
A safety guard stands in entrance of the St. John’s Group Well being clinic in South Los Angeles.
Jackie Fortiér/KFF Well being Information
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Jackie Fortiér/KFF Well being Information
The foyer on the St. John’s Group Well being clinic in South Los Angeles bustles with sufferers. However neighborhood well being employee Ana Ruth Varela is fearful that it is about to get quite a bit quieter. Many sufferers, she stated, are afraid to depart their houses.
“The opposite day I spoke with one of many sufferers. She stated: ‘I do not know. Ought to I am going to my appointment? Ought to I cancel? I do not know what to do.’ And I stated, ‘Simply come.’ “
Since Donald Trump’s return to the White Home, concern of mass deportations carried out by U.S. Immigration and Customs Enforcement has gripped immigrant communities.
For years, a long-standing coverage prevented federal immigration brokers from making arrests at or close to delicate places, together with faculties, locations of worship, hospitals and well being facilities. It was one of many first insurance policies President Trump rolled again in January, simply hours after his inauguration.
Appearing Division of Homeland Safety Secretary Benjamine Huffman revoked the directive on Jan. 21. In an accompanying press launch, a DHS spokesperson stated the motion would help brokers in looking for immigrants who’ve dedicated crimes. “The Trump Administration won’t tie the fingers of our courageous regulation enforcement, and as an alternative trusts them to make use of widespread sense,” the assertion stated.
The velocity of the change took Darryn Harris without warning.
“I believed we had extra time,” stated Harris, chief authorities affairs and neighborhood relations officer for St. John’s.

On the St. John’s Group Well being clinic in South Los Angeles, Darryn Harris teaches well being employees about sufferers’ constitutional proper to stay silent throughout immigration arrests.
Jackie Fortiér/KFF Well being Information
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Jackie Fortiér/KFF Well being Information
Harris is racing to show greater than 1,000 St. John’s employees tips on how to learn warrants as they prepare for a brand new position – educating sufferers their constitutional rights.
California Legal professional Basic Rob Bonta, a Democrat, is advising clinics to submit details about sufferers’ proper to stay silent and to supply sufferers with contact info for legal-aid teams.
Bonta can be urging well being care suppliers to keep away from together with sufferers’ immigration standing in payments and medical information. His workplace directs that whereas workers mustn’t bodily hinder immigration brokers, they’re below no obligation to help with an arrest.
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One of many few purple playing cards that remained at a latest go to to the St. John’s well being clinic. The cardboard offers pattern statements for folks interacting with federal immigration brokers.
Jackie Fortiér/KFF Well being Information
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Jackie Fortiér/KFF Well being Information
Regardless that immigration arrests came about in hospitals throughout Trump’s first time period, the general coverage was nonetheless considered one of deference to “delicate places.” Now, nonetheless, DHS states that the earlier guidelines hindered regulation enforcement efforts by creating websites the place folks with out authorized standing might evade seize.
Matt Lopas, director of state advocacy and technical help for the Nationwide Immigration Legislation Middle, stated that to ensure that immigration officers to entry well being info or go into personal areas resembling examination rooms, they need to current a warrant signed by a decide.
“It is extremely essential that each well being care middle has anyone who’s educated to have the ability to learn these warrants” and decide their validity, Lopas stated.
Coaching workers at 31 well being clinics
Within the San Francisco Bay Space, Zenaida Aguilera has been tapped to learn warrants for La Clínica de La Raza. She is the compliance, privateness, and danger officer for the clinic community. If immigration brokers present up, she’s on name for all 31 of the group’s neighborhood clinics.
Aguilera can be now in command of coaching a whole lot of well being staffers. She’s educated about 250 to date, however the majority of her work is but to return.
“Now we have about in all probability a thousand extra workers,” she stated.

The outside of the St. John’s Group Well being clinic in South Los Angeles.
Jackie Fortiér/KFF Well being Information
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Jackie Fortiér/KFF Well being Information
She fears the Trump administration will goal California for immigration enforcement due to its roughly 2 million residents with out authorized standing, the very best of any state, based on the Pew Analysis Middle. In 2022, 11 million folks had been within the U.S. with out authorization.
Aguilera stated La Clínica plans to submit sufferers’ constitutional rights in clinic lobbies and can present assets resembling contact info for legal-aid teams.
“We wish to simply do the work of caring for our sufferers slightly than prepare our workers on what to do if there’s an ICE official that tries to return into our clinics,” Aguilera stated.
This text comes from a NPR’s well being reporting partnership with KFF Well being Information.