As U.S. Health-Care System Buckles under Pandemic, Immigrant & Refugee Professionals Could Represent a Critical Resource

Another good analysis by MPI:

In this time of crisis when health-care workers are not only on the frontlines of fighting COVID-19 but are themselves among its primary targets, it is more essential than ever to have enough qualified professionals to meet the needs of a buckling U.S. medical system. As governors call retired physicians back into service and medical schools graduate students on an accelerated basis, another pool can be tapped: Immigrant and refugee physicians, nurses, and health-care technicians who could offer not only critical professional knowledge but also essential linguistic and cultural skills. Around the globe, a number of countries battling the virus (among them France, Colombia, Spain, Chile, and Ireland) and subnational governments (including New York State, California, New Jersey, and the province of Buenos Aires in Argentina) are actively seeking ways to engage this population.

There are 1.5 million immigrants already employed in the U.S. health-care system as doctors, registered nurses, and pharmacists. At the same time, Migration Policy Institute (MPI) analysis finds another 263,000 immigrants and refugees with undergraduate degrees in health-related fields are either relegated to low-paying jobs that require significantly less education or are out of work. Along with 846,000 U.S.-born adults whose health-related college degrees are similarly underutilized—a phenomenon MPI has long referred to as “brain waste”— these immigrants represent a potentially important source of staff for the U.S. health corps. And because these immigrants tend to be younger than their U.S.-born counterparts, they represent an important pool of responders to a disease that is particularly dangerous for those 60 and older.

Figure 1. Adults (ages 25 to 64) Whose Health-Related Undergraduate Degrees Are Not Fully Utilized, by Nativity and Place of Education, 2017

Source: Migration Policy Institute (MPI) tabulation of U.S. Census Bureau 2017 American Community Survey (ACS) data.

Definitions & Methodological Note

Underutilized adults are defined here as civilians between ages 25 and 64 who currently are employed in jobs that require no more than a high school diploma, are unemployed, or are not engaged in the labor force.

Immigrants refers to persons who were not U.S. citizens at birth. This population includes naturalized U.S. citizens, lawful permanent immigrants (or green-card holders), refugees and asylees, certain legal nonimmigrants (including those on student, work, or other temporary visas), and persons residing in the country without authorization. The term U.S. born refers to those born in the United States or abroad to at least one U.S.-citizen parent.

Foreign trained are defined here as immigrants who came to the United States at age 25 or later and who have at least a bachelor’s degree (i.e., they likely obtained their degrees abroad), while U.S. trained are those who arrived before age 25 and obtained their four-year college degrees in the United States.

Methodological note: The analysis here differs from the Migration Policy Institute’s earlier work on immigrant skill underutilization (also known as brain waste), in that for the purposes of examining an urgently needed talent pool that could be tapped during this crisis, it also includes college-educated immigrants of prime working age who not engaged in the labor force. Foreign-trained health-care graduates are significantly more likely to be out of the labor force than their U.S.-trained immigrant counterparts and could thus represent a substantial potential pool of workers. This analysis finds 140,000 immigrants with health-related degrees ages 25-64 are not employed and not looking for work, representing 53 percent of all 263,000 immigrants with a four-year health-care degree who are underutilized. Forty percent are employed in jobs requiring no more than a high school degree, and the remaining 7 percent are unemployed.

MPI research over the years has shown that a sizeable share of immigrant college graduates faces significant challenges in securing jobs that take full advantage of their prior education and work experience. The analyses presented here affirm that this underutilization is common among the foreign born who hold undergraduate degrees in the health-care field. What, then, are some of the most policy relevant characteristics of this population?

Place of Education

Where immigrants receive their education matters. Almost two-thirds (or 165,000) of all underutilized health-care immigrant workers likely obtained their health-related education outside the United States. The underemployment of these health-care professionals is in some ways not surprising: employers may be reluctant to hire workers with degrees from universities that are unfamiliar to them. Also, immigrants may lack important professional networks that connect them to employment opportunities or a sufficient level of professional English competence to get promoted. Further, their credentials may not be aligned with those required by U.S. health-care systems and licensing authorities. And it is common knowledge that obtaining U.S. licenses to work is difficult, time-consuming, and costly.

Demographics

As with health-care workers overall, college-educated immigrant and U.S.-born workers stuck in jobs requiring no more than a high school degree or out of work are overwhelmingly female (roughly 80 percent). They differ, though, in their age distribution—one factor that may be important in combatting a disease that is particularly dangerous for older persons. These immigrants tend to be younger than their U.S.-born counterparts: 56 percent are between ages 25 and 44, versus 45 percent among U.S.-born underutilized health professionals.

These immigrants also have long years of U.S. residence, with 62 percent having been in the United States for more than a decade. On the one hand, many may have gained or improved their English proficiency and acquired U.S. work experience. On the other hand, many may have been outside the health-care field for years, and their skills and education may have atrophied.

Degree Field

Nursing is the most common degree held by underutilized immigrants and refugees. Approximately 118,000 immigrants with undergraduate degrees in nursing are underutilized, representing 45 percent of all immigrant-health care professionals working below their skill level or sidelined. The data analyzed here indicate that many are working in low-paying jobs such as nursing assistants, home health aides, personal care aides, or as domestic help. Another 10 percent received undergraduate degrees in pharmacy and pharmaceutical sciences, followed by 8 percent with treatment therapy and 5 percent with medical technology technician degrees.

Language Skills

Underutilized immigrant health-care professionals could provide an important linguistic and cultural resource for their own communities now, during this time of crisis, and in the future. More than two-thirds are English proficient, that is, they speak English very well or only English. They also speak a variety of languages other than English, including Spanish (17 percent), Tagalog (15 percent), Chinese (6 percent), Korean and Arabic (4 percent each), as well as Haitian, Russian, Vietnamese, Hindi, Portuguese, French, and Telugu (2 percent each).

States of Residence

State Estimates of Health-Care Professional Underutilization

Find estimates of the size of the population of health-care professionals, immigrant and U.S. born alike, experiencing skill underutilization, as well as their place of education, for the top 20 states. Click here for the data.

More than 60 percent of underutilized immigrant health-care professionals live in traditional immigrant-receiving states. California has, by far, the largest number of such workers: 24 percent of the national total, or 60,000 workers. Other top states: Florida, 11 percent (or 29,000); Texas, 9 percent (23,000), New York, 8 percent (22,000), New Jersey, 5 percent (14,000), and Illinois, 4 percent (11,000).

Figure 2. Immigrant Adults (ages 25 to 64) Whose Health-Related Undergraduate Degrees Are Not Fully Utilized, by State of Residence, 2017

Source: MPI tabulation of Census Bureau 2017 ACS data.

Tapping This Talent?

Even before the COVID-19 pandemic, the skills of 263,000 immigrants and refugees with college degrees in health-related fields had not been put to the best use in the U.S. labor market. However, in a time of crisis with growing shortages of staff in hospitals, community clinics, health departments, and testing centers, many of these immigrants could be mobilized and re-employed in jobs across the health-care field.

While state governments and medical systems must remain vigilant about the quality of health-care services their residents receive, some opportunities to make adjustments to the arduous licensing process exist. States could speed up the certification process by allowing immigrant health-care professionals who pass all requirements except the final exam to work under supervision, or they could extend short-term, provisional approval for a limited set of tasks. The data presented here indicate that workers with nursing training could represent a promising target group. These nurses could be employed in assisting with testing for the virus. At minimum, these immigrant health-care professionals could be engaged in providing language and cultural assistance to overburdened health systems and frightened patients alike.

As hospital emergency rooms, community health centers, and other medical offices reel from the tremendous strain that the COVID-19 pandemic has brought, immigrant health-care professionals whose skills have not been fully utilized represent a promising candidate pool for policymakers, licensing authorities, and health-care providers to tap in a moment of national crisis.

