Chicago, October 21: Medical students such as Alejandra Duran Arreola are trying to shape the debate, and they have the backing of influential medical groups, including the American Medical Association.
Arreola dreams of becoming an OB-GYN in her home state of Georgia, where there’s a shortage of doctors and one of the highest maternal mortality rates in the U.S.
But the 26-year-old Mexican immigrant’s goal is now trapped in the debate over a program protecting hundreds of thousands of immigrants like her from deportation. Whether she becomes a doctor depends on whether Congress finds an alternative to the Deferred Action for Childhood Arrivals program that President Donald Trump phased out last month.
Arreola, who was brought to the U.S. illegally at age 14, is among about 100 medical students nationwide who are enrolled in DACA, and many have become a powerful voice in the immigration debate. Their stories have resonated with leaders in Washington. Having excelled in school and gained admission into competitive medical schools, they’re on the verge of starting residencies to treat patients, a move experts say could help address the nation’s worsening doctor shortage.
“It’s mostly a tragedy of wasted talent and resources,” said Mark Kuczewski, who leads the medical education department at Loyola University’s medical school, where Arreola is in her second year. “Our country will have said, ‘You cannot go treat patients.’”
The Chicago-area medical school was the first to openly accept DACA students and has the largest concentration nationwide at 32. California and New York also have significant populations, according to the Association of American Medical Colleges.
DACA gives protection to about 800,000 immigrants who were brought to the U.S. as children and who otherwise would lack legal permission to be in the country. The immigrants must meet strict criteria to receive two-year permits that shield them from deportation and allow them to work.
Then-President Barack Obama created DACA in 2012. Critics call it an illegal amnesty program that is taking jobs from U.S. citizens. In rescinding it last month, Trump gave lawmakers until March to come up with a replacement.
Public support for DACA is wide. A recent poll by The Associated Press-NORC Center for Public Affairs Research showed that just 1 in 5 Americans want to deport DACA recipients.
Arreola took a break from her studies last month to travel to Washington with fellow Loyola medical students and DACA recipient Cesar Montelongo Hernandez to talk to stakeholders. In their meetings with lawmakers, they framed the program as a medical necessity but also want a solution for others with DACA.
A 2017 report by the Association of American Medical Colleges predicts a shortfall of between about 35,000 and 83,000 doctors in 2025. That shortage is expected to increase with population growth and aging.
Hernandez, a 28-year-old from Mexico simultaneously pursuing a Ph.D., wants to focus his research on early detection of diseases. His work permit expires next September, and he’s worried he won’t qualify for scientific research funding without the program.
“I’ve shown I deserve to be here,” said Hernandez, who met with Illinois Sen. Dick Durbin, a Democrat who’s called for Congress to quickly pass a replacement for DACA.
For Arreola it’s about returning to the state she’s called home since she was 14 and giving back to areas in need of doctors.
“My family is from there; I know those people,” Arreola said. “Those are the people that inspired to really give this a push.”
Among those Arreola met with were policy staff for Georgia Republican Sen. Johnny Isakson, who believes the Obama program was “an overreach of executive power” but also wants Congress to write a plan to protect DACA recipients.
Medical school administrators say the immigrant medical students stand out even among their accomplished peers: They’re often bilingual and bicultural, have overcome adversity and are more likely to work with underserved populations or rural areas.
“They come with a cultural competency for how to best treat the individuals from their background, whether immigrants or different races and ethnicities,” said Matthew Shick, a government relations director for the Association of American Medical Colleges. “That gets translated over to their peers in education and training.”
Zarna Patel, 24, is a third-year student at Loyola who was brought to the U.S. from India as a 3-year-old without any legal documents. Her DACA permit expires in January, and she’s trying to renew it so she can continue medical school rotations that require clinical work. If she’s able to work in U.S., Patel will work in disadvantaged areas of Illinois for four years, part of her agreement to get school loans.
“Growing up, I didn’t have insurance,” she said. “I knew what that felt like, being locked out of the whole system.”
For others, there’s added worry of being stuck with debt they can’t repay.
Marcela Zhou, who was born in Mexico after her family moved there from China, is in her third year at the University of California at Los Angeles’ medical school. She wants to work in public health.
“Can I even afford to finish medical school?” said Zhou, who was 12 when she came to the U.S. on a visitor visa that eventually expired. “It’s sort of hard sometimes to keep going.”(VOA)
- The 2017-18 UN budget for peacekeeping operations is $7.3 billion
- Peacekeeping operations rely on the deployment of troops contributed by member-nations to try to physically prevent conflict
- Peace-building and finding political solutions require civilian developmental, diplomatic and institution-building resources
United Nations, Aug 30, 2017: India has suggested diverting a portion of the peacekeeping budget to the under-funded peace-building activities because there can be lasting peace only with development and political solutions.
