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.

Just 14% of California's 94,000 undocumented college students receive some form of state financial aid, according to a new report.

Researchers from the California Student Aid Commission found that only half of the people who are eligible for state aid for higher education even apply.

Marlene Garcia, the commission's executive director, said a lot of community college undocumented students apply to get their fees waived for coursework, but don't realize they could get a Cal Grant to help with living expenses.

Paperwork appears to be one of the issues.

"They may be applying for the College Promise, and they think that they've completed the financial aid application," said Garcia. "But then, they find out they have to complete the California Dream Act application. And sometimes, you'll lose students in that process."

Starting this year, state law requires all high school seniors to fill out the Free Application for Federal Student Aid or the California Dream Act application, so school counselors are going to have their hands full.

Garcia said many steps could be taken at the federal level to help undocumented students, including making the Pell Grant available, or reviving the DACA program and extending its provisions to allow students to have the right to work.

"If you're an undocumented student and you don't have work authorization to get a job after you graduate from college," said Garcia, "that's going to raise the question about where the value proposition is for a college degree for you."

Another barrier is the requirement that undocumented students sign an affidavit that they attended at least three years of high school in California. A new bill now in the California Legislature would integrate that affidavit into the California Dream Act application.

Support for this reporting was provided by Lumina Foundation.


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Nebraska welcomed more than 10,000 refugees between 2002 and 2016, and some are still hoping to bring family members to the U.S.

Under the Department of Homeland Security's proposed changes to the asylum application process, it could become more difficult.

They are designed to prevent a surge of migrants at the southern border once the federal health emergency ends in May, ending Title 42. They would deny entrance to anyone who lacks the proper documentation and can't meet certain expectations. Those who enter at the southern border would also need proof they applied for, and were denied, asylum in a third country they passed through.

Joe Lord, lead asylum attorney for the Immigrant Legal Center in Omaha, said it is an often untenable expectation.

"A lot of those countries don't have either an asylum system in place at all, or an effective or safe asylum system in place," Lord pointed out. "It's a complication that's not very fair to people actually fleeing danger and trying to get somewhere safe."

Lord believes the changes could lead to more family separations. He noted no consideration is given for the common case of a person coming to the U.S. alone and later petitioning for family members to join them. He added the backlog of immigration court cases in the Nebraska-Iowa region is currently 28,000, and believes the changes would make the wait even longer.

Another aspect of the changes Lord considers unrealistic is the expectation migrants will use a smartphone app to schedule an appointment with a border agent.

"A lot of people that come through the southern border have nothing when they get here, and that includes access to a smartphone," Lord stressed. "That would be a massive impediment to a lot of people applying."

The Department of Homeland Security proposal makes exceptions for people having a medical emergency, facing an imminent threat or the risk of being trafficked.

Lord pointed to the far greater effect the expectations will have on lower-income people entering through the southern border than on those who can afford to apply for a visa and fly to the U.S. He also believes the changes violate U.S. laws and treaties designed to protect people seeking asylum.

"The laws in the United States explicitly guard an asylum-seeker's right to seek protection, regardless of how they arrive here," Lord emphasized.

The proposed changes are open for public comment until March 27. Lord added he fully expects they will be challenged in court.


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Unionized farmworkers recently signed a collective-bargaining agreement with the North Carolina Growers Association.

The new agreement protects the rights of more than 9,000 H-2A visa workers on hundreds of farms throughout the state.

Baldemar Velasquez, president of the Farm Labor Organizing Committee, said the two-year agreement gives workers participating in the immigrant visa program unprecedented security. He explained H-2A workers are prone to exploitation by labor contractors who steal wages or force them to live in unsafe housing.

"One of the big items in the collective-bargaining agreement is that the workers have a right to file grievances without retaliation for recruiting violations in Mexico," Velasquez explained.

The agreement also ends the widespread practice of "blacklisting" workers who lodge complaints. North Carolina is one of the largest users of this type of temporary agricultural visa, with between 14,000 and 17,000 H-2A workers annually, according to state data.

Velasquez pointed out the collective-bargaining agreement also secures the right for workers to return to the U.S. again and work after their contacts have ended, based on seniority.

"We've had workers that have been coming back since 2005, when we initiated this collective-bargaining agreement," Velasquez emphasized. "That gives them seniority ability to return and continue to make money for the families in Mexico."

He noted the latest agreement does not extend to all farmers in the state, and added the union continues to work on ways for farms to systemically respond to labor issues.

"There's no structure," Velasquez contended. "Part of our challenge is creating a structure that would allow us to have a systemic response to these things."

According to the Farm Labor Organizing Committee's Impact Report, union organizers processed more than 1,600 farmworker cases last year.