Source: www.migrationpolicy.org/news/us-health-care-system-coronavirus-immigrant-professionals-untapped-resource

The Coronavirus Has Derailed The Citizenship Oath For Thousands Of Immigrants Who Are Anxious To Vote

As in Canada. Need to look at ceremonies by video conferencing as in Australia.

Of course, for the Trump administration and those Republicans wishing to discourage voting, this is more a feature than a problem:

Luis Molina had waited months to complete the final step in his decadeslong journey to become an American citizen: repeating the oath of allegiance to the United States along with hundreds of other would-be citizens on March 19.

Molina, a 51-year-old who left El Salvador as a young man, had planned to hold a celebratory dinner at his favorite restaurant in Pasadena, California — President Thai — after the naturalization ceremony in Los Angeles.

To become a US citizen, immigrants must go through a long, and at times arduous, process that includes an interview with an immigration officer and a test on American civics and the English language. The final step, however, is the easiest of them all: repeating 140 words in a celebratory event that’s often held in American theaters, convention centers, and courthouses.

This simple, but legally necessary step, is all that stands in the way of Molina being granted citizenship.

But that opportunity has been on hold: In March, naturalization ceremonies across the country were canceled due to the rapid spread of the coronavirus, and the agency that administers immigration benefits, US Citizenship and Immigration Services, closed its offices to the public. The ceremonies are supposed to be rescheduled, but like many other parts of American life, the timing is uncertain.

In the wake of the cancellations, immigrants like Molina fear that they not only won’t get the chance to call themselves Americans anytime soon, but that they won’t be able to vote in the upcoming presidential election. Experts warn that the delayed naturalizations could have an impact on the number of eligible voters in November, as many states require registration by October.

“I’m kind of nervous,” Molina said. He’s watched how the Trump administration has enforced the public charge rule, which penalizes green card applicants for using public benefits, and other restrictive immigration policies. “I’ve been thinking about how they change the rules and the laws and maybe I won’t be able to get citizenship. I feel intimidated.”

A USCIS spokesperson said field offices will send notices with instructions to applicants with scheduled interviews or naturalization ceremony appointments, which will automatically be rescheduled once normal operations resume.

Some ceremonies in Los Angeles that had been scheduled for later in May have yet to be canceled, but California officials have indicated that strict social distancing measures could last beyond that.

Under normal conditions, USCIS is able to naturalize 66,000 immigrants on average every month, according to Sarah Pierce, an analyst at Migration Policy Institute. The agency generally relies on in-person oaths at its office or in larger ceremonies outside of its own facilities.

“So far, because of COVID-19, there are already tens of thousands of immigrants who have had their naturalizations delayed, and these numbers will easily exceed 100,000 as this crisis drags on,” she said.

The agency regularly hosts ceremonies that pack more than 1,000 soon-to-be Americans in one place to conduct the oath altogether. If USCIS offices are able to open as planned on May 3, the agency will still face an inherent challenge: How will large groups of people be quickly naturalized?

“Unless USCIS implements an ambitious series of naturalization ceremonies once they are able to reopen in-person services, there will be tens of thousands of immigrants who will not be able to vote in this fall’s election, despite having completed nearly all the legal requirements to receive citizenship,” Pierce said. “Because naturalization ceremonies entail gatherings of large groups of people, there are a lot of outstanding questions about when USCIS will be able to restart these and what exactly they will look like. If the ceremonies are limited by public health concerns, unless USCIS comes up with innovative solutions, these delays could reverberate for years to come.”

Former senior USCIS leaders told BuzzFeed News the cancellations will inevitably have an impact on the number of people who are able to obtain citizenship this year.

“Field offices are 100% closed, meaning not just no naturalization ceremonies, but no naturalization interviews and also no green card interviews,” said Leon Rodriguez, former director of the agency under the Obama administration. “All of this was already severely backlogged before, so the problem will become much worse depending on the length of the closure.”

As of September 2019, there were already more than 600,000 naturalization applications pending.

The naturalization oath has been a long-held American tradition, spanning back to the late 1700s. Before the early 1900s, courts from across the country administered the oath in various ways, and it wasn’t until 1929 that a standardized oath was created. Later, the Immigration Act of 1950 added language to the oath that made immigrants promise to bear arms for the US and perform “noncombatant service in the armed forces of the United States when required by the law.”

There are waivers for the requirement to recite the oath, like if an individual does not agree to bear arms for the US because of religious circumstances or has a developmental disability that prevents them from understanding the oath, but in most circumstances it is required.

“It’s like being on the 1-yard line and suddenly there’s a timeout that may last for months. If you can’t take the oath of allegiance — a pro forma final step but a moving one — then you can’t become a US citizen,” said Doug Rand, who worked on immigration policy in the Obama White House and is now the cofounder of Boundless Immigration, a technology company that helps immigrants obtain green cards and citizenship. “That means you can’t vote, of course. It also means you can’t count on being safe from deportation or on protecting your family by sponsoring them for US citizenship.”

Rand has advocated for the agency to skip the live event altogether in light of the pandemic, while others have called for oaths to be administered via televideo.

Duncan Williams, a professor of religion at the University of Southern California, had also been scheduled to recite the oath of citizenship in Los Angeles on March 19. Williams, 50, came to the country as a 17-year-old from Japan for college. The Trump administration’s restrictive immigration policies — such as the travel ban and the policy that led to families being separated at the border — created a sense of urgency for Williams to obtain his citizenship.

“What is more unsettling is the uncertainty about the future implicated in the inability to complete the naturalization process,” he said.

Williams had expected to get his US passport and vote in the upcoming elections, confident in his status as an American.

“As a Japanese national,” he said, “I’ve been observing the rising anti-Asian sentiment in the US with some trepidation, with some regret that the protections afforded to citizens is not something I can secure at the present time.”

Source: The Coronavirus Has Derailed The Citizenship Oath For Thousands Of Immigrants Who Are Anxious To Vote

German, French Officials Accuse U.S. Of Diverting Supplies

Failure on humanitarian, ethical and institutional levels.

The best comment, with respect to the US, came from Ontario Premier Doug Ford: “We’re the two largest trading partners anywhere in the world. It’s like one of your family members (says), ‘OK you go starve and we’ll go feast on the rest of the meal.’ I’m just so disappointed right now. We have a great relationship with the U.S. and they pull these shenanigans? Unacceptable.”

As the coronavirus rattles the globe, governments and aid organizations everywhere find themselves in a race to acquire scarce medical supplies and protective equipment — but some say the United States isn’t playing fair.

Earlier this week, officials in both Germany and France accused the U.S. of diverting medical supplies meant for their respective countries by outbidding the original buyers.

As of Saturday, there were more than 1 million confirmed cases of COVID-19 worldwide and more than 60,000 deaths from the virus, according to a tally by researchers at Johns Hopkins University. The U.S. has the most cases globally, with Germany and France at the fourth and fifth-highest case count, respectively.

On Friday, officials in Berlin alleged that the U.S. intercepted a shipment of medical equipment in Thailand from American medical supply company 3M and diverted it to the U.S., the German newspaper Der Tagesspiegel reported. Berlin’s interior minister called the alleged interception “modern piracy.”

That same day, French officials accused the U.S. of redirecting a shipment of medical masks from Shanghai originally intended for a hard-hit French region to the U.S. by offering a much higher price for the supplies, The Guardian reported.

The accusations come as demand in the U.S. for facemasks surges, particularly after a new Centers for Disease Control and Prevention recommendation that all Americans should wear cloth face coverings in public.

The U.S. has flatly denied allegations of diverting supplies from other countries. But President Trump has also tried to force American companies into prioritizing U.S. orders by invoking the Defense Production Act. On Thursday, the president used the DPA to order 3M to stop exporting hospital-grade N95 masks to Canada and Latin America, according to the company.

