NEW YORK - As the death toll from the COVID-19 pandemic continues to rise, a new initiative is helping Mexican immigrants living in the United States deal with issues of end-of-life planning.

Hispanic Americans are 18% of the U.S. population, but account for 25% of COVID deaths, adding extra urgency to things like advance directives for end-of-life care.

Patricia A. González-Portillo is National Latino Communications and Constituency Director with the organization Compassion & Choices. She says the collaboration with a national health outreach program from the Mexican Consulate should help reduce disparities in end-of-life planning and health care that negatively impact the immigrant community.

"We can catch this horrible virus that can kill us," says González-Portillo. "Are we going to wait 'til that happens before we have the conversation with our family about what I want in case I die from this illness?"

Compassion & Choices has assembled a free, bilingual COVID-19 toolkit, which is available online at 'CompassionandChoices.org.'

Maria Otero, Compassion & Choice's national constituency manager, points out there are Hispanic cultural values - such as the importance of family involvement and the influence of religion - that affect behavior at the end of life. And there are cultural barriers, too.

"There's not a word in Spanish about advance directives. We don't have a word for 'hospice,'" says Otero. "So, often we are perceived like we are not very assertive to what we want at the end of life."

She adds that the pandemic represents an opportunity to start important conversations among families about a topic that most people prefer to avoid.

Because COVID-19 is so contagious, currently incurable and the symptoms can advance quickly, González-Portillo stresses that everyone should complete an advance directive.

"That clearly details what the person wishes for at the end of life," says González-Portillo. "So that family members are not left with this task of guessing, 'What would my brother want?'"

She says without an advance directive, hospitals often are forced to make decisions about medical interventions and treatment that may not be what the patient would want.

A new report questions New York City Mayor Eric Adams' latest budget proposal for dealing with the city's influx of over 110,000 migrants. The cost for housing the migrants is the reason Mayor Adams is warning city departments to be prepared to trim 15% from their budgets if state and federal funds are not provided soon. But a report from the Fiscal Policy Institute takes issue with Adams' proposal.

Nathan Gusdorf, executive director of the Fiscal Policy Institute, said a 15% cut would mean $2 billion less for New York City's Department of Education, and just under $1.5 billion for the Department of Social Services, and he questions the timing.

"Needless to say, those are essential agencies that all New Yorkers rely on," he said. "But they're also particularly important in terms of providing services and aid to the migrant population, and helping to move things along and remedy the effects of this. "

The report also questions Adams' estimates of the costs associated with the migrant population. The mayor cites nearly $10 billion for the next two years, but Gusdorf points out that $2.5 billion of that has already been budgeted, leaving a total of $6.5 billion remaining for the coming fiscal years. That is significantly less than the $10 billion annually that Adams' across-the-board cuts would bring.

Gusdorf also noted the cost estimates are based on two projections - continued growth in the number of migrants and "a steady cost per household, per night." The budget estimates $380 per household, per night - roughly what it pays now to house families in hotels across the city.

"You would hope to see sort of more innovative, cost-efficient solutions to housing the migrant population, so that it's not necessary to continue paying those nightly hotel rates every day for the next few years," he continued.

Janay Cauthen, executive director of Families for Freedom - a New York City nonprofit that focuses on migrants and immigrants - agrees. She believes the empty buildings across the City - some of which were foreclosed on during the pandemic - would be a good place to start.

"There's at least three big hotels that went out of business because of the pandemic," she explained. "There's beds there, there's TVs there. These people are human beings. They want to work; they want to provide for their families, but they just shuffle them around. And in New York City, people have the right to shelter."


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Immigration advocacy groups are calling on New Yorkers to join them in Foley Square at noon today. It's a National Day of Action to call attention to what they're calling a "cruel" immigration system.

People in roughly a dozen cities across the country are asking the Biden administration to follow through on promises to close immigration detention centers and put an end to deportations. Catherine Barnett, co-director of the New York group Freedom to Thrive, said this will be an opportunity to hear from people who are directly impacted by the immigration system.

"Folks who have been held in detention, families who have loved ones who have been in detention," she said. "There's opportunity to provide for family reunification and mental-health services - for people to be able to participate in a way that they're not able to do when they are being locked away."

In New York, Barnett said, an Assembly bill known as the Dignity Not Detention Act is currently in committee. It is similar to one passed in New Jersey, which led to detention facilities being closed. It would allow for people to wait for the decision on their immigration status without being locked up.

Barnett said there's a lot of misinformation about the immigration system. She added that many people even believe the current process is working.

"Some locations feel like there's an economic benefit to keeping people in cages, because you're providing jobs in particular parts of the state," she said. "We need to think about different ways we can provide economic incentives, economic support for individuals and communities, that are not relying on us expressing the worst of our humanity."

Barnett said her hope for the rally and the National Day of Action is to raise awareness, and move toward creating systems that prioritize the health and well-being of all people.

Organizations that help immigrants find a community, achieve economic self-sufficiency, and become legal residents or citizens say anti-immigrant rhetoric has created a funding challenge. Financial donations are down in Texas - which has bused more than 20,000 migrants to unprepared cities. Lawmakers have considered legislation to create a state border police task force empowered to "repel" and arrest migrants.

Tania Chavez Camacho, executive director, La Unión Del Pueblo Entero, or LUPE, said a lack of funding impacts direct services they can provide.

"We need the funding to be flexible because oftentimes we might need to house families, we might need to feed families, we might need to fly families," she explained.

Nationwide, the funding average for pro-immigrant and pro-refugee groups is $7, compared with $3.50 in Texas, according to the National Committee for Responsive Philanthropy. Texas immigrants account for 1/6 of the state's total population.

Cairo Mendes is with the group Grantmakers Concerned with Immigrants and Refugees. He says philanthropic donations are needed to meet and match public dollars and support the work done for migrants and immigrants by non-traditional groups.

"The small grassroots organizations that just don't have the sort-of infrastructure to be doing the development work day in and day out but are really connected to community and have access to these individuals," Mendes explained.

A "mobile app" created by the U.S. Customs and Border Protection agency to help schedule immigration court hearings is well-intentioned, Chavez Camacho said, but she noted it is not always practical.

"They are asking people to sign up for an appointment via an app - when they're literally running for their lives - seems not OK. Absolutely not OK," Chavez Camacho continued.

Legal permanent and temporary immigration rose in 2022 after the COVID-19 public-health crisis abated and the Biden administration extended or expanded "Temporary Protected Status" for certain eligible U.S. immigrants.