FILE – Texas Gov. Greg Abbott speaks at a news conference in Austin, Texas on June 8, 2021. (AP Photo/Eric Gay, File)
By THE ASSOCIATED PRESS
Updated 7:10 AM EST, November 1, 2024
Texas hospitals must ask patients starting Friday whether they are in the U.S. legally and track the cost of treating people without legal status following an order by Republican Gov. Greg Abbott that expands the state’s clash with the Biden administration over immigration.
Critics fear the change could scare people away from hospitals in Texas, even though patients are not required to answer the questions to receive medical care. The mandate is similar to a policy that debuted last year in Florida, where Republican Gov. Ron DeSantis is also a frequent critic of the federal government’s handling of illegal crossings along the U.S.-Mexico border.
Texas hospitals have spent months preparing for the change and have sought to reassure patients that it won’t affect their level of care.
Here’s what to know:
Required to ask, not required to answer
Under the executive order announced by Abbott in August, hospitals must ask patients if they are citizens in the U.S. and whether they are lawfully present in the country.
Patients have the right to withhold the information and hospital workers must tell them their responses will not affect their care, as required by federal law.
Tracking hospital costs and patient data
Hospitals are not required to begin submitting reports to the state until March. An early draft of a spreadsheet made by state health officials to track data does not include fields to submit patient names or personal information.
Providers will fill out a breakdown of visits by inpatient and emergency care patients and document whether they are lawfully present in the country, citizens or not lawfully present in the U.S.
The reports will also add up costs for those covered by Medicaid or the Children’s Health Insurance Program, known as CHIP; and the cost for patients without it.
“Texans should not have to shoulder the burden of financially supporting medical care for illegal immigrants,” Abbott said when he announced the policy.
Texas is following Florida’s lead
Florida enacted a similar law last year. Health care advocates contend the law has made immigrants who need of emergency medical care fearful and led to fewer people seeking help, even from facilities not subject to the law.
Florida’s early data is — by the state’s own admission — limited. The data is self-reported. Anyone can decline to answer, an option chosen by nearly 8% of people admitted to the hospital and about 7% of people who went to the emergency room from June to December 2023, according to Florida’s state report. Fewer than 1% of people who went to the emergency room or were admitted to the hospital reported being in the U.S. “illegally.”
Texas hospitals have been preparing
Immigrant and health care advocates have sought to educate the Texas public about their rights. In Florida, groups used text messages, posters and emails to get the word out. But advocates there have said they didn’t see fears subside for about a year.
Health care providers received directives from the state and guidance from the Texas Hospital Association.
“The bottom line for patients is that this doesn’t change hospital care. Texas hospitals continue to be a safe place for needed care,” said Carrie Williams, spokesperson for the hospital association.
November 5, 1872 Susan B. Anthony and a few other women in Rochester, New York, voted in the presidential election, all of them for the first time. Susan B. Anthony She wrote later that day to her fellow suffragist Elizabeth Cady Stanton, “If only now—all the women would work to this end of enforcing the existing constitution—supremacy of national law over state law—what strides we might make . . . .” Anthony’s vote went to U. S. Grant and other Republicans, based on that party’s promise to consider the legitimacy of women’s suffrage. Elizabeth Cady Stanton Read Susan B. Anthony’s speech On Women’s Right to Vote
November 5, 1949 The Peace Pledge Union in Great Britain set up the Non-Violence Commission to study nonviolent resistance and how the ideas of Gandhi could be used to reach the Union’s goals of getting U.S. troops out of Britain and to end production of nuclear weapons there.
November 5, 1969 Bobby Seale Bobby Seale, a founder of the Black Panther Party, was sentenced to four years in prison on sixteen counts of contempt of court during the federal Chicago Eight trial in Chicago; he was charged for his insistent claims to the right to choose his own lawyer, or to represent himself. After the Chicago Eight verdict, the contempt charges were withdrawn.
