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By Vanessa G. Sánchez, KFF Health News (TNS) LOS ANGELES — President-elect Donald Trump’s promise of mass deportations and tougher immigration restrictions is deepening mistrust of the health care system among California’s immigrants and clouding the future for providers serving the state’s most impoverished residents. At the same time, immigrants living illegally in Southern California told KFF Health News they thought the economy would improve and their incomes might increase under Trump, and for some that outweighed concerns about health care. Community health workers say fear of deportation is already affecting participation in Medi-Cal, the state’s Medicaid program for low-income residents, which was expanded in phases to all immigrants regardless of residency status over the past several years. That could undercut the state’s progress in reducing the uninsured rate, which reached a record low of 6.4% last year. Immigrants lacking legal residency have long worried that participation in government programs could make them targets, and Trump’s election has compounded those concerns, community advocates say. The incoming Trump administration is also expected to target Medicaid with funding cuts and enrollment restrictions , which activists worry could threaten the Medi-Cal expansion and kneecap efforts to extend health insurance subsidies under Covered California to all immigrants. “The fear alone has so many consequences to the health of our communities,” said Mar Velez , director of policy with the Latino Coalition for a Healthy California. “This is, as they say, not their first rodeo. They understand how the system works. I think this machine is going to be, unfortunately, a lot more harmful to our communities.” Alongside such worries, though, is a strain of optimism that Trump might be a boon to the economy, according to interviews with immigrants in Los Angeles whom health care workers were soliciting to sign up for Medi-Cal. Selvin, 39, who, like others interviewed for this article, asked to be identified by only his first name because he’s living here without legal permission, said that even though he believes Trump dislikes people like him, he thinks the new administration could help boost his hours at the food processing facility where he works packing noodles. “I do see how he could improve the economy. From that perspective, I think it’s good that he won.” He became eligible for Medi-Cal this year but decided not to enroll, worrying it could jeopardize his chances of changing his immigration status. “I’ve thought about it,” Selvin said, but “I feel like it could end up hurting me. I won’t deny that, obviously, I’d like to benefit — get my teeth fixed, a physical checkup.” But fear holds him back, he said, and he hasn’t seen a doctor in nine years. It’s not Trump’s mass deportation plan in particular that’s scaring him off, though. “If I’m not committing any crimes or getting a DUI, I think I won’t get deported,” Selvin said. Petrona, 55, came from El Salvador seeking asylum and enrolled in Medi-Cal last year. She said that if her health insurance benefits were cut, she wouldn’t be able to afford her visits to the dentist. A street food vendor, she hears often about Trump’s deportation plan, but she said it will be the criminals the new president pushes out. “I’ve heard people say he’s going to get rid of everyone who’s stealing.” Although she’s afraid she could be deported, she’s also hopeful about Trump. “He says he’s going to give a lot of work to Hispanics because Latinos are the ones who work the hardest,” she said. “That’s good, more work for us, the ones who came here to work.” Newly elected Republican Assembly member Jeff Gonzalez, who flipped a seat long held by Democrats in the Latino-heavy desert region in the southeastern part of the state, said his constituents were anxious to see a new economic direction. “They’re just really kind of fed up with the status quo in California,” Gonzalez said. “People on the ground are saying, ‘I’m hopeful,’ because now we have a different perspective. We have a businessperson who is looking at the very things that we are looking at, which is the price of eggs, the price of gas, the safety.” Related Articles National Politics | Should the U.S. increase immigration levels for highly skilled workers? National Politics | ‘It’s a scary time’: US universities urge international students to return to campus before Trump inauguration National Politics | Share the Spirit: Immigration Institute of the Bay Area reunites families across borders National Politics | San Francisco’s fentanyl deportations show rare unity with Donald Trump National Politics | Trump wants mass deportations. For the agents removing immigrants, it’s a painstaking process Gonzalez said he’s not going to comment about potential Medicaid cuts, because Trump has not made any official announcement. Unlike most in his party, Gonzalez said he supports the extension of health care services to all residents regardless of immigration status . Health care providers said they are facing a twin challenge of hesitancy among those they are supposed to serve and the threat of major cuts to Medicaid, the federal program that provides over 60% of the funding for Medi-Cal. Health providers and policy researchers say a loss in federal contributions could lead the state to roll back or downsize some programs, including the expansion to cover those without legal