“We hit 3M hard today after seeing what they were doing with their Masks. ‘P Act’ all the way,” the president said in a tweet Thursday night.

On Friday morning, 3M warned of “significant humanitarian implications” of ending shipments to Canada and Latin America, saying the company is “a critical supplier of respirators.” 3M also said other countries would likely retaliate, reducing the overall number of respirators in the U.S.

Canadian Prime Minister Justin Trudeau echoed warnings against halting American medical exports to Canada on Friday.

“It would be a mistake to create blockages or reduce the amount of back-and-forth trade of essential goods and services including medical goods,” the Canadian leader said.

3M CEO Mike Roman also pushed back on the president’s threats to the company. “The idea that 3M is not doing all it can to fight price gouging and unauthorized retailing is absurd,” Roman said in a CNBC interview. “The narrative that we are not doing everything we can to maximize deliveries of respirators in our home country — nothing could be further from the truth.”

With no collective global effort to distribute supplies to countries that need them most, little stands in the way of global feuding and price-gouging. The Trump administration has come under criticism for the same issue in domestic markets.

The Washington Post reported earlier this week that states with governors who are allies to the president, including Florida’s Ron DeSantis, have had little trouble getting requests filled with supplies from the national stockpile. Meanwhile, some Democratic governors have struggled to get federal help.

Illinois Gov. J.B. Pritzker and New York Gov. Andrew Cuomo have repeatedly complained that trying to get federal supplies is like the “wild west”: states must compete against one another as well as other countries, with essential supplies going to the highest bidder.

Trump blamed New York’s shortage of ventilators on the state itself for not having more respirators before the pandemic broke out.

“They should’ve had more ventilators. They were totally under-serviced,” the president said Friday. “We have a lot of states that have to be taken care of, some much more than others.”

New York state has the highest number of coronavirus cases and deaths in the country, with more than 100,000 cases of COVID-19 as of Saturday. The next closest state is New Jersey with just under 30,000 cases.

Source: German, French Officials Accuse U.S. Of Diverting Supplies

How Census Is Building a Citizenship Database Covering Everyone Living in the U.S.

Interesting read on how the US Census bureau is working on getting greater precision on citizenship using statistical modelling. Whether this will provide greater precision than the American Community Survey remains to be seen, as well as protections to ensure privacy and anonymization:

While the 2020 decennial count is underway, the Census Bureau is working on a separate effort to identify the percentage of the U.S. population that has legal citizenship. The result will be a Census-owned database of every person living in the U.S. with a statistical “citizenship estimate” linked to each individual.

The Trump administration initially pushed to include a citizenship question on the 2020 survey of America. However, in June of last year, the Supreme Court ruled 5-4 to prevent the administration from asking the question, citing poor justification for its inclusion.

A month after the ruling, President Trump signed Executive Order 13880, requiring the bureau to produce data on the citizen voting-age population, or CVAP, by the end of March 2021, and mandating relevant agencies share databases to help Census achieve that end.

Next year, the bureau will release a publicly-available statistical modeling of citizen and non-citizen populations throughout the country, anonymized using a cutting-edge masking system. The effort will also create a dataset with a citizenship estimate for every person in the U.S., which—by law and by practice—should never be seen outside of the Census Bureau.

In an internal document obtained by Nextgov, bureau officials note the Census Unedited File—which is used to determine apportionments, including congressional representatives—will not contain any citizenship data. Instead, the bureau will create a separate micro-data file, or MDF, with the best citizenship estimate associated with each census respondent.

That micro-data file, along with the Census Edited File—an updated version of the CUF that corrects and backfills missing information—will be put through the 2020 Disclosure Avoidance System, “which will do the final record linkage and place a confidentiality protected citizenship variable on the same MDF as will be used to produce the redistricting data,” according to the documents.

While the citizenship status of individuals will not be made public, Census will be publishing CVAP tables that break down citizenship estimates at the block level—the most granular level of census data. Those tables are scheduled for release by March 31, 2021.

However, keeping that amount of public data anonymized is no simple thing. With surprisingly few bits of correlated data, a once-anonymous person can easily be identified. This becomes much easier when coupled with information publicly available on the internet, such as social media profiles.

To prevent criminals and other malicious actors from reverse engineering identities, Census is employing a new disclosure avoidance system for all 2020 census data shared publicly.

“Our decision to deploy a modernized disclosure avoidance system for the 2020 census was driven by research showing that methods we used to protect the 2010 census and earlier statistics can no longer adequately defend against today’s privacy threats,” John Abowd, Census’ associate director for research and methodology and chief scientist, and Victoria Velkoff, chief of the American Community Survey Office, wrote in an October 2019 blog post explaining the new system developed by cryptographers and data scientists.

The new differential privacy system injects “noise” into the datasets by using an algorithm that makes targeted changes to the data to prevent outside actors—malicious or otherwise—from reverse engineering identities.

Census has been using various forms of differential privacy—also known as formal privacy—since 2008, though never at the scale it will be used for on 2020 census data. In the past, Census only added uncertainty to select statistics with a high risk for deanonymization to avoid adding so much noise that the statistics become unreliable.

For the coming count, uncertainty will be added to entire published datasets using state-of-the-art mathematical models.

“The new method allows us to precisely control the amount of uncertainty that we add according to privacy requirements,” Abowd and Velkoff wrote. “And, by documenting the properties of this uncertainty, we can help data users determine if published estimates are sufficiently accurate for their specific applications. In this manner, we can determine the data’s ‘fitness for use.’”

With the public datasets anonymized, it will be up to Census to protect the raw data.

While the disclosure avoidance system is designed to ensure personal data remains anonymous, Robert Groves, provost of Georgetown University, who led the Census Bureau during the 2010 decennial count, said two things will ensure the raw, nonanonymized database is never used to target individuals: law and culture.

Groves, in an interview with Nextgov after reviewing the documents, cited a legal provision known as “functional separation.”

“Once you enter a statistical agency environment, it’s a one-way street,” he explained. “As soon as that Homeland Security dataset enters behind the firewall of Census, the laws of Census apply. It’s no longer a Homeland Security dataset, in a sense. It is controlled by the Census Bureau. And, under the Title 13 law, it is absolutely crystal clear that the combined dataset never exits Census with individual person records on it. Only statistics can exit.”

That protection extends to the highest levels.

“Even if it’s requested by the president, it’s absolutely illegal,” Groves confirmed when asked. “And even if it were an executive order directing Census to do this, the statute would trump the order.”

Beyond the law, Groves said the culture of statisticians and public servants working at the Census Bureau would make it almost impossible for the data to leak out unnoticed.

“If there’s anything I believe most strongly, it’s if there’s any illegal act that is proposed or promulgated, the staff at the Census Bureau would call [reporters] within 30 seconds. They are devoted to supplying the country statistical information under the law,” he said, adding that that devotion is rooted in necessity.

“The reason those laws exist is if individual records were freely given for enforcement procedures from the decennial census, then the cooperation from the public with the census is decimated,” Groves said. “These statistical agencies work with a social confidence—a trust with the public that the laws will be followed—and the laws were established to enhance that trust.”

Estimating Citizenship

While the Census Bureau won’t be able to ask each individual in the U.S. about their citizenship status, leveraging access to data held by other agencies will enable statisticians to match census respondents with information they have shared with the government to build a “best citizenship” estimate for each individual.

The bureau has been working on the algorithm to produce that estimate since April 2018 and planned to finalize the “final specifications and modeling details” before the end of March, according to an internal document.

The bureau did not respond to repeated requests for comments and updates on the status of that work or a comprehensive breakdown of which federal databases are actively being shared for this work.

However, the document offers a look into the main databases being used and the additional data sources most likely to be tapped.