Criticising UN peacekeeping, India’s Deputy Permanent Representative Tanmaya Lal called on Tuesday for reforming the operations to align them with peace-building objectives and finding political solutions to conflicts — a view shared by UN experts and several countries, including the US.
“There is an obvious lack of appropriate investment into the political dialogue and a huge mismatch between resource allocation for peacekeeping and peace-building,” he told a Security Council debate on peacekeeping and sustaining peace.
While this problem was acknowledged, only lip service was paid finding the resources, he said.
Lal noted that only meagre resources are now available for development programmes and peace-building is allocated less than one per cent of the funds set aside for peacekeeping.
The 2017-18 UN budget for peacekeeping operations is $7.3 billion.
Therefore, he said: “We may consider whether the allocation of an appropriate percentage of funds from the peacekeeping budget to activities related to peace-building and sustaining peace in those situations could be an option to move forward to achieve sustaining peace in the various intra-state conflicts we are facing.”
“The long extending peacekeeping missions that go on for decades and elusive political solutions remind us the need to focus on long-term investment in sustainable development or institution building and inclusive political processes,” he added.
While peacekeeping operations rely on the deployment of troops contributed by member-nations to try to physically prevent conflict, peace-building and finding political solutions require civilian developmental, diplomatic and institution-building resources.
Lal welcomed Secretary-General Antonio Guterres’s idea of ensuring greater cooperation between different departments of the UN, in particular bringing together the department of political affairs and peacekeeping operations for closer internal coordination, to effectively carry out its role of ensuring peace and security.
The Chair of Advisory Group of Experts on UN Peacebuilding Architecture Review, Gert Rosenthal, pointed out that organisationally the responsibilities for peacekeeping and development were split between the Security Council and the Economic and Social Council and the General Assembly.
“While there is considerable overlapping in carrying out these functions, generally the traditional ‘pillars’ of peace, human rights and development do operate in the proverbial ‘silos’ we all sadly have become accustomed to,” he said.
“Peacekeeping missions alone cannot produce lasting peace,” US Permanent Representative Nikki Haley said.
“They can help create space for peace to take hold, but they must be a part of a larger strategy of coordinating the resources of the UN to prevent conflict to begin with and to address its causes,” she said.
Haley called for “a larger strategy of coordinating the resources of the UN to prevent conflict to begin with and to address its causes”.
Deputy Secretary-General Amina Mohammed said that the Security Council should set realistic, up-to-date mandates that also have the flexibility to evolve over time.
“Looking ahead, we must work together to ensure that peacekeeping lives up to its full potential as an essential tool for sustaining peace, not in isolation, but as part of our new, integrated approach,” she said.
Lal also drew attention to a major challenge to peacekeeping which has changed its very nature — armed conflicts taking place within a country often involving non-state actors and international terrorist networks.
A member of the UN’s High-level Independent Panel on Peace Operations, Youssef Mahmoud, acknowledged this fact. He said: “Given that the drivers of instability tend to be transnational in origin and effect, the analysis should assess the drivers of peace and conflict from a regional perspective.” (IANS)
- Sirte was a stronghold for Islamic State from 2015-2016
- Hundreds of foreign militants joined Islamic State in Sirte
- Dozens of women and children detained towards the end of the fighting have been held in Misrata
Misrata, Libya, August 21, 2017: Four Sudanese Children whose parents are believed to have been killed fighting for Islamic State in the Libyan city of Sirte last year were handed over to the Sudanese consul on Sunday for the return to their country. Sirte was a stronghold for Islamic State from 2015-2016 when Libyan forces backed by U.S. air strikes ousted the ultra-hardline group. Hundreds of foreign militants joined Islamic State in Sirte.
Dozens of women and children detained towards the end of the fighting have been held in Misrata, the city from which the military campaign in Sirte was led.
They include nationals of Tunisia, Egypt, Sudan, Senegal, Chad, and Niger. Twenty-one Libyan children have been handed back to their families.
In June, eight Sudanese children were handed over to the Sudanese authorities and returned to Sudan. Eleven other Sudanese women and Sudanese children are still in Misrata.
The Red Crescent’s head of psychological support in Misrata, Salah Abuzreba, appealed to all countries “that haven’t responded until this moment to receive those children as a human act, so they can be returned to their relatives”. (VOA)