Key facts
- The Trump administration's policy changes have led to thousands of immigrant healthcare workers losing their legal status.
- These workers, many on Temporary Protected Status (TPS), are crucial for patient care in US hospitals and nursing homes.
- The revocation of TPS for countries like Honduras has left individuals like nursing assistant Janeth jobless and at risk of deportation.
- Experts warn that these policies are straining the US healthcare system by creating critical staffing shortages.
- Janeth, a highly-awarded nursing assistant, is now unable to work and faces financial hardship.
The lives of immigrant healthcare workers and their patients are being upended by the Trump administration's crackdown on immigration, particularly the revocation of Temporary Protected Status (TPS).
Janeth, a Honduran nursing assistant with 23 years of experience and multiple nursing awards, lost her job after the Trump administration ended TPS for Honduras. This has left her unable to work and at risk of deportation, despite her long-standing legal status and crucial role in patient care.
Her former patient's son, John Jacoby, expressed devastation, highlighting how Janeth provided essential emotional support and care to his dying mother. He believes her skills and dedication are irreplaceable.
The impact extends across the US healthcare system, which relies heavily on immigrant workers, with an estimated 50,000 TPS holders working in healthcare. These individuals often fill roles that are difficult to staff, such as nursing assistants who provide direct patient care. The loss of these workers is creating significant staffing shortages, straining an already fragile multi-trillion dollar system.
Kimberly Pierce Burke, executive director of the Alliance of Independent Academic Medical Centers, stated that ending immigration pathways does not eliminate the need for care, leading to a shortage of caregivers. Amina Dubuisson, vice-president at Ventura Services Florida, noted that 20-30% of workers at some nursing homes are TPS holders, performing jobs many Americans are unwilling to do.
TPS, established in 1990, allows individuals from designated countries facing unsafe conditions to live and work in the US. However, the Trump administration has argued that TPS has been abused and has moved to terminate it for numerous countries, including Honduras, Venezuela, Syria, and Haiti. These policy changes are currently entangled in legal battles, with a Supreme Court decision anticipated regarding TPS for Haitians.
Janeth's former colleagues at Kaiser Permanente attest to her exceptional care and the void her absence has left, noting a decline in patient care and a loss of camaraderie. They emphasized that her ability to connect with and care for difficult patients is a skill that cannot be easily replaced.