November 5, 1982 36 were arrested in a demonstration at Honeywell, Minnesota’s largest defense contractor. The “Honeywell Project,” a local campaign against the arms maker, dogged the company for over three decades, at times with success. It continues today, targeting Alliant Technologies, the arms-making branch of Honeywell that was spun off in the 1990s. Protests at Alliant continue today. Alliant is the manufacturer for the Pentagon of artillery shells made with depleted uranium (DU or U-238, a by-product of uranium enrichment) which have been used extensively in Iraq and Kosovo. The Defense Department denies any health effects from use of DU (though army manuals warn soldiers of its toxicity), and contests accusations of DU’s role in Gulf War Syndrome. More about the Honeywell project from War Resisters’ international
November 5, 1987 Govan Mbeki, an early leader of the African National Congress, was released from South Africa’s Robben Island prison after serving twenty-four years (for treason). He served his sentence alongside Nelson Mandela, Walter Sisulu and many others who fought apartheid. Govan Mbeki His son, Thabo Mbeki, was elected in 1998 (and force to resign in 2008) to succeed Mandela, who was the first president elected following a new constitution which granted the right to vote to the entire non-white population, comprising 85% of the country’s population. Read more about Govan Mbeki
A broken window on an LGBTQ fashion boutique storefront in Manhattan, New York on June 12, 2023.Photo: Shutterstock
There has been a 112% increase in documented attacks on LGBTQ+ people nationwide, according to a newly unveiled Anti-LGBTQ Extremism Reporting Tracker (ALERT) from the queer media watchdog organization GLAAD. GLAAD hopes to use the tracker to provide comprehensive reporting and analysis detailing anti-LGBTQ+ hate in the U.S. and the specific communities and targets affected by it.
ALERT recorded 524 such incidents between June 2022 and 2023 and 1,109 incidents from June 2023 to 2024. These attacks have included over 450 protests, 330 propaganda drops, 320 acts of vandalism, 200 bomb & mass shooting threats, 130 assaults, and 45 cases of arson that have resulted in at least 161 injuries and 21 deaths, GLAAD’s ALERT Desk reported.
While the cases focus on drag bans and trans protections, they address larger issues of free speech and civil rights.
The attacks have also included over 567 attacks on transgender and gender non-conforming people, 360 incidents targeting educational institutions and libraries, 325 incidents targeting Pride flags and other LGBTQ+ community symbols, 160 protests and violent threats against drag performers, and 140 incidents targeting health care providers of gender-affirming care and their patients.
The tracker, which will be updated quarterly, includes data on criminal and non-criminal acts of hate from sources like news media, partner organizations (like the Human Rights Campaign or Anti-Defamtion League’s Center on Extremism), right-wing forums on social media sites like Gab or chat apps like Telegram as well as incident reports submitted via GLAAD’s website. All documented incidents must occur against groups or individuals within the U.S. and must include harassment, threats, or actual violence specifically targeting LGBTQ+ people.
GLAAD’s ALERT team will verify the validity of each incident to maintain credibility, remove duplicates, and exclude spam and trolling, the organization said.
“The ALERT Desk tells a story not entirely captured by the FBI’s hate crime statistics because many of these incidents, like protests at Pride events, don’t meet the criteria necessary to bring legal charges [and] aren’t included in most official hate crime counts,” GLAAD wrote in its recently released report on ALERT’s findings. “However, we must recognize that the impact of these acts on local LGBTQ communities is felt regardless of whether or not the incident is prosecuted.”
“We must recognize that the impact of these acts on local LGBTQ communities is felt regardless of whether or not the incident is prosecuted.”
GLAAD’s 2024 report on ALERT’s findings
During a press call, Barbara Simon, senior director of news and campaigns at GLAAD, noted that ALERT seeks to contextualize anti-LGBTQ+ incidents to help media and other experts understand larger systems of violence.
“[Recently], there was a bomb threat against a library in Massachusetts,” Simon said, a threat against a Drag Queen Story Hour at the public library in Somerville. “But it’s not just about that library. It’s not just about the inclusive materials and programs they had, about how the bomb squad had to come in and sweep the library, how children and families and patrons had to evacuate the library.”
“Our data shows how that incident is connected to the bigger picture, which is more of a broad-based, systemic attack against LGBTQ people, our visibility, our equality and our allies,” Simon added. “It is one of 365 attacks nationwide against drag artisan events. It’s one of 63 anti-LGBTQ attacks in Massachusetts alone, one of 15 attacks specifically against drag in Massachusetts.”
The quarterly reports will also include stories from those affected by the incidents.