authorization. California and Oregon are the only states that offer comprehensive health insurance to all income-eligible immigrants regardless of status. About 1.5 million people without authorization have enrolled in California, at a cost of over $6 billion a year to state taxpayers. “Everyone wants to put these types of services on the chopping block, which is really unfair,” said state Sen. Lena Gonzalez, a Democrat and chair of the California Latino Legislative Caucus. “We will do everything we can to ensure that we prioritize this.” Sen. Gonzalez said it will be challenging to expand programs such as Covered California, the state’s health insurance marketplace, for which immigrants lacking permanent legal status are not eligible. A big concern for immigrants and their advocates is that Trump could reinstate changes to the public charge policy, which can deny green cards or visas based on the use of government benefits. “President Trump’s mass deportation plan will end the financial drain posed by illegal immigrants on our healthcare system, and ensure that our country can care for American citizens who rely on Medicaid, Medicare, and Social Security,” Trump spokesperson Karoline Leavitt said in a statement to KFF Health News. During his first term, in 2019, Trump broadened the policy to include the use of Medicaid, as well as housing and nutrition subsidies. The Biden administration rescinded the change in 2021. KFF, a health information nonprofit that includes KFF Health News, found immigrants use less health care than people born in the United States. And about 1 in 4 likely undocumented immigrant adults said they have avoided applying for assistance with health care, food, and housing because of immigration-related fears, according to a 2023 survey . Another uncertainty is the fate of the Affordable Care Act, which was opened in November to immigrants who were brought to the U.S. as children and are protected by the Deferred Action Childhood Arrivals program. If DACA eligibility for the act’s plans, or even the act itself, were to be reversed under Trump, that would leave roughly 40,000 California DACA recipients, and about 100,000 nationwide , without access to subsidized health insurance. On Dec. 9, a federal court in North Dakota issued an order blocking DACA recipients from accessing Affordable Care Act health plans in 19 states that had challenged the Biden administration’s rule. Clinics and community health workers are encouraging people to continue enrolling in health benefits. But amid the push to spread the message, the chilling effects are already apparent up and down the state. “¿Ya tiene Medi-Cal?” community health worker Yanet Martinez said, asking residents whether they had Medi-Cal as she walked down Pico Boulevard recently in a Los Angeles neighborhood with many Salvadorans. “¡Nosotros podemos ayudarle a solicitar Medi-Cal! ¡Todo gratuito!” she shouted, offering help to sign up, free of charge. “Gracias, pero no,” said one young woman, responding with a no thanks. She shrugged her shoulders and averted her eyes under a cap that covered her from the late-morning sun. Since Election Day, Martinez said, people have been more reluctant to hear her pitch for subsidized health insurance or cancer prevention screenings. “They think I’m going to share their information to deport them,” she said. “They don’t want anything to do with it.” This article was produced by KFF Health News , which publishes California Healthline , an editorially independent service of the California Health Care Foundation . ©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.Trudeau told Trump Americans would also suffer if tariffs are imposed, a Canadian minister says

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TORONTO (AP) — Prime Minister Justin Trudeau told that Americans would also suffer if the president-elect follows through on a , a Canadian minister who attended their recent dinner said Monday. Trump if they don’t stop what he called the flow of drugs and migrants across their borders with the United States. He said on social media last week that he would impose a 25% tax on as one of his first executive orders. Canadian Public Safety Minister Dominic LeBlanc, whose responsibilities include border security, attended a dinner with Trump and Trudeau at Trump’s Mar-a-Lago club on Friday. Trudeau requested the meeting in that the northern border is . “The prime minister of course spoke about the importance of protecting the Canadian economy and Canadian workers from tariffs, but we also discussed with our American friends the negative impact that those tariffs could have on their economy, on affordability in the United States as well,” LeBlanc said in Parliament. If Trump on everything imported from Mexico and Canada, with his campaign promise to give American families a break from inflation. Economists say companies would have little choice but to pass along the added costs, for food, clothing, automobiles, alcohol and other goods. The Produce Distributors Association, a Washington trade group, said last week that tariffs will raise prices for fresh fruit and vegetables and hurt U.S. farmers when the countries retaliate. Canada is already tariffs on certain items from the U.S. should Trump follow through on the threat. After his dinner with Trump, returned home without assurances the president-elect will back away from threatened tariffs on all products from the major American trading partner. Trump