The Desperation of Syrian Refugees

While reading this post, consider that world leaders and mostly pointing to Barack Obama, Hillary Clinton and John Kerry, the declared baton carriers of human rights have done nothing to stop the genocide of Bashir al Assad noting that any case of war crimes and or removal as a leader of Syria has gone no where.

There is no end in sight for this civil war to be over, yet it speaks nothing of refugees ever to return to a war torn country where there is no country left in which to return. This is now a generational condition. The next question is when does it end for the United States, for Europe and for Syrians?

Syrian refugee’s trek from Colombia to Texas stalls in limbo

PEARSALL, Texas (AP) – To reach the U.S. and claim asylum, all Maissoun Hanaa Halawi had to do was cross a continent by foot.

Her one choice: Traverse the remote, roadless, impenetrable Darien Gap, a 10,000-square-mile tropical forest and swampland along the border of Colombia and Panama that separates the two continents.

Halawi, her husband and a group of about 20 Indian, Middle Eastern and other asylum seekers faced a harsh reality. Not only do jaguars, scorpions, poisonous frogs and insects lie crouched in the shadows, paramilitary groups, traffickers and guerillas hide under the thick canopy’s shelter in this dangerous jungle.

“In the jungle, the fear – you can’t imagine it,” Halawi, a Syrian, told the Houston Chronicle (http://bit.ly/29iZfj3 ) in her accented but fluent English. “You don’t want anything except to get out. There’s no food. It’s a savage, wild jungle. We took our chances.”

She and her husband, a Syrian surgeon, knew the risks. But as refugees fleeing a war-torn country infiltrated by violent militant groups, the six-day journey wasn’t a choice. Halawi, her husband and the other desperate men and women paid the smuggler $500 a head. Before they set off into the Darien Gap, he gave them a final warning.

“Every time I’ve made this trip, I must lose one person,” Halawi remembered him saying as she wiped back tears.

There was no going back.

“Through these doors enter the finest ICE, DHS & GEO staff in the nation.”

Those words are posted at the entrance of the South Texas Detention Complex in Pearsall, just 60 miles southwest of San Antonio. The complex is owned by The GEO Group Inc. under contract by the U.S. Immigration and Customs Enforcement and the Department of Homeland Security.

Behind the barbed wire fence and through security checks at the entrance is a sprawling 238,000-square-foot complex that houses up to 1,904 men and women. Some are awaiting deportation. Others are stuck in limbo, counting the days for their asylum cases to be processed by ICE agents and the courts.

That’s where Halawi has been detained since Dec.??22, almost six months after turning herself over to border patrol agents at an international pedestrian bridge in Eagle Pass, two hours south of Pearsall. She was taken into custody alone.

The average length of stay in the Pearsall detention facility is, at most, 65 days, according to ICE.

A detention officer unlocks a heavy metal door. A slight woman with short brown hair and bright eyes enters the white cinder block room. Though she wears a hopeful smile, her face is creased with anxiety. A 46-year-old Halawi takes a seat at the metal table, yellow legal pad papers in one hand and a thick, brown accordion folder in the other.

“When the revolution started, I was first happy because I thought we would finally change the government that was ruling the country,” Halawi said of the Syrian government headed by President Bashar Al-Assad. “I didn’t know it would end in a sea of blood. Even today, I can’t believe what’s happened in Syria.”

An immigration judge will have the last word on whether to grant asylum or hand down a deportation order, and Halawi said she can’t face the thought of returning to Syria.

“I came here asking for help,” Halawi said. “I’m not a criminal.”

In a post-Paris attack world, European and U.S. governments are wary of refugees flowing from areas where the self-proclaimed Islamic State of Iraq and Syria, also known as ISIS, is active. U.S. governors of 31 states released public statements to the White House in November refusing to accept refugees, including Gov. Greg Abbott, who has been vocal about refugee vetting protocols and has publicly said that any incoming Syrians “could be connected to terrorism.”

Even with Abbott’s refusal of Syrian refugees, 152 were resettled in Texas between October and May????31 of the 1,865 Syrian refugees across the country, according to the U.S. Office of Refugee Resettlement. Between October 2014 and Sept. 30, 185 Syrian refugees were resettled in Texas.

