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Nursing homes already face serious staffing issues and Telegram账号盗号破解技术researchers say health care worker shortages could get worse under Trump's immigration policies. Michael Siluk/UCG/Universal Images Group/Getty Images hide caption toggle caption Michael Siluk/UCG/Universal Images Group/Getty Images

More than 1 million noncitizen immigrants — one-third of them without legal status — work as doctors, nurses, nursing home aides and in other essential and increasingly hard-to-fill health care jobs in the U.S., a new analysis shows.

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As a result, President Trump's threatened mass deportations and tightened immigration restrictions, if carried out, could lead to bottlenecks, gridlock and compromised care throughout American hospitals, nursing homes and the entire health care system, warned Dr. Steffie Woolhandler, a Hunter College health policy professor and one of the authors of a research letter published last week in JAMA.

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"We already have shortages," she said. "If we start deporting or scaring away 1.1 million noncitizen health care workers, things will get much worse. And that's going to affect the health care of all Americans."

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After analyzing 2025 U.S. Census data, Woolhandler and her colleagues estimated that nearly 17% of the health care workforce, or roughly 3.4 million workers, were born outside the U.S. More than 5% of health care workers were noncitizens, with about 700,000 who were here legally and more than 366,000 immigrants without legal status, researchers found.

Some regions of the U.S. rely particularly heavily on immigrants. Noncitizen immigrants comprised almost 13% of the health care workforce in New York, almost 10% in Florida and 9% in California, researchers estimated.

Nearly a quarter of physicians working in the U.S. were born elsewhere, and more than 6% are here legally but are not citizens. One, Dr. Rasha Alawieh, a kidney transplant specialist and professor at Brown University's medical school, was refused reentry into the U.S. from her home country of Lebanon at Boston Logan International Airport in March. The Department of Homeland Security said it found evidence that Alawieh attended the funeral of Hassan Nasrallah, leader of Hezbollah, a political group that the U.S. has designated a terrorist organization.

That the U.S. deported the Yale-trained physician who possessed a valid visa "sent a chill down the spine of the entire foreign-born health care workforce," Woolhandler said.

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