Bureau officials believe about 90% of the U.S. population will be covered by data from two sources: the Social Security Administration’s Numerical Identification System, or Numident, which stores Social Security numbers; and, the IRS’ Individual Taxpayer Identification Numbers, or ITINs, which are used as a substitute for those without Social Security numbers. Approximately 94% of SSN records include citizenship information.

However, if officials determine these sources are not sufficient, agencies control a host of other datasets that could be added to the mix, including databases managed by the Center for Medicare and Medicaid Services, the departments of State and Housing and Urban Development, and Homeland Security Department components like U.S. Citizenship and Immigration Services and Immigration and Customs Enforcement.

In the briefing document, Census officials said additional data from Homeland Security, State and other departments “are expected to provide the [personally identifiable information] that enables record linkage for much of the balance of the resident population.” However, that comes with a caveat: “Provided that the PII on the 2020 Census is as reliable as it was in 2010.”

DHS released a privacy impact statement in December outlining how it would share information with Census, though bureau officials did not respond to requests for confirmation that the DHS databases have been accessed or integrated into the citizenship estimates.

That data will be quantified using the finalized algorithm to produce a best estimate for citizenship.

“For a single person, they’ll collect multiple data sources on citizenship. Inevitably, those sources won’t agree. Then, the question is what do you do to estimate the best response for citizenship for that particular person. They will estimate that with modeling across the various databases,” Groves said. “They’ll also use the same sort of model if, despite all their efforts, for you they can’t find a record that you’re a citizen or you’re not a citizen, they will impute your citizenship to that model.”

Groves said we won’t know how accurate those estimates are until well after the fact.

“No one’s ever done this before,” he said. “No one, at this point, I think it’s fair to say, knows what the quality of the resulting estimates will be. We just don’t know that. We’ll know it after this, through evaluation studies. But this is just a good-faith statistical effort.”

“Unfortunately, we don’t have a lot of track record on this,” he added. “These datasets, to my knowledge, have never been assembled the way they’re trying to assemble them.”

Source: How Census Is Building a Citizenship Database Covering Everyone Living in the U.S.

Some U.S. religious leaders flout COVID-19 restrictions

Unfortunately, not that surprising among some evangelical groups:

School buses delivered hundreds of church-goers to Life Tabernacle Church in Baton Rouge, Louisiana, on Sunday, defying physical-distancing guidelines and the state governor’s direct order banning gatherings of more than 10 people.

Religious service, steeped as it is in community, is one area where people are finding it hard to avoid gathering amid the COVID-19 pandemic. And while some churches in the U.S. are finding innovative ways to continue services, such as conducting them virtually, a few are still gathering in person, potentially exposing many people to the novel coronavirus.

South Korea has experience with the danger of public worship services: More than half of the country’s coronavirus cases were linked to the branch of the Shincheonji Church of Jesus in Daegu.

But Life Tabernacle is flouting officials’ pleas in a state where, as of Monday afternoon, more than 4,000 have been infected and 185 have died, according to an ongoing tally by Johns Hopkins University.Gov. John Bel Edwards, a Democrat, on March 22 ordered a lockdown of all but essential services, which did not include religious worship services, and prohibited gatherings of more than 10 people.The father of Life Tabernacle’s pastor Tony Spell says the church is an essential service.

“The church is not a non-essential. The church is the most essential thing in all the world,” Timothy Spell told NBC News outside the church Sunday.

“No one is telling anybody you got to come to church. We tell people not to come if you have a fever, if you have any symptoms, if you’re aged, if you’re elderly, don’t come.”

Florida pastor arrested

That’s got local residents like Ryan Tregre fuming.

“If they really worried about just spreading the [spiritual] word, they would go on Facebook Live or YouTube or some kind of way to spread the word where they would not have to go and meet in places and spread this virus that’s killing people every day,” he told NBC.Life Tabernacle wasn’t the only church to defy public orders and open their doors to parishioners on Sunday.A video posted to the Facebook page of the River at Tampa Bay Pentecostal church in Florida on Sunday shows hundreds of parishioners standing side by side.

Rev. Rodney Howard-Browne has said he would close services only for the Rapture and that shutdowns were for “pansies.” He reportedly held two services Sunday, flying in the face of physical-distancing guidelines and attracting the attention of the local sheriff’s department.

Florida has not ordered a statewide shutdown of non-essential businesses, but on Monday the Hillsborough County Sheriff charged him with unlawful assembly and a violation of health emergency rules.

Canadian clergy urge compliance

It’s a different story in Canada.

A statement released by religious leaders across Canada on Monday urged people to follow public health officials’ guidelines.David Guretzki, vice-president of the Evangelical Fellowship of Canada said there were no evangelical services that he knew of this past weekend and noted his group has signed on to statement.Still, members of all faiths are grappling with how to continue practicing.

Some mosques in the Toronto have stayed open after Ontario Premier Doug Ford declared a province-wide state of emergency March 17.

In Montreal, police were called to a synagogue after receiving a report that someone saw Hasidic men going inside, CTV reported.

Social distancing measures like working from home, school closures and cancelling sporting events could lead to a drop of new infections of coronavirus. 1:54

“Some wonder if this is too much, too fast, but in general the approach has been that, no, the best approach is just to shut down,” said Daniel Cere, an associate professor of Religion, Law and Public Policy at McGill University in Montreal.

“My impression is that on the whole, in Canada, the religious communities have fallen in line with the government on this.”

‘God will take care of your body’

One religious scholar in the U.S. attributes the defiance to a particular type of Christian teaching.

“There is this strand in modern American Christianity that has rejected the norms of science and medicine and that thinks health can be achieved through discourse with the divine, holy spirit,” said Bradley Storin, director of religious studies at Louisiana State University in Baton Rouge.

The philosophy is, he says: “If you are a good and true believer then God will take care of your body.”

He’s noted the church busing people in for services and passing out “anointed” handkerchiefs to people for protection.

“What we see pastor Spell doing is giving way to this ancient tradition of linking faith in God with healing in the body,” said Storin.

“It feels a little violative of the social compact that we have right now,” said Storin.

Source: Some U.S. religious leaders flout COVID-19 restrictions

And meanwhile, in Egypt:

For 55-year-old Coptic housewife Magda Mounir, knowing she can no longer pray at her local church is worse than all the precautions she has had to endure to prevent the spread of the novel coronavirus in Egypt.

“The church is our haven; it is where we go to find moral support,” Mounir told Al-Monitor a few days after Egypt closed all places of worship, including mosques and churches.

The Ministry of Religious Endowments, more often referred to as the Awqaf Ministry, and Egypt’s Orthodox Christian Church both released statements March 21 announcing they would temporarily halt communal prayers.

Egypt’s Coptic Orthodox Church, to which the majority of Egypt’s Christians belong, said it would lock down churches and suspend masses for at least two weeks.

In multicultural and multifaith Egypt, Christians make up roughly 10% of the country’s 100 million-plus population, with the vast majority of Christians in Egypt belonging to the Coptic Orthodox Church.

“The holy week is coming, and we used to spend these days in the church. It seems this year we will not be able to do so for the first time in our lives,” Mounir said tearfully, referring to the Easter holiday on April 19.

Sandy Emad, a 27-year-old engineer, supports the ministry’s decision. “I support the decision [to close places of worship], and I can’t understand the anger of some people,” she told Al-Monitor. “We can’t kill ourselves and our families and say God will rescue us. God gave us brains to use and protect ourselves from any harm. This is what he ordered us to do,” Emad said.

“This decision is considered the most difficult decision the church has made in decades,” admitted Bishop Boules Boutros of St. Michael Church in the district of Heliopolis in Cairo. “However, it is necessary for slowing down the rapid spread of the coronavirus. God does not only exist in churches; we all have him in our hearts and can pray to him to heal the whole world,” Boutros said.