GLAADA bar graph showing anti-LGBTQ+ hate incidents from GLAAD’s ALERT Desk. | GLAAD
For example, Dr. Jack Turban, pediatric psychiatrist and director of the gender psychiatry program at the University of California in San Francisco, said during the press call that bans on gender-affirming care for youth in 26 states have worsened the mental health of his young trans patients even though they live in a state where such health care is protected. Their mental health has been worsened, Turban said, because of an increase in anti-trans rhetoric nationwide whose indirect effects cross state lines.
“Kids are hearing things like being trans is a mental illness, or being trans is bad, or you shouldn’t be allowed to use the bathroom that aligns with your gender identity because trans people are sexual assaulters, or you shouldn’t be allowed to play on sports teams with your friends because you’re going to physically hurt them,” Turban said. “My patients know that none of those things are true, right? They can know that, but if you’re hearing it every single day, all over social media and all over the news and now right in their communities, even it’s impossible to not be impacted by that.”
GLAAD pointed out that media coverage tends to falsely frame medical care for transgender people as a “debate” despite every major medical association supporting the care. This coverage compounds the effect of hateful rhetoric from anti-trans politicians, protestors, and pundits.
ShutterstockSalina EsTitties attends the 35th Annual GLAAD Awards on March 14, 2024 in Beverly Hills, California. | Shutterstock
The hateful rhetoric affects even LGBTQ+ celebrities and their fans, like Salina EsTitties, a competitor who appeared in Season 15 of RuPaul’s Drag Race. EsTitties told the press call that she’s generally insulated from hatred against gender non-conforming people since she lives in the very gay city of West Hollywood, California. However, she sees its impact whenever she travels to other states or posts social media videos about LGBTQ+ issues.
“There’s comments every single day of people being like, ‘This is not what God created. God created two genders. Oh, they keep adding alphabets. Oh, just shoot it between the eyes and get rid of it,’” EsTitties said. “The online hate is insane and there’s so much of it, and people are so willing to just let it all out, but it’s a clear representation of how people actually feel in America and across, you know, the U.S. here.”
“Not only are our LGBT community dealing with having to be their authentic selves,” she continued. “Being their authentic selves with just who they are outside of their queer identity is a lot to navigate, and it’s not easy, especially when people are telling you, ‘You’re the Devil, you’re a demon,’ or ‘It’s not acceptable to be that.’”
Hate crimes typically increase during presidential election years. Marie Cottrell, executive director for the New Jersey-based LGBTQ+ advocacy center Out Montclair, said she hopes that increased awareness of anti-LGBTQ+ hate incidents will empower communities to build intersectional coalitions between other demographic groups whose members are targeted by similar hate.
“I think that it’s really important that you be the person that the community needs,” Cottrell told the press call. “They need to see you stand for and with them. Find folks who in your community who will stand with you in the face of intolerance, build a community of support within your township — whether that’s forging a relationship with your LGBTQ liaison within the local police department … working with the township, the mayor, the town council, and really having open conversations … having conversations that address really hard questions and topics and that starts the process of understanding and healing in your community.”
“It’s a small step, but it’s a step forward and a step forward in helping others understand the community,” she said.
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Two Ballot boxes damaged overnight with incendiary devices in SE Portland at 11th and Belmont AND Fishers Landing Vancouver, WA. It’s not known at this time if any ballots were damaged.
Below is what the tRump campaign is all about, toxic masculinity. Gang thug 12 yr old boys on the playground standing around insulting other kids pretending to be tough guys. Is this what you want for president, for congress? People who feel that everyone different from them should be insulted and belittled? Hugs
NFL rules forbid political “messages or gestures” during games or on the field. Just ask Colin Kaepernick, who was attacked by Bosa for kneeling during the anthem. The cult is celebrating Bosa and attacking NBC for editing the incident out of their coverage.
8.2 billion people and he is desperate for more … white ones. Yes that is the truth of it. First he is so egotistical he thinks his genetics are superior to any others. Second the fear he has is that brown people will out number white ones and rule the world. As a member of South Africa’s apartheid system he hates the idea of whites not being firmly and securely ruling over everyone else. He is a sick man. Hugs
They are so sure the voter purges are hurting the democrats that they push deeper and deeper cuts to the voter rolls. Not realizing they are hitting their own people now also. Hugs
And she seethed at the idea that anyone would question the citizenship of a former federal employee with the “whitest name you could have.”