called the talks “productive” but signaled no retreat from a pledge that Canada says unfairly lumps it in with Mexico over the flow of drugs and migrants into the United States. “The idea that we came back empty handed is completely false,” LeBlanc said. “We had a very productive discussion with Mr. Trump and his future Cabinet secretaries. ... The commitment from Mr. Trump to continue to work with us was far from empty handed.” Joining Trump and Trudeau at dinner were Howard Lutnick, Trump’s nominee for commerce secretary, North Dakota Gov. Doug Burgum, Trump’s pick to lead the Interior Department, and Mike Waltz, Trump’s choice to be his national security adviser. Canada’s ambassador to the U.S., Kirsten Hillman, told The Associated Press on Sunday that “the message that our border is so vastly different than the Mexican border was really understood.” Hillman, who sat at an adjacent table to Trudeau and Trump, said Canada is not the problem when it comes to drugs and migrants. On Monday, Mexico’s president rejected those comments. “Mexico must be respected, especially by its trading partners,” President Claudia Sheinbaum said. She said Canada had its own problems with fentanyl consumption and “could only wish they had the cultural riches Mexico has.” Related Articles Flows of migrants and seizures of drugs at the two countries’ border are vastly different. U.S. customs agents seized 43 pounds of fentanyl at the Canadian border during the last fiscal year, compared with 21,100 pounds at the Mexican border. Most of the fentanyl reaching the U.S. — where it causes about 70,000 overdose deaths annually — is using precursor chemicals smuggled from Asia. On immigration, the U.S. Border Patrol reported 1.53 million encounters with migrants at the southwest border with Mexico between October 2023 and September 2024. That compares to 23,721 encounters at the Canadian border during that time. Canada is the top export destination for 36 U.S. states. Nearly $3.6 billion Canadian (US$2.7 billion) worth of goods and services cross the border each day. About 60% of U.S. crude oil imports are from Canada, and 85% of U.S. electricity imports as well. Canada is also the largest foreign supplier of steel, aluminum and uranium to the U.S. and has 34 critical minerals and metals that the Pentagon is eager for and investing for national security.Comforting robotic companions donated to pediatric cancer patients courtesy of Aflac ROSEVILLE Calif. , Nov. 21, 2024 /PRNewswire/ -- Children in Northern California now have a cuddly companion to bring them comfort through their cancer treatment journey. Aflac Incorporated , a leading provider of health supplemental insurance in the U.S. donated the robotic ducks to Keaton's Child Cancer Alliance in Roseville Thursday. The event marks nearly 200 ducks given to Keaton's in the last two years and more than 33,000 ducks distributed free of charge since the program began in 2018. "Approximately 26 children are diagnosed with cancer each day in the United States , including the brave 'Child Cancer Warriors' supported by Keaton's Child Cancer Alliance," said Ines Rodriguez Gutzmer , Aflac senior vice president and chief Communications officer. "These incredible children, and their families, embody determination and resilience – and most of all, as we saw today, their joyful spirit continues to shine. We're thankful to the team at Keaton's for allowing us to be a part of the great work they do each and every day. Together, we're making a difference in the lives of the children, their families and their communities." My Special Aflac Duck is a social robot powered by innovative technology that helps kids prepare for medical procedures, communicate their feelings, practice distraction techniques and more. The robotic companion was designed in consult with more than 100 children, families and medical professionals in conjunction with Empath Labs. A three-year study revealed that patients reported a reduction in distress, nausea, pain and procedural anxiety compared to those in the study who had not yet received a duck. In addition, parents and caregivers reported a reduction in stress and anxiety, showing how My Special Aflac Duck helps children's support system. The duck delivery Thursday coincided with Keaton's annual Operation Gobble, where more than 20 families received Thanksgiving meal kits. "We are incredibly grateful for our partnership with Aflac to ensure that young cancer warriors and their families receive the personalized support they need throughout their journey" said Jessica Alonso , Executive Director of Keaton's Child Cancer Alliance. "This generous contribution of My Special Aflac Ducks will have a meaningful impact on the children we serve. These comforting, interactive companions provide emotional support and help children navigate the complexities of treatment, bringing much-needed smiles and strength to families during some of their most challenging moments. Together, we are empowering those we serve to face cancer with courage and hope." Since its debut in 2018 , My Special Aflac Duck has received numerous awards; it was named one of Time Magazine's 50 Best Inventions and collected the Best in Show at CES and South by Southwest, among others. The My Special Aflac Duck program is a hallmark of Aflac's more than $184 million given toward pediatric cancer and blood disorder treatment, as part of the company's commitment to support the Aflac Cancer and Blood Disorders Center of Children's Healthcare of Atlanta . Health care providers, support organizations and families can order My Special Aflac Duck free of charge for children 3 years or older who have been diagnosed with cancer or sickle cell disease at MySpecialAflacDuck.com . ABOUT AFLAC INCORPORATED Aflac Incorporated (NYSE: AFL), a Fortune 500 company, has helped provide financial protection and peace of mind for more than 68 years to millions of policyholders and customers through its subsidiaries in the U.S. and Japan . In the U.S., Aflac is the No. 1 provider of supplemental health insurance products. 