Boutros said he was not sure just how long the churches would remain closed, but it was unlikely they would be opened in time for Easter mass.

Egypt’s Awqaf Ministry decided to suspend congressional Friday prayers in all mosques nationwide until further notice. The suspension came after controversy erupted over Muslim worshippers insisting on flocking to mosques for Friday’s noon prayers despite a religious edict allowing people to pray at home due to the coronavirus pandemic.

“If it was necessary to shut mosques because of the crowd, why not close down the underground, which carries thousands every day?” Mohamed Abdel Monem, a 45-year-old Arabic teacher, said to Al-Monitor. “Now is the time most people need to resort to God and pray. Praying to God is our only way out of this ordeal,” he added.

But not everyone shares his views. Hassan Khaled, a 28-year-old graphic designer, agreed with the decision to shutter holy places. “Given that people insisted on going to the mosques despite the call to stay home, it is a wise decision to close down mosques,” he said. “If only one person is carrying the virus, thousands will be infected, and then they go home to infect their families,” Khaled added.

Khaled said while it is difficult to be deprived of places of worship during times like these, he also understands it is necessary for public health. “I imagine people will resort to praying in open areas if [prayers in mosques] continue to be banned,” he said.

Religion plays a major role in Egyptian society, so statements by religious authorities carry major weight on keeping people at home. Dar al-Ifta, Egypt’s body responsible for issuing religious edicts, issued March 24 a brief statement warning that “any call for people to gather in the streets in any pretext or under a slogan” would be sinful as it would jeopardize public health.

The statement stressed it is a “duty” under Sharia law to comply with official decisions to “protect people from epidemics and diseases.”

The Awqaf Ministry also modified the adhan — the Muslim call to prayer — to include warnings to stay at home and take precautions on preventing the spread of the coronavirus. The new adhan, broadcast on radio and television a day after religious sites were closed, urges believers to take “the utmost caution in adhering to preventive and precautionary” measures.

Islamic scholars say the special adhan was previously used during natural disasters and pandemics as well as in earlier times in Islam’s history when people were instructed to perform prayers at home.

Meanwhile, Minister of Endowments Muhammad Mukhtar Juma suspended on March 22 an imam and a preacher in Beni Suef governorate, south of Cairo, for violating the ministry’s order to close mosques. The two men were banned from giving sermons from the pulpit for a period of three months.

“Preserving life is a main aspect of Islam, and the faithful should comply with preventive measures taken by the government,” Sheikh Mohammed Mehana of Al-Azhar University told Al-Monitor.

“The images of empty mosques would break any Muslim’s heart, but the priority now is to save people’s lives. This is what Allah asked us to do, and the rest is his will,” said Mehana, adding he hoped the crisis would end before the Islamic holy month of Ramadan, which starts on April 24 and goes until May 23, and that everybody would reunite for Taraweeh, the additional prayers carried out at night during Ramadan.

The Ministry of Health has reported some 609 cases of coronavirus and 40 deaths in Egypt so far.

A 7 p.m. to 6 a.m. curfew has been imposed countrywide as part of strict measures to limit the spread of the coronavirus, Prime Minister Mustafa Madbouly said March 23.

All masses as well as public and private transport are suspended during the curfew.

Source: Egypt Egyptians feel demoralized by empty churches, mosques

‘White-Collar Quarantine’ Over Virus Spotlights Class Divide

Not unique to the USA but gaps wider:

For about $80,000, an individual can purchase a six-month plan with Private Health Management, which helps people with serious medical issues navigate the health care system.

Such a plan proved to be a literal lifesaver as the coronavirus pandemic descended. The firm has helped clients arrange tests in Los Angeles for the coronavirus and obtained oxygen concentrators for high-risk patients.

“We know the top lab people and the doctors and nurses and can make the process efficient,” said Leslie Michelson, the firm’s executive chairman.

In some respects, the pandemic is an equalizer: It can afflict princes and paupers alike, and no one who hopes to stay healthy is exempt from the strictures of social distancing. But the American response to the virus is laying bare class divides that are often camouflaged — in access to health care, child care, education, living space, even internet bandwidth.

In New York, well-off city dwellers have abandoned cramped apartments for spacious second homes. In Texas, the rich are shelling out hundreds of thousands of dollars to build safe rooms and bunkers.

And across the country, there is a creeping consciousness that despite talk of national unity, not everyone is equal in times of emergency.

“This is a white-collar quarantine,” said Howard Barbanel, a Miami-based entrepreneur who owns a wine company. “Average working people are bagging and delivering goods, driving trucks, working for local government.”

Some of those catering to the well-off stress that they are trying to be good citizens. Mr. Michelson emphasized that he had obtained coronavirus tests only for patients who met guidelines issued by the Centers for Disease Control and Prevention, rather than the so-called worried well.

Still, a kind of pandemic caste system is rapidly developing: the rich holed up in vacation properties; the middle class marooned at home with restless children; the working class on the front lines of the economy, stretched to the limit by the demands of work and parenting, if there is even work to be had.

“I do get that there are haves and have-nots,” said Carolyn Richmond, a Manhattan employment lawyer who is advising restaurant industry clients from her second home, on Long Island, as they engineer layoffs. “Do I feel guilty? No. But I do know that I am very lucky. I understand there’s a big difference between me and the people I work with every day.”

Long before the new coronavirus, another kind of equalizer was being promoted: the internet. For decades, tech evangelists cited the democratizing power of the World Wide Web, which they said would bring high-quality services to strata of society that had previously gone without them.

Some of those predictions have come to pass. In recent days, time spent on the site of the Khan Academy, a well-regarded online curriculum that is free, is up about two and a half times from this time last year.

In March, the federal government broadened its coverage of so-called telemedicine services through Medicare, giving many more people access to a doctor over the web.

Still, the technology that makes these services accessible remains out of reach for many Americans. While data on internet access is inexact, the most recent Federal Communications Commission figures, from 2017, showed that 30 percent of households did not have even a slow broadband connection.

Jessica Rosenworcel, a Democratic member of the commission, said millions of Americans had only phones, often with strict caps on data usage. “Imagine using a mobile device to look up your class work, type out a paper,” she said. “No parent would choose that as the primary tool for their child’s learning.”

Like many districts around the country, the Brownsville Independent School District in Texas sought to transfer much of its curriculum online when it closed its doors this week. Schools encouraged students to use digital platforms like Google Classroom, Apple Teacher and Seesaw to keep up with their studies.

But unlike wealthier areas, Brownsville has notoriously spotty internet access. Nearly half of households there lacked broadband in 2018, putting it at the top of a list of worst-connected citiescompiled by the National Digital Inclusion Alliance, an advocacy group. “We’re limited when it comes to online services in our community,” said the district’s superintendent, René Gutiérrez. “It’s not where it needs to be.”

The situation has sent many families scrambling. Anahi Rubio, 11, and her mother just moved into an apartment that lacks an internet connection. Anahi has struggled with balky access while using a laptop at her aunt’s house, where she couldn’t get the videoconferencing app Zoom to work.

“They’re always telling you to use YouTube to learn multiplication, or to look something up on Google,” said her mother, Betsy Rubio. “Online, everybody gets to be on the same page. But if not everyone has good internet, like my daughter, you don’t. I’m concerned about her falling behind.”

And internet access is far from the only challenge confronting the less affluent. Marc Perrone, the president of the United Food and Commercial Workers, which represents over one million workers in industries like groceries and meatpacking, said child care was a top concern when the union held a telephone town hall this week with about 5,000 supermarket workers in New York State.

“In some cases, if they’re old enough, they’re latching them — becoming latchkey kids,” Mr. Perrone said, alluding to the option of leaving a child home alone.

Until a few weeks ago, Darlyne Dagrin would drop her 22-month-old son off at a day care facility on her way to work at a nursing home in Cedar Grove, N.J. But the center has closed temporarily amid the pandemic, leaving her with no choice but to skip work when she can’t find a friend or relative to care for him.