The elections office in Montgomery County, just north of Houston, had sent Howard-Elley a letter in late January saying that she had been flagged after she indicated that she was not a U.S. citizen in response to a jury summons. She had 30 days to provide the county proof of citizenship or she would be removed from the voter rolls, according to the letter.
More than 75,000 spectators gathered in Washington, D.C., to hear Vice President Kamala Harris‘ closing argument speech at the same site of former President Donald Trump‘s infamous “Save America” rally that preceded the January 6 attack on the U.S. Capitol.
Harris’ event at the Ellipse arrived one week before Election Day and followed Trump’s closing arguments at Madison Square Garden on Sunday that received backlash for its inflammatory and racist rhetoric.
As the vice president took the stage Tuesday night, her campaign’s rapid response director, Ammar Moussa, posted to his account on X, formerly Twitter, that there were “OVER 75,000 people on the National Mall to watch Kamala Harris deliver her closing remarks.”
“Here. We. Go,” Moussa added.
CNN later reported that the Ellipse was at capacity and some guests were directed to an overflow area on the National Mall, per a Harris campaign official.
Democratic presidential candidate and Vice President Kamala Harris speaks at the Ellipse just south of the White House in Washington, D.C., on October 29. The Harris campaign said that more than 75,000 people gathered to… More BRENDAN SMIALOWSKI/AFP via Getty Images)
Trump held his January 6, 2021, rally at the Ellipse on the same day a mob of his supporters rioted at the U.S. Capitol while Congress was certifying the 2020 election in which Trump lost to President Joe Biden. According to the House Select Committee tasked with investigating January 6, around 53,000 people attended Trump’s speech before the attack.
Harris’ previous crowd size record was set on Friday at her rally in Houston, which included an appearance from Beyoncé. The vice president’s campaign said around 30,000 people showed up to the Shell Energy Stadium event, which was focused on reproductive rights.
Trump frequently touts his own rally sizes, although as Newsweek has reported, the former president often exaggerates his crowd numbers. Trump’s campaign said that the former president’s event in New York City on Sunday filled Madison Square Garden to capacity. The venue can fit a maximum of 19,500 people.
Sunday’s event was marred by racist remarks hurled about Latinos, Black people, Jews and Palestinians. Sexist comments were also made about Harris and former Secretary of State Hillary Clinton by several speakers.
Trump’s campaign has spoken out against one comment, made by comedian Tony Hinchcliffe, who said during his speech that Puerto Rico is a “floating island of garbage.” The former president’s team said that the “joke does not reflect the views of President Trump or the campaign.” Trump told ABC News’ Rachel Scott when asked about the joke on Tuesday, “I don’t know him. Someone put him up there. I don’t know who he is.”
The former president also failed to condemn other statements made at Madison Square Garden during a speech at Mar-a-Lago on Tuesday, saying instead, “There’s never been an event so beautiful.”
“The love in that room was breathtaking,” he added. “It was like a lovefest, an absolute lovefest. And it was my honor to be involved.”
Harris said during her Ellipse speech that Trump “has spent a decade trying to keep the American people divided and afraid of each other.”
“That is who he is,” she added. “But America, I am here tonight to say that is not who we are.”
The vice president also criticized Trump’s comments about going after the “enemy from within” if elected to the White House. Despite receiving immense pushback for the comments in recent weeks, Trump repeated the phrase during his Madison Square Garden speech, telling supporters, “We’re running against a massive, crooked, malicious leftist machine that’s running the Democrat Party. They are smart and vicious, they are the enemy within, we must defeat them.”
On Tuesday, Harris told supporters, “Donald Trump intends to use the United States military against American citizens who simply disagree with him. People he calls …’the enemy from within.'”
Harris added, “Unlike Donald Trump, I don’t believe people who disagree with me are the enemy. He wants to put them in jail. I’ll give them a seat at my table.”
Newsweek reached out to Trump’s campaign via email Tuesday for comment.
Susan B. Anthony
Elizabeth Cady Stanton
Bobby Seale
Protests at Alliant continue today.
Govan Mbeki
A broken window on an LGBTQ fashion boutique storefront in Manhattan, New York on June 12, 2023.Photo: Shutterstock
Scottie's Playtime 