1 In Japan , Aflac Life Insurance Japan is the leading provider of cancer and medical insurance in terms of policies in force. The company takes pride in being there for its policyholders when they need us most, as well as being included in the World's Most Ethical Companies by Ethisphere for 18 consecutive years (2024), Fortune's World's Most Admired Companies for 23 years (2024) and Bloomberg's Gender-Equality Index for the fourth consecutive year (2023). In addition, the company became a signatory of the Principles for Responsible Investment (PRI) in 2021 and has been included in the Dow Jones Sustainability North America Index (2023) for 10 years. To find out how to get help with expenses health insurance doesn't cover, get to know us at aflac.com or aflac.com/espanol . Investors may learn more about Aflac Incorporated and its commitment to corporate social responsibility and sustainability at investors.aflac.com under "Sustainability." 1 LIMRA 2023 U.S. Supplemental Health Insurance Total Market Report Media contact: Jon Sullivan , 706-763-4813 or jsullivan@aflac.com Analyst and investor contact: David A. Young , 706-596-3264, 800-235-2667 or dyoung@aflac.com View original content to download multimedia: https://www.prnewswire.com/news-releases/my-special-aflac-duck-lands-in-the-sacramento-valley-302313728.html SOURCE Aflac

Disney CEO Bob Iger Sells $42.7 Million Worth of Company StockIOWA CITY — Iowa named Jackson Stratton its starting quarterback for the regular season finale against Nebraska on Black Friday. Stratton picked up a win over Maryland in his first career start on Saturday, filling in for an injured Cade McNamara and Brendan Sullivan at quarterback. Iowa quarterback Jackson Stratton will start Friday's game against Nebraska. Iowa head coach Kirk Ferentz praised Stratton, who finished the win over the Terrapins with 76 yards on 10-of-14 passing and a 117 passing efficiency rating, during a postgame interview with the Hawkeye Radio Network. “He really, I thought, played with great poise,” Ferentz said. “Also, awareness, for a guy who has never started a game ... it did not seem to affect him at all. He really did a good job of preparing himself and did a really nice job of inserting himself. I thought he really played a good game.” With Stratton in line for his second career start, Marco Lainez III, who started the season as Iowa's third string quarterback, will serve as Stratton's backup on Friday. Lainez suffered a thumb injury on his non-throwing hand last month before returning to practice last week. McNamara, who topped Iowa's depth chart last Monday, but was not cleared to return to game action, did not appear on the two deep. McNamara released a statement via social media which dispelled rumors of his departure from the Iowa football program. "It has come to my attention that there are individuals in the media circulating rumors about my current status on the Iowa Football Team," McNamara wrote. "These are ridiculous accusations and 100% false. My status on the same as it's always been — a proud member of this football team. "I have every intention to play versus Nebraska next Friday night." In addition to McNamara, cornerback Jermari Harris, who was the subject of reports from 247Sports indicating he opted out of the final two games of the season in preparation for the NFL Draft, also did not appear on the depth chart. On Friday, Ferentz released a statement that said Harris would not play against Maryland due to a "medical issue." "We hope all our student-athletes can play next week in our regular season finale at Kinnick Stadium, however, a player's health and wellbeing are always our top priority," Ferentz said in the statement. "There are several players who will not compete in Saturday's game against Maryland because they have not been cleared medically (or by the medical team). "The decision of whether a student-athlete can compete after sustaining an injury is made by the medical team." Harris proved to be a reliable shutdown corner on the left side of the Hawkeyes' defense in his 10 appearances this season. The senior from Chicago recorded 27 total tackles (19 solo), 10 passes defended, three interceptions, including a pick six, and one tackle for loss. Pro Football Focus graded Harris as the No. 9 overall cornerback in the FBS this season. Nick DeJong will also start at right tackle in place of an injured Gennings Dunker. Iowa (7-4, 5-3 Big Ten) will face Nebraska (6-5, 3-5 Big Ten) at 6:30 on Friday with broadcast coverage provided by NBC. 3 Burning questions after Iowa’s win over Maryland in Jackson Stratton’s first start Special teams, pair of defensive stops, explosive run put Iowa over top against Maryland Iowa rides ground game to bounce back win at Maryland, Kaleb Johnson surpasses Shonn Greene 5 Takeaways from Iowa’s bounce back win over Maryland Get local news delivered to your inbox!

