seen from Malaysia
seen from Australia
seen from Japan
seen from Germany
seen from China
seen from United States
seen from United Kingdom
seen from Malaysia
seen from United States
seen from United States
seen from United States
seen from China
seen from United States
seen from Bulgaria
seen from South Korea
seen from Italy
seen from China
seen from Germany
seen from United States
seen from Maldives
HOSPITALS ARE LOSING THEIR MINDS TRYING TO IMPLEMENT THIS
labor and delivery wards have become immigration checkpoints
imagine you're a hospital administrator on July 27, 2025, when this policy goes live. what the actual fuck do you do?
THE MORNING MEETING FROM HELL
Hospital CEO: "So... we need to check immigration status before issuing birth certificates now"
Legal Counsel: "But EMTALA says we can't"
HR Director: "Staff are threatening to quit"
IT Director: "Our systems literally can't do this"
Risk Management: "We're going to get sued either way"
THE IMPOSSIBLE PAPERWORK
For EVERY birth, hospitals now need:
Mother's documents:
Immigration status
Visa type and expiration
Entry date
Legal status at conception(?!)
Father's documents:
Same as above
But what if father unknown?
What if father disputes?
What if multiple possible fathers?
THE SYSTEMS THAT DON'T EXIST
Hospitals need to:
Verify immigration documents (how??)
Check federal databases (which ones??)
Confirm authenticity (are we ICE now??)
Do this during LABOR AND DELIVERY
Nobody has these systems!
THE ETHICAL NIGHTMARE FOR DOCTORS
Hippocratic Oath: "First, do no harm"
Doctor's new reality:
Deliver healthy baby ✓
Deny them citizenship ✗
Create stateless person ✗
Violate medical ethics ✗
THE NURSE REBELLION
Labor & Delivery nurses across the country:
"We're healthcare workers, not immigration agents"
Reports of:
Mass resignation threats
Refusing to collect status info
"Forgetting" to check documents
Civil disobedience in scrubs
THE LEGAL LIABILITY CHAOS
Hospitals can be sued for:
Following federal order (by states)
Not following federal order (by feds)
Discrimination (by families)
Malpractice (by everyone)
Legal departments in meltdown.
THE REAL SCENARIOS PLAYING OUT
Scenario 1: Woman in active labor arrives Husband fumbling for documents Baby crowning "MA'AM WE NEED YOUR VISA"
Scenario 2: Teen mother, no ID Father unknown Baby born Now what? Stateless by default?
Scenario 3: Parents have different statuses Divorce proceedings ongoing Who counts as "father"? Legal clusterfuck
THE DATABASE REQUIREMENTS
Hospitals need access to:
USCIS systems
State Department visa records
ICE databases
Birth parent verification
NONE OF THESE EXIST FOR HOSPITALS
THE PRIVACY VIOLATIONS
HIPAA vs. Immigration enforcement:
Medical privacy protected
But must share for citizenship
Conflicting federal laws
Lawsuits inevitable
THE EMERGENCY ROOM CRISIS
EMTALA (Emergency Medical Treatment Act):
Can't turn away emergencies
Can't ask status before treatment
But must ask for birth certificate?
Federal law fighting federal law.
THE TECHNOLOGY DISASTER
Hospital IT systems:
Built for medical records
Not immigration verification
Integration costs: $10-50M per hospital
Timeline: 2-3 years minimum
But policy starts NOW.
THE STAFF TRAINING IMPOSSIBILITY
Need to train:
Doctors on immigration law
Nurses on document verification
Registrars on visa types
Security on document fraud
With what budget? What time?
THE ACTUAL FORMS BEING CREATED
"Birthright Citizenship Determination Form"
15 pages
200+ fields
Requires legal attestation
In active labor???
THE STATE VS. FEDERAL FORMS
California: "Use our citizenship certificate" Feds: "Use our non-citizen certificate" Hospital: "WE HAVE BOTH NOW WHAT"
THE INSURANCE CHAOS
Insurance companies:
Cover citizens differently
Need status for billing
Denying coverage for stateless
Creating healthcare apartheid
THE PUBLIC HEALTH DISASTER
Women avoiding hospitals:
Home births skyrocketing
Prenatal care plummeting
Maternal mortality rising
Infant deaths increasing
All predictable. All preventable.
THE SECURITY CONCERNS
Hospitals becoming targets:
Protests at entrances
ICE wanting access
Families desperate
Violence potential high
THE WHISTLEBLOWER CASES
Hospital workers reporting:
"We're falsifying documents"
"Administration ordering discrimination"
"Babies being trafficked"
"This is genocide"
THE INTERNATIONAL DOCTORS
Foreign-trained doctors on visas:
Their own kids affected
Treating stateless babies
Moral injury off charts
Many leaving medicine
THE COST EXPLOSION
Implementation costs per hospital:
Legal compliance: $5M
IT systems: $20M
Training: $3M
Security: $2M
Lawsuits: ???
