain MG cases ineligible for the USDA Supplemental Nutrition Assistance Program (SNAP) and Medicaid. Thus, local Matching Grant Program service providers may give some of the weekly allowance in the form of vouchers if such a form of payment is in the overall best interest of the client and he/she concurs.”
In other words, circumvent the program’s rules to shift more cost to the state taxpayer. State governments that decided to expand their Medicaid programs probably did not anticipate that the Department of Health and Human Services briefing on “Key Indicators for Refugee Placement” would so quickly advise considering Medicaid expansion when deciding refugee placements.
With regard to states that have withdrawn from the resettlement program, the federal government does not have the legislative authority to assign an NGO to continue the program in that state. This unconstitutional encroachment on the 10th amendment right of states is barred both by law and U.S. Supreme Court decisions and must cease.
“Self-sufficiency” terminology should be replaced with specific reporting on public assistance utilization, temporary v non-temporary employment and the number of refugees resettled each year who are considered to be “unemployable”
Despite documentation of high percentages of Medicaid and food stamp utilization, high “self-sufficiency” rates are reported by the refugee resettlement contractors. It is misleading to describe anyone, including refugees, as self-sufficient when they also receive publicly funded assistance in the form of food stamps, Medicaid and public housing. And still federal contractors are able to report high self-sufficiency rates for refugees as long as they do not receive cash welfare.
A past January post on the “Friends of Refugees” blog posted the following about Bridge’s Knoxville resettlement operations: “A former case manager also sent us information about the agency and pointed out that the refugee employment figures are dishonest as most of the refugees have only temporary employment that does not help them to pay rent and be self-sufficient. The nature of the temp jobs also means that the refugees will be unemployed just a short time after the agency reports them employed to the federal Office of Refugee Resettlement (ORR) at 90 days and 180 days. (This, however, is a problem throughout the refugee program, and it doesn’t seem that the the ORR has much of an interest in requiring that resettlement agencies report if refugees are working at temporary or non-temporary jobs.)”
In states using the Wilson-Fish funding model, the number of refugees who ultimately end up using TANF, remains undisclosed and skewed by the 90 and 180 day employment reporting figures so we never have an honest accounting at the end of the 8 month taxpayer subsidy period. All the while, refugee contractors claim that the program is “fully funded by the federal government.” Simply not true especially when considered through the perspective of the documented shifting of federal costs to the state and local governments.
Public health issues should be resolved before funding more initial resettlement
TB among resettled populations has been a particular public health concern. It was reported in 2009 that the sharp increase in Minnesota’s active TB cases was tied to refugee resettlement. Because latent TB is not a bar to refugee admission, health officials have expressed concern about cases of drug-resistant TB being documented in communities with high refugee resettlement.
In 2012 the CDC reported that TB in “foreign-born persons increased to 63% of the national case total,” a percentage that has risen steadily since 1993.
More recently it was reported that “immigrants and those who travel to other countries frequently have the highest TB occurrence,” and that “many of these cases–approximately 450,000–are the drug-resistant form of TB that has developed from improper medication usage and medical protocols.”
In April, 2012, the U.S. Office of Refugee Resettlement circulated a grant announcement titled “Strengthening Surveillance for Diseases Among Newly-Arrived Immigrants and Refugees” since it appears that there is no comprehensive tracking of this particular segment of public health concerns. More government money to throw at a government created problem.
Reports of depression and PTSD are now being reported as reasons that some refugees are unable to work. Among Bhutanese refugees that are being resettled, the CDC has documented a troubling statistic; a suicide rate higher than the national and global average. One explanation offered has been the lack of jobs and the resulting stress of unemployment not matching expectations of life in the U.S.
Public funds are spent, hearings are held, reports are published and yet, nothing is done proactively to respond to the problems and issues that are highlighted.
The federal agencies involved in refugee resettlement have enabled the growth of an industry
layered with ever multiplying federal grants but extraordinarily lax on transparency and accountability. Currently, the U.S. refugee resettlement program is administered in derogation of a state’s right to withdraw from the federal program and a state’s right to set state level funding prerogatives.
Proposed resettlement plans should be made publicly available before any award of funding and be subject to public comments and public hearings.
Rather than compounding the problems already identified, it may be time to temporarily suspend the resettlement program and focus on the health and employment needs of refugees already here. At the same time, Congress must cease denying the information and positions of every national intelligence agency that has highlighted the very real security concerns regarding the resettlement of refugees.
During deliberation of what finally was passed as the 1980 Act, then Attorney General Bell testified that the consultation required by the Act was on the order of a “wait and see” which he said operated as a legislative veto. While I well understand the Supreme Court’s position on legislative vetoes, it remains valid that the subcommittee understood that the detailed consultation requirements would effectively operate just as Attorney General Bell described it – as an “implicit veto power.”
I can only hope you will successfully persuade your colleagues to use it.
An afterthought: I should have mentioned that this is a legally required hearing under the Refugee Act of 1980 and that Rep. Trey Gowdy who is chairman of the corresponding subcommittee in the House of Representatives has failed to hold the required hearing in advance of the 2017 fiscal year.
The British government is paying around $2,400 (in US dollars) for migrants to leave the British Isles and return home. Needless to say the project is causing a stir now that it is out in the open.
The headline uses the word “refugee” but in fact these are people who are mostly asylum seekers who have not yet been granted asylum and are thus not technically refugees, but, as the article says, they are illegal migrants.
Critics say the plan will encourage more illegal entry because it is an enticement to try to get in (I doubt $2,400 is much of an enticement).
And, I am still a believer in setting up a repatriation fundhere in the US because I think it will be less costly in the long run (by not putting them on welfare) and I believe there are legal refugees who either came as asylum seekers or were placed in your cities by the US State Department who are profoundly unhappy and want to go home. We should help them do so.
The story is at Press TV (Iranian TV) so I found the comments there informative (be sure to check those out). Several readers said if the UK stopped meddling in civil wars in Syria and elsewhere, the UK wouldn’t have the problem. Huh? So I’m all for trying it! Let the UK (and the US) stay out of the Middle East, let the Middle East take care of the Middle East! And we can take care of our countries first (America First) and let them kill each other without our help!
From Press TV:
The government of British Prime Minister Theresa May offers refugees £2000 to get them to leave the country, as it’s under mounting pressure to tackle the refugee crisis, a new report says.
The government confirmed that it has been offering £2,000 of taxpayers’ cash to “assist” return payments to each refugee, who accepts to leaves the UK, The Express reported Saturday.
The Home office said a total of 529 people have been paid the money since the government implemented the plan in January this year. It said the money is paid to help those returning to “find somewhere to live, find a job or start a business in their home country.”
According to figures, the UK faces the highest asylum claims since 2004, Home Office officials said.
Continue reading here.
By the way, clearly such a strategy comes with rules—like they can’t come back without some serious penalty!
See our archive on the ‘Invasion of Europe’by clicking here.