FOXBOROUGH, Mass. (AP) — The NFL removed New England Patriots safety Jabrill Peppers from the commissioner exempt list on Monday, making him eligible to participate in practice and play in the team’s games. Peppers missed seven games since being placed on the list on Oct. 9 after he was arrested and charged with shoving his girlfriend’s head into a wall and choking her. The league said its review is ongoing and is not affected by the change in Peppers’ roster status. Braintree, Massachusetts, police said they were called to a home for an altercation between two people on Oct. 7, and a woman told them Peppers choked her. Police said they found at the home a clear plastic bag containing a white powder, which later tested positive for cocaine. Peppers, 29, pleaded not guilty in Quincy District Court to charges of assault and battery with a dangerous weapon and possession of a Class “B” substance believed to be cocaine. At a court appearance last week a trial date was set for Jan. 22. “Any act of domestic violence is unacceptable for us,” Patriots coach Jerod Mayo said after the arrest. “With that being said, I do think that Jabrill has to go through the system, has to continue to go through due process. We’ll see how that works out.” A 2017 first-round draft choice by Cleveland, Peppers spent two seasons with the Browns and three with the New York Giants before coming to New England in 2022. He was signed to an extension this summer. He played in the first four games of the season and missed one with a shoulder injury before going on the exempt list, which allows NFL Commissioner Roger Goodell to place a player on paid leave while reviewing his case. ___ AP NFL:

(The Center Square) – Amazon plans to invest $10 billion over the next five years to expand data centers across the state. Monday’s announcement is on top of a $7.8 billion plan announced last year and more than $6 billion already spent in Ohio through the end of 2022. State officials said the new investment is expected to create hundreds of new, high-paying jobs by the end of 2030 and increase Ohio’s role as a major technology hub. “As reliance on digital services continues to grow, so does the importance of data centers; they are critical to today’s modern economy,” said Gov. Mike DeWine. Amazon Web Service’s "substantial investment in Ohio will help keep our state at the forefront of the global technology.” The $10 billion investment ranks only behind Intel’s $20 billion project in central Ohio, announced nearly three years ago. AmazonWeb Service has not finalized locations for its new centers, and plans are contingent upon long-term energy service agreements. "Today, we reaffirm our long-term commitment to Ohio with plans to invest an additional $10 billion to expand our data center infrastructure in greater Ohio to drive innovation in AI for customers," said Roger Wehner, vice president of economic development at Amazon Web Services. "Since 2015, AWS has invested more than $10.3 billion in the state and currently supports more than 4,760 jobs annually. This expanded investment is expected to create new, well-paying jobs, boost Ohio's GDP, and further cement our partnership with the state. We are also proud to continue expanding the reach of workforce development and educational programs that equip Ohio’s next generation of tech talent through strong public and private partnerships."​ CLICK HERE TO READ MORE FROM THE WASHINGTON EXAMINER The planned new data centers are expected to contain computer servers, data storage drives, networking equipment and other forms of technology infrastructure used to power cloud computing, including artificial intelligence and machine learning. “These are significant investments from AWS that support Ohio’s growing reputation as the tech hub of the Midwest,” Lt. Gov. Jon Husted said. “Artificial intelligence and data centers are crucial to America’s economic superiority because they drive innovation, support high-tech industries, enhance productivity across sectors, and enable the analysis and management of vast data essential for global competitiveness.”

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