“This week I called out twice,” Ms. Dagrin said Wednesday. “They called me and said: ‘We won’t accept no more callouts. If you call out again you’re out of a job.’” She said she didn’t know what she was going to do for the rest of the week.

Unlike Ms. Dagrin, Maggie Russell-Ciardi doesn’t have to choose between going to work and providing child care for her young child. A nonprofit consultant in New York City and part-time yoga teacher, Ms. Russell-Ciardi can slot work around her 3-year-old son’s sleep and play schedule — even if it sometimes requires waking up in the wee hours — and simply makes do when he’s awake and active.

“It’s better for me to do my own practice when he’s sleeping,” she said of the yoga classes she now teaches online. “But it’s nice to have him growing up feeling like he’s part of the yoga community even if it’s now a virtual one. It’s an important teaching for him.”

The ability of the middle class to quickly shift life online has been striking. The Brooklyn Conservatory of Music, where roughly 100 faculty members on site teach several hundred students each week, has shifted its entire music instruction to videoconferencing. Over 95 percent of the students enrolled in private lessons have resumed their classes since the school reopened online last Friday.

By contrast, said Dorothy Savitch, an administrator, the school operates a music education program in 25 local public schools, with large numbers of children below the poverty level. Ms. Savitch said about one-third of those children might take part when the program resumes online next week, though she hopes to reach 60 percent of them eventually.

But the middle class is not free of anxiety in this pandemic moment. Otherwise-privileged people have become acutely aware of the options they lack. “For the first time in my life, I feel the difference between myself and my more affluent friends,” said Deb Huberman, a freelance television producer living on the Upper East Side of Manhattan. “I desperately want to get out of the city but I can’t afford to rent something.”

Ms. Huberman estimates that half the neighbors in her building have fled to second homes. Many have joined other wealthy New Yorkers in the less densely populated East End of Long Island.

“I feel guilty about friends and colleagues who don’t have the ability to leave,” said Joe Bilman, who moved with his family from Park Slope in Brooklyn to his vacation house in East Hampton. “We knew it would be easier for us to isolate and be part of the quarantine. We have a backyard and the kids can go for bike rides.”

Hamptonites have often managed to recreate the amenities of home, except with more space and beachfront views. Many children enrolled in Manhattan prep schools continue to be taught by teachers in conventional classroom formats, albeit over the internet, while public schools have frequently substituted individual study with materials supplied online.

MyTennisLessons.com advertises that “coaches are continuing to give 1-on-1 lessons” and lists a few pros available in Hamptons ZIP codes. Zabar’s, the Upper West Side food emporium, will deliver an assortment of noshes for a $300 to $400, depending on the distance.

“I don’t even take a markup — it’s whatever the messenger service charges me,” said Scott Goldshine, the general manager. “Obviously, for most of the people out there getting these types of delivery, money is not an issue.”

At some summer retreats, like Martha’s Vineyard and the Jersey Shore, local officials have taken to discouraging second-home owners and renters for fear of overtaxing local infrastructure.

In other cases, the rich aren’t going east or west, but down. Gary Lynch, general manager of Rising S, a Texas maker of safe rooms and bunkers that range in price from $40,000 to several million dollars, said he had added a second shift of 15 workers to handle the flood of new orders, mostly for underground bunkers.

“I’ve never seen interest like there is now,” said Mr. Lynch, who has taken to turning his phone off at night so he can get some sleep. “It has not let up.”

Medical Expert Who Corrects Trump Is Now a Target of the Far Right

Sigh but predictable. A few but appear to be exceptional worrying signs in Canada in questioning expertise (e.g., Conrad Black on COVID-19: The world succumbed to a pandemic of hysteria, more than a virus, MALCOLM: It’s time to double check the experts’ COVID-19 work):

At a White House briefing on the coronavirus on March 20, President Trump called the State Department the “Deep State Department.” Behind him, Dr. Anthony S. Fauci, the director of the National Institute of Allergy and Infectious Diseases, dropped his head and rubbed his forehead.

Some thought Dr. Fauci was slighting the president, leading to a vitriolic online reaction. On Twitter and Facebook, a post that falsely claimed he was part of a secret cabal who opposed Mr. Trump was soon shared thousands of times, reaching roughly 1.5 million people.

A week later, Dr. Fauci — the administration’s most outspoken advocate of emergency measures to fight the coronavirus outbreak — has become the target of an online conspiracy theory that he is mobilizing to undermine the president.

That fanciful claim has spread across social media, fanned by a right-wing chorus of Mr. Trump’s supporters, even as Dr. Fauci has won a public following for his willingness to contradict the president and correct falsehoods and overly rosy pronouncements about containing the virus.

An analysis by The New York Times found over 70 accounts on Twitter that have promoted the hashtag #FauciFraud, with some tweeting as frequently as 795 times a day. The anti-Fauci sentiment is being reinforced by posts from Tom Fitton, the president of Judicial Watch, a conservative group; Bill Mitchell, host of the far-right online talk show “YourVoice America”; and other outspoken Trump supporters such as Shiva Ayyadurai, who has falsely claimed to be the inventor of email.

Many of the anti-Fauci posts, some of which pointed to a seven-year-old email that Dr. Fauci had sent praising Hillary Clinton when she was secretary of State, have been retweeted thousands of times. On YouTube, conspiracy-theory videos about Dr. Fauci have racked up hundreds of thousands of views in the past week. In private Facebook groups, posts disparaging him have also been shared hundreds of times and liked by thousands of people, according to the Times analysis.

One anti-Fauci tweet on Tuesday said, “Sorry liberals but we don’t trust Dr. Anthony Fauci.”

The torrent of falsehoods aimed at discrediting Dr. Fauci is another example of the hyperpartisan information flow that has driven a wedge into the way Americans think. For the past few years, far-right supporters of President Trump have regularly vilified those whom they see as opposing him. Even so, the campaign against Dr. Fauci stands out because he is one of the world’s leading infectious disease experts and a member of Mr. Trump’s virus task force, and it is unfolding as the government battles a pathogen that is rapidly spreading in the United States.

It is the latest twist in the ebb and flow of right-wing punditry that for weeks echoed Mr. Trump in minimizing the threat posed by the coronavirus and arguably undercut efforts to alert the public of its dangers. When the president took a more assertive posture against the outbreak, conservative outlets shifted, too — but now accuse Democrats and journalists of trying to use the pandemic to damage Mr. Trump politically.

“There seems to be a concerted effort on the part of Trump supporters to spread misinformation about the virus aggressively,” said Carl Bergstrom, a professor of biology at the University of Washington who has studied misinformation.

Adding that Dr. Fauci is bearing the brunt of the attacks, Mr. Bergstrom said: “There is this sense that experts are untrustworthy, and have agendas that aren’t aligned with the people. It’s very concerning because the experts in this are being discounted out of hand.”

The Trump administration has previously shown a distaste for relying on scientific expertise, such as when dealing with climate change. But misinformation campaigns during a pandemic carry a unique danger because they may sow distrust in public health officials when accurate information and advice are crucial, said Whitney Phillips, an assistant professor at Syracuse University who teaches digital ethics.

“What this case will show is that conspiracy theories can kill,” she said.

The National Institute of Allergy and Infectious Diseases did not respond to a request for comment on the misinformation being directed at Dr. Fauci, who has said he plans to keep working to contain the coronavirus.

“When you’re dealing with the White House, sometimes you have to say things one, two, three, four times, and then it happens,” Dr. Fauci said in an interview with Science magazine this past week. “So, I’m going to keep pushing.”

The online campaign is an abrupt shift for Dr. Fauci, an immunologist who has led the institute since 1984. He has long been seen as credible by a large section of the public and journalists, advising every president since Ronald Reagan and encouraging action against the AIDS epidemic in the 1980s.