Since the U.S. requires refugees to be outside of the states when filing a claim, Halawi is considered an asylum seeker. She is one of more than 1,000 Syrian nationals who have attempted to claim asylum since 2011, according to the U.S. Department of Justice. Only 248 of those cases were granted asylum by the end of the 2015 fiscal year.

Asylum seekers must prove they have a “credible fear” to be granted asylum, which includes a “significant possibility” of torture or a “well-founded” fear of persecution based on race, religion, nationality, political opinion or membership in a social group if returned to their country of origin.

“There are no words to describe the pain and fear we were living under. We hoped we would change the government, but then (ISIS) came into Aleppo, and there was no food or water,” Halawi said, recounting the years in an increasingly hostile Syria.

Halawi is also a Druze, which is an ethnic and a religious minority in Syria.

As the conflict in Syria has spread, Druze civilians have increasingly been under fire by radical militants. At least 20 were fatally shot by the al-Qaida affiliate Nusra Front in Idlib province in June 2015.

The casualties of the Syrian war are high. An estimated 400,000 Syrians were killed, according to the U.N. special envoy to Syria, Staffan de Mistura. In addition, 4.8 million Syrians were registered as refugees in the Middle East and North Africa, and more than 1 million have sought asylum in Europe, according to the United Nations High Commissioner for Refugees.

After fleeing violence and bombardment in Aleppo, Syria, Halawi and her husband moved to Libya in late 2013. The plan was to put Halawi on a boat across the Mediterranean to Europe, and her husband would fly to Europe and meet her on the other side, since he had a German passport.

They called it “the boat to death.” Since the start of 2016, at least 2,510 refugees and migrants drowned in the Mediterranean, according to the International Organization for Migration. Those who attempt to cross the sea have usually done so on small boats or dinghies packed beyond capacity.

“When I saw the boat, I couldn’t do it. I’m scared of water too much,” Halawi said.

She backed out as she was making arrangements with the smuggler. So the couple lived for a year in Libya, where she taught English at a local school. She said she was later kidnapped from the doors of that school. When she was let go by her assailants, she was treated by Doctors Without Borders. The incident prompted the couple’s decision to leave Libya.

Since Halawi speaks four languages, including Spanish, the couple  flew in late 2014 to Ecuador, one of a few countries that don’t require a visa for Syrian citizens. Then, they emigrated to Venezuela and, finally, arrived in Colombia in September. That’s when they attempted to cross the Darien Gap into Panama, where they initially hoped to settle down.

On the second day of her journey in the gap, Halawi was prepared to die. She was terrified, tired and hungry. Her legs were giving out as she struggled to push herself forward through the unrelenting jungle. That morning in September, Halawi asked her husband to carry their belongings. She didn’t want to be left behind, but if she did, at least her husband would have what little was left.

As the smuggler led his 20-person group up the mountain, she focused on pushing herself forward. One moment, her husband was behind her. The next moment, he was gone.

“I heard him shouting behind me,” Halawi said, unable to hold back tears. “He fell on the rocks. I could see from above the blood on the rocks. I think his head was broken.”

He fell to his death from a mountaintop in the Colombian jungle. There was no way to go back for her husband. And he had carried almost all of their belongings.

Halawi was too distraught to go any farther. She pleaded with them to send her back to the mainland because she didn’t have the strength to go on. The smuggler put her on a boat, fearing that she might report the group to authorities in Panama, Halawi said. But she would return to the Darien Gap to make the journey again with another group. After two days, one woman was left behind. On the fifth day, Halawi couldn’t keep up.

“The group wanted to leave me, but the smuggler said he would get me there even if he had to carry me. He could have raped me and killed me, but he didn’t, and thank God, I reached Panama,” Halawi said in a declaration that was compiled by attorneys in support of her parole.

After Panamanian authorities detained and interrogated her, she filed for asylum there but discovered that refugees are ineligible for work permits.

“How could I eat if I could not work?” Halawi said.

Knowing that she’d be dependent on the government and unable to care for herself, she decided to keeping going north.

 

She crossed through Costa Rica, Nicaragua, Honduras, Guatemala and Mexico, mostly by bus. While in Honduras, she was detained in November for illegally entering the country, according to several news reports. Her journey from Colombia to Texas spanned about three months. Halawi applied for asylum in Mexico, Ecuador and Panama before finally making it to the U.S.