THE CATHOLIC HOSPITAL CRISIS
Catholic hospitals (15% of US beds):
Religious duty to protect life
Moral obligation to dignity
Can't participate in creating stateless
Facing federal punishment
THE MEDICAL RECORDS NIGHTMARE
How to record:
"US Born: Yes"
"US Citizen: No"
Makes no sense
Systems can't handle
THE PEDIATRIC FOLLOW-UP
Pediatricians asking:
Can stateless babies get vaccines?
School physical forms?
Medicare eligibility?
Nobody knows
THE TRANSFER PROBLEMS
Baby needs NICU at different hospital:
Transfer requires documentation
What documents for stateless?
Insurance coverage?
Legal guardian rights?
THE UNION RESPONSE
Healthcare unions:
Filing grievances
Refusing unsafe work
Protecting members from liability
Considering strikes
THE DAILY ABSURDITY
Actual hospital conversation: "Congratulations on your baby girl!" "Is she American?" "Well, that depends on your visa expiration date" "...what?" "Welcome to 2025"
THE BOTTOM LINE
Hospitals are being forced to:
Become immigration enforcers
Violate medical ethics
Create impossible systems
Destroy patient trust
All to harm babies
This isn't healthcare. This is healthcare held hostage.
And everyone knows it's insane.
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GOTO FIRST POST -> CLICK HERE
BREAKING: In a 6-3 ruling, the U.S. Supreme Court rejected an attack on emergency abortion care in Idaho, for now, despite the state’s near-total abortion ban.
These are life or death situations — but instead of making it clear that federal law requires access to abortion in an emergency in every state regardless of the state’s abortion ban, the Court chose not to.
Everyone should have access to life-saving emergency medical care. As litigation in this case will continue in the lower courts, the fight for abortion access is on the ballot in at least 12 states this November. Register to vote — and ask three friends and family members to register, too — at weall.vote/register.
Candi Miller’s family said she didn't visit a doctor “due to the current legislation on pregnancies and abortions.” Maternal health experts
Republicans are killing women on purpose. They knew this would happen. They know it's happening now. They do not care. It will keep happening as long as they have any power at all at the federal and state level.
Thurman died after waiting 20 hours for emergency care under the state’s abortion ban. Sen. Ron Wyden demanded records his committee could r
This is a different case in the same state. I'm putting them in the same post because I feel like there's a pattern and something needs to be done.
A fascinating listen from the NYT podcast "The Daily" about the federal government's push to combat some of the most extreme abortion bans using a 1980s federal law called EMTALA. I will note that this is not the ONLY attempt to combat the restrictions, but that a greater pushback is still reliant on tipping the House and Senate left by enough to pass abortion protections. In the meantime, this partial fix is intended to address the issue of dangerous medical complications that are routinely going unaddressed or directed out of state due to the fear of repercussions for "not being truly life-threatening."
This coverage includes audio recordings of Supreme Court questions during the period on which they heard arguments.
For an explanation on how "life of the mother" is inadequate and vague, may I suggest Mama Doctor Jones (a registered ob/gyn from Texas who is currently practicing in New Zealand.) She has a number of videos on this topic, but this one addresses one of the extreme situations that are brought up in the arguments and questioning:
EMTALA is a unique law protecting a right to emergency care in the U.S. States shouldn't be able to chip away at the protections it offers.
Anyone who has gone to a hospital’s emergency room expecting to receive medical care — not knowing where else to turn, uncertain whether a loved one is having a medical emergency and what can be done about it, or unsure if they can pay — has relied on a law they couldn’t name: the Emergency Medical Treatment and Labor Act (EMTALA). It's now in danger from the Supreme Court.
https://healthlaw.org/news/update-on-the-texas-v-becerra-lawsuit/
so this is basically 17 attorney generals with nothing better to do than try and target an already-struggling demographic (seriously. anybody ever look up how US disability coverage is basically mandated poverty, and I mean BAD poverty) and force them to be unable to participate in all the crucial parts of american society, like:
educational institutions
healthcare providing locations
aannnnnnd employment
so basically they wanna live in a nation where if you work a blue collar job and lose a limb in an industrial accident, you have no recourse if all the support systems in society basically deny you accommodation and request that you just go die quietly in some corner and stop inconveniencing everybody
say nothing of all the folks who already GOT one or more disabilities and can't return to sender - hey isnt this the same court case that wants to make it illegal for hospitals to use abortion as emergency life-saving treatment for expecting mothers when the pregnancy goes really, really wrong?
yup! same motherfuckers!
so only 17 states are filing this case, BUT if ur not in one of those states, you can still contact your state's Attorney General and ask that they support/defend Section 504 and the EMTALA - also contacting your state's reps in Congress would be a good move right about now, tell them the same thing!