In recent weeks, much of the online discussion of Dr. Fauci was benign or positive. Zignal Labs, a media analysis company, studied 1.7 million mentions of Dr. Fauci across the web and TV broadcasts from Feb. 27 to Friday and found that through mid-March, he was mainly praised and his comments were straightforwardly reported. Right-wing figures quoted Dr. Fauci approvingly or lauded him for his comments on shutting down travel to and from China, Zignal Labs said.

In the White House briefings on the coronavirus, he often spoke plainly of the severity of the situation, becoming something of a folk hero to some on the left. Then Dr. Fauci, who had been a steady presence at Mr. Trump’s side during the briefings, did not appear at the one on March 18.

A hashtag asking “Where is Dr. Fauci?” began trending on Twitter. Several Facebook fan groups dedicated to praising his medical record called for his return. The first accounts tweeting #FauciFraud also appeared, though their volume of posts was small, according to the Times analysis.

Two days later, Dr. Fauci put his head in his hand at the White House briefing after Mr. Trump’s remark on the “Deep State Department.” His gesture — some called it a face palm — caught the attention of Mr. Trump’s supporters online, who saw it as an insult to the president.

Anti-Fauci posts spiked, according to Zignal Labs. Much of the increase was prompted by a March 21 article in The American Thinker, a conservative blog, which published the seven-year-old email that Dr. Fauci had written to an aide of Mrs. Clinton.

In the email, Dr. Fauci praised Mrs. Clinton for her stamina during the 2013 Benghazi hearings. The American Thinker falsely claimed that the email was evidence that he was part of a secret group who opposed Mr. Trump.

That same day, Mr. Fitton of Judicial Watch posted a tweet linking to a different blog post that showed Dr. Fauci’s email on Mrs. Clinton. In the tweet, Mr. Fitton included a video of himself crossing his arms and saying, “Isn’t that interesting.” It was retweeted more than 1,500 times.

In an interview, Mr. Fitton said, “Dr. Fauci is doing a great job.” He added that Dr. Fauci “wrote very political statements to Hillary Clinton that were odd for an appointee of his nature to send.”

The conspiracy theory was soon shared thousands of times across Facebook and Twitter. It was also taken up by messaging groups on WhatsApp and Facebook run by QAnon, the anonymous group that claims to be privy to government secrets. On YouTube, far-right personalities began spouting that Dr. Fauci was a fraud.

By Tuesday, the online and television mentions of Dr. Fauci had declined but had become consistently negative, Zignal Labs said.

One anti-Fauci tweet last Sunday read: “Dr. Fauci is in love w/ crooked @HillaryClinton. More reasons not to trust him.”

Facebook said it proactively removed misinformation related to the coronavirus. YouTube said that it did not recommend the conspiracy-theory videos on Dr. Fauci to viewers and that it promotes credible virus information. Twitter said it remained “focused on taking down content that can lead to harm.”

Ms. Phillips, the Syracuse assistant professor, said the campaign was part of a long-term conspiracy theory propagated by Mr. Trump’s followers.

“Fauci has just been particularly prominent,” she said. “But any public health official who gets cast in a conspiratorial narrative is going to be subject to those same kinds of suspicions, the same kinds of doubt.”

That has not stopped Dr. Fauci from appearing on the internet. On Thursday, he joined a 30-minute Instagram Live discussion about the coronavirus hosted by the National Basketball Association star Stephen Curry.

In the session, Dr. Fauci, with a miniature basketball hoop behind him, conveyed the same message that he had said for weeks about the outbreak.

“This is serious business,” he said. “We are not overreacting.”

Immigrant Workers: Vital to the U.S. COVID-19 Response, Disproportionately Vulnerable

Of note. Haven’t looked at immigrant status but visible minorities provides a similar picture (mix of immigrants and subsequent generations). Some visible minority groups such as Latin American and Blacks are more concentrated in support positions than other groups:

Six million immigrant workers are at the frontlines of keeping U.S. residents healthy and fed during the COVID-19 pandemic. While the foreign born represented 17 percent of the 156 million civilians working in 2018, they account for larger shares in coronavirus-response frontline occupations: 29 percent of all physicians and 38 percent of home health aides, for example. They also represent significant shares of workers cleaning hospital rooms, staffing grocery stores, and producing food.

The foreign born also are over-represented in sectors most immediately devastated by mass layoffs: Restaurants and hotels, office cleaning services, and in-home child care, among them. All told, another 6 million immigrants work in industries that MPI has identified as some of the hardest hit, meaning that collectively 12 million immigrant workers are at the leading edge of the response to and impacts from the pandemic.

As dramatic economic contraction brings hardship to tens of millions in the coming months, the difficulties will be exacerbated for many immigrant workers because of limited access to safety-net systems and to federal relief, both for those who are unauthorized and some who are legally present. The estimated $2 trillion pandemic aid package makes many immigrants eligible for cash relief payments; others, such as most U.S.-citizen or legal immigrant spouses who file taxes jointly with unauthorized immigrants, will not be eligible.

Noncitizens also face restricted access to existing safety-net programs. While green-card holders, those on a temporary work visa, and individuals with Temporary Protected Status or Deferred Action for Childhood Arrivals can access unemployment insurance, most noncitizens cannot turn to the federal, means-tested benefits, including food stamps, that other workers tap in times of need. And immigrant workers face additional vulnerabilities, including smaller incomes and lower rates of health insurance coverage.

Cohen: Why Canada’s response to COVID-19 is so different from that of the U.S.

Another piece on differences:

Comparing the character of nations is risky and imprecise. In the Age of Contagion, though, it offers a window into how the peoples of the world are coping.

Japan, South Korea, Taiwan and Singapore have handled the crisis relatively well. We expect that of people we see as highly disciplined, motivated and organized. Italy is reeling from the contagion. Gregarious, unruly, passionate, creative, independent – this is how we see Italians. It suggests why they were slow to respond.

In Washington, Congress struggles to forge an economic response. The president is erratic and unempathetic. He is widely disbelieved, skeptical of expertise and reluctant to accept responsibility.The media send mixed messages. Fox News, with the highest audience, once denied the pandemic, calling it “a hoax.” One host – before she was fired – claimed the coronavirus was a plot by the Democrats to re-impeach Donald Trump.

The danger is that the medical system will be overwhelmed. On the tenth anniversary of Obamacare, universal health care remains contentious in the United States – undermined by the Republicans, who have tried repeatedly to abolish it, and repeatedly challenged in the courts.

In Canada, a country of 37 million, there were some 2,100 cases and 24 deaths as of early Tuesday. The system is holding, for now. Hospitals have enough masks and respirators, for now. The prime minister appears in public every day, alone, outside his residence. He speaks sensibly, with authority, without hyperbole. This has been his finest hour.Canadians trust him. They may not have voted for him – only about one-third did – but that doesn’t matter now. Nor do we question the competence of his ministers who are the other faces of the crisis – Chrystia Freeland, Marc Garneau, Patty Hajdu, Bill Blair. All are calm, competent and professional. This is what we want.

The provincial premiers, most of whom are not Liberals, have lost their congenital instinct to attack Ottawa. Doug Ford, no admirer of Justin Trudeau, now praises his leadership.All provinces have declared states of emergency, and will not object if the national government does, too. If it must, it will – and we won’t complain.

Opposition parties are not posturing. Andrew Scheer, who called Trudeau “a fraud” last autumn, says this is no time for politics. He is right. His fellow Conservatives, vying to succeed him, have put away their popguns. Some want the leadership vote scheduled for August delayed.