Though Halawi is far from the daily bombardment and violence in Syria, she thought that if she reached America, the war would be behind her. She couldn’t predict the intense political climate and debate surrounding Syrian refugees in the U.S and abroad.

Halawi was denied parole twice by ICE officials, once on Feb. 17 and finally on May 18. Both times, she said she was not given a parole interview to discuss the merits of her case. ICE declined to comment on the case “due to privacy concerns.”

ICE makes civil enforcement determinations on a case-by-case basis with a priority given to serious criminal offenders, recent border entrants and other individuals who meet the threshold set in the following civil immigration enforcement priorities memo issued by DHS Secretary Johnson in November 2014,” ICE said in a statement to the Houston Chronicle.

According to the denial letter she received, Halawi was rejected based on four factors: She did not establish her identity “to the satisfaction of ICE.” She did not establish that she was not a flight risk. She did not establish that she’s not a danger to the community or to U.S. security. And lastly, her case was denied because there were no additional documentation or changes in circumstance that would alter ICE’s initial decision to deny parole.

“We’ve had cases where ICE in their definition someone is a national security risk, whereas in reality, they’re not. We’ve had the same problem with the Central American families for a year-and-a-half,” said Mohammad Abdollahi, the advocacy director at San Antonio-based nonprofit RAICES, Refugee and Immigrant Center for Education and Legal Services, which has taken her case.

Halawi believes ICE is purposely detaining her because of her nationality. ICE declined to comment on agency policies for processing and detaining Syrian nationals.

“If they have something against me, then show it to me,” she said. “I have done nothing wrong, so you don’t have to keep me here.”

Fleeing violence and losing her husband have taken a toll on Halawi. She takes a handful of medications, two of which are used to treat anxiety, depression and, potentially, post-traumatic stress disorder, according to ICE records released by her attorney to the Chronicle.

At the detention facility, Halawi has voluntarily spent the last four months in segregation, which is similar to solitary confinement. She stays in her room 23 hours each day with just one hour to enjoy the sun and fresh air.

In segregation, she’s alone with her thoughts and inner turmoil.

“I’ve started to feel like I’m a burden,” Halawi said. “I can’t get out.”

“There’s been no time to stop and grieve. She hasn’t been given that time in detention,” Abdollahi said.

Her asylum case will be heard in the courtroom of San Antonio immigration judge Meredith Tyrakoski, who was appointed by U.S. Attorney General Loretta Lynch in January.

If Tyrakoski denies Halawi’s asylum claim, she could appeal the decision within 30 days or face deportation. But the Board of Immigration Appeals, the first of three appellate bodies for asylum claims, could take up to a year to render a decision. Without parole, Halawi would remain indefinitely detained while in legal limbo.

“This is my only hope now,” Halawi said.

Another Terror Attack in Germany, Risks in USA

Al Qaeda chief urges kidnappings of Westerners for prisoner swaps

Al Qaeda chief Ayman al-Zawahiri has appeared in an audio interview calling on fighters to take Western hostages and exchange them for jailed jihadists, the monitoring service SITE Intelligence Group said on Sunday.

In recording posted online, Al-Zawahiri called on the global militant network to kidnap Westerners “until they liberate the last Muslim male prisoner and last Muslim female prisoner in the prisons of the Crusaders, apostates, and enemies of Islam,” according to SITE. More here from Reuters.

******

A 21-year-old Syrian refugee was arrested on Sunday after killing a pregnant woman with a machete in Germany, the fourth violent assault on civilians in western Europe in 10 days, though police said it did not appear linked to terrorism.

The incident, however, may add to public unease surrounding Chancellor Angela Merkel’s open-door refugee policy that has seen over a million migrants enter Germany over the past year, many fleeing war in Afghanistan, Syria and Iraq.

German police said they arrested the machete-wielding Syrian asylum-seeker after he killed a woman and injured two other people in the southwestern city of Reutlingen near Stuttgart. Much more here from Newsweek.

*****

Related reading on NGO’s: UNHCR – Partnership in Resettlement

Related reading: UNHCR –NGO Toolkit for Practical Cooperation on …

Related reading: NGOs Call on US to Resettle More Syrian Refugees | Al …

So what about the real vetting process in the United States you ask…..it is a great question.

After the Paris attacks, the White House called in 34 governors to discuss the policy and vetting process of refugees into the United States. While we focus on ‘Syrian’ refugees, they hardly make up the majority and it is this fact that must be noted. Even so, the White House, 3 days later published a chart of the vetting program and it does have some gaps (questions) that too must be answered.

‎Refugees undergo more rigorous screening than anyone else we allow into the United States. Here’s what the screening process looks like for them:

The Screening Process for Refugees Entry Into the United States (full text of the graphic written below the image)

The full text is found here from the White House.

The admission of refugees to the United States and their resettlement here are authorized by the Immigration and Nationality Act (INA), as amended by the Refugee Act of 1980. The INA defines a refugee as a person who is outside his or her country and who is unable or unwilling to return because of persecution or a well-founded fear of persecution on account of race, religion, nationality, membership in a particular social group, or political opinion. In special circumstances, a refugee also may be a person who is within his or her country and who is persecuted or has a well-founded fear of persecution on account of race, religion, nationality, membership in a particular social group, or political opinion. The maximum annual number of refugee admissions (refugee ceiling) and the allocation of these numbers by region of the world are set by the President after consultation by Cabinet-level representatives with members of the House and the Senate Judiciary Committees.

The Department of State’s (DOS’s) Bureau of Population, Refugees, and Migration (PRM) is responsible for coordinating and managing the U.S. Refugee Admissions Program. Prospective refugees can be referred to the U.S. program by the United Nations High Commissioner for Refugees (UNHCR), a U.S. embassy, or a designated nongovernmental organization (NGO), or in some cases, they can access the U.S. refugee program directly. PRM generally arranges for an NGO, an international organization, or U.S. embassy contractors to manage a Resettlement Support Center (RSC) that assists in refugee processing.

Following the consultations, the President issues a Presidential Determination that sets the refugee ceiling and regional allocations for that fiscal year. Once the Presidential Determination for a fiscal year has been issued, INA Section 207 also allows for additional refugee admissions in response to an “emergency refugee situation.” In such a situation, the President may, after congressional consultation, issue an Emergency Presidential Determination providing for an increase in refugee admissions numbers.

For FY2016, the Obama Administration initially proposed a refugee ceiling of 75,000 and held consultations with Congress on that proposal. The proposal reportedly included an allocation of 33,000 for the Near East/South Asia, the region that includes Syria.5 The Administration subsequently announced that the United States would admit at least 10,000 Syrian refugees in FY2016. On September 29, 2015, the Obama Administration released the Presidential Determination on Refugee Admissions for Fiscal Year 2016.6 It sets the FY2016 refugee ceiling at 85,000, with 79,000 admissions numbers allocated among the regions of the world and 6,000 admissions numbers comprising an unallocated reserve.7 The allocation for the Near East/South Asia region is 34,000.

Actual Admissions

In FY2015, the United States admitted 69,933 refugees. The Near East/South Asia region accounted for 24,579 admissions, of which 1,682 were Syrian refugees. In the first month of FY2016 (October 2015), total refugee admissions were 5,348, Near East/South Asia region admissions were 1,979, and Syrian admissions were 187. From October 1, 2010, through October 31, 2015, the United States admitted a total of 2,070 Syrian refugees.

Role of the Department of Homeland Security

USCIS adjudicates refugee applications and makes decisions about eligibility for refugee status. USCIS officers in the Refugee Corps interview each applicant in person and consider other evidence and information to determine whether the individual is eligible for refugee status. More comprehensive reading here.

 

Venezuela, Chaos in our Hemisphere, Inflation Skyrockets

Venezuelans flee to Mexico to escape economic crisis


Kimberly-Clark: Venezuela seizes and re-opens US-owned factory

BBC: The government of Venezuela has said it has seized a factory owned by the US firm Kimberly-Clark.

The firm had said it was halting operations in Venezuela as it was unable to obtain raw materials.

But the labour minister said on Monday that the factory closure was illegal and it had re-opened “in the hands of the workers”.

Kimberly-Clark, which makes hygiene products including tissues and nappies, said it had acted appropriately.

Over the weekend it became the latest multinational to close or scale back operations in the country, citing strict currency controls, a lack of raw materials and soaring inflation.

 Employees outside closed Kimberly-Clark gates in Maracay on 10 July 2016 Reuters: No to the closure” read graffiti on the firm’s gates over the weekend

General Mills, Procter & Gamble and other corporations have reduced operations in Venezuela as the country is gripped by economic crisis and widespread shortages of basic