Unlike in America, there is consensus in Canada. No one is saying that the aid package is inadequate, that the government is slow, that money unduly favours corporations. Jason Kenney is not talking about western alienation and the Bloc Québécois is not talking sovereignty. Canadians want only freedom from fear.Mercifully, we have no Fox News. Whatever the CBC’s flaws as national broadcaster, its reporting has been thorough and honest, under trying circumstances. Same with CTV and Radio Canada, and the country’s newspapers and websites.

Why is our response different? It may be a case of identity. Americans celebrate independence, individualism, personal liberty. Many distrust government, resent politicians, court conspiracy and dismiss science. This wasn’t always so – the New Deal and the Great Society expanded the state – but it is now.

Canadians accept big government, which is how we built the social welfare state. Two-thirds of us voted for progressives last year. We defer to authority.Yes, we’ve made real mistakes in the crisis. We didn’t secure airports fast enough or test early and widely enough. Too many are treating physical distancing as a snow day. If we ultimately do better in all this – it’s too early to know or crow – it’s not because we are morally superior. It is because we are smaller, organized, well-led, more united, more measured, more of a community.

It’s a question of character.

Source: Cohen: Why Canada’s response to COVID-19 is so different from that of the U.S.

Minimizing the Risk of Exposure to COVID-19 in Canada Order (Prohibition of Entry into Canada from the United States)

Latest version for those interested.

PC Number: 2020-0184

Date: 2020-03-26


Whereas the Governor in Council is of the opinion that

(a) based on the declaration of a pandemic by the World Health Organization, there is an outbreak of a communicable disease, namely coronavirus disease 2019 (COVID-19), in the majority of foreign countries;

(b) the introduction or spread of the disease would pose an imminent and severe risk to public health in Canada;

(c) the entry of persons into Canada who have recently been in a foreign country may introduce or contribute to the spread of the disease in Canada; and

(d) no reasonable alternatives to prevent the introduction or spread of the disease are available;

Therefore, Her Excellency the Governor General in Council, on the recommendation of the Minister of Health, pursuant to section 58 of the Quarantine Act, makes the annexed Minimizing the Risk of Exposure to COVID-19 in Canada Order (Prohibition of Entry into Canada from any Country other than the United States).

Minimizing the Risk of Exposure to COVID-19 in Canada Order (Prohibition of Entry into Canada from any Country other than the United States)

Definition of immediate family member  

1 In this Order, immediate family member, in respect of a person means

(a) the spouse or common-law partner of the person;

(b) a dependent child, as defined in section 2 of the Immigration and Refugee Protection Regulations, of the person or of the person’s spouse or common-law partner;

(c) a dependent child, as defined in section 2 of the Immigration and Refugee Protection Regulations, of a dependent child referred to in paragraph (b);

(d) the parent or step-parent of the person or of the person’s spouse or common-law partner; or

(e) the guardian or tutor of the person.

Prohibition

2 Any foreign national, as defined in subsection 2‍(1) of the Immigration and Refugee Protection Act, is prohibited from entering Canada if they arrive from a foreign country other than the United States.

Non-application

3(1) Section 2 does not apply to

(a) an immediate family member of a Canadian citizen or of a permanent resident as defined in subsection 2‍(1) of the Immigration and Refugee Protection Act;

(b) a person who is authorized, in writing, by an officer designated under subsection 6‍(1) of the Immigration and Refugee Protection Act or by a consular officer of the Government of Canada, to enter Canada for the purpose of reuniting immediate family members;

(c) a crew member as defined in subsection 101.01‍(1) of the Canadian Aviation Regulations or a person who seeks to enter Canada only to become such a crew member;

(d) a member of a crew as defined in subsection 3‍(1) of the Immigration and Refugee Protection Regulations or a person who seeks to enter Canada only to become such a member of a crew;

(e) a person who is exempt from the requirement to obtain a temporary resident visa under paragraph 190‍(2)‍(a) of the Immigration and Refugee Protection Regulations and the immediate family members of that person;

(f) a person who seeks to enter Canada at the invitation of the Minister of Health for the purpose of assisting in the COVID-19 response;

(g) a person who arrives by any means of a conveyance operated by the Canadian Forces or the Department of National Defence;

(h) a member of the Canadian Forces or a visiting force, as defined in section 2 of the Visiting Forces Act, and the immediate family members of that member;

(i) a French citizen who resides in Saint-Pierre-et-Miquelon and has been only in Saint-Pierre-et-Miquelon, the United States or Canada during the period of 14 days before the day on which they arrived in Canada;

(j) a person or any person in a class of persons who, in the opinion of the Chief Public Health Officer appointed under subsection 6‍(1) of the Public Health Agency of Canada Act

(i) does not pose a risk of significant harm to public health, or

(ii) will provide an essential service while in Canada;

(k) a person whose presence in Canada, in the opinion of the Minister of Foreign Affairs, the Minister of Citizenship and Immigration or the Minister of Public Safety and Emergency Preparedness, is in the national interest;

(l) a person who arrives by means of a vessel as defined in section 2 of the Canada Shipping Act, 2001, if the vessel departed before 00:00:01 am Eastern Daylight Time on March 21, 2020 and had a scheduled destination of Canada upon its departure;

(m) the holder of a valid work permit or a study permit as defined in section 2 of the Immigration and Refugee Protection Regulations;

(n) a person whose application for a work permit referred to in paragraph (m) was approved under the Immigration and Refugee Protection Act and who has received written notice of the approval, but who has not yet been issued the permit;

(o) a person whose application for a study permit referred to in paragraph (m) was approved under the Immigration and Refugee Protection Act, and who received written notice of the approval before noon, Eastern Daylight Time on March 18, 2020, but who has not yet been issued the permit;

(p) a person permitted to work in Canada as a student in a health field under paragraph 186‍(p) of the Immigration and Refugee Protection Regulations;

(q) a person permitted to work in Canada as a provider of emergency services under paragraph 186‍(t) of the Immigration and Refugee Protection Regulations.

(r) a licensed health care professional with proof of employment in Canada;

(s) a person who seeks to enter Canada for the purpose of delivering, maintaining, or repairing medically-necessary equipment or devices;

(t) a person who seeks to enter Canada for the purpose of making medical deliveries of cells, blood and blood products, tissues, organs or other body parts, that are required for patient care in Canada during or within a reasonable period of time after the expiry of the Order;

(u) a person whose application for permanent residence was approved under the Immigration and Refugee Protection Act, and who received written notice of the approval before noon, Eastern Daylight Time on March 18, 2020, but who has not yet become a permanent resident under that Act; or

(v) a worker in the marine transportation sector who is essential for the movement of goods by vessel, as defined in section 2 of the Canada Shipping Act, 2001, and who seeks to enter Canada for the purpose of performing their duties in that sector.

Exception — signs and symptoms

(2) Despite subsection (1), a foreign national is prohibited from entering Canada from a foreign country other than the United States if they exhibit the following signs and symptoms:

(a) a fever and cough, or

(b) a fever and breathing difficulties.

Exception — optional or discretionary purpose

(3) Despite subsection (1), a person who seeks to enter Canada for an optional or discretionary purpose, such as tourism, recreation or entertainment, is prohibited from entering Canada from a foreign country other than the United States.

Non-application — order

4 This Order does not apply to

(a) a person registered as an Indian under the Indian Act; or

(b) a protected person within the meaning of subsection 95‍(2) of the Immigration and Refugee Protection Act.

Powers and obligations

5 For greater certainty, this Order does not affect any of the powers and obligations set out in the Quarantine Act.

Repeal of P.C. 2020-0162

6 The Minimizing the Risk of Exposure to COVID-19 Coronavirus Disease in Canada Order (Prohibition of Entry into Canada from any country other than the United States) is repealed.

Effective period

7 This Order has effect for the period beginning on the day on which it is made and ending on June 30, 2020.

Source: https://orders-in-council.canada.ca/attachment.php?attach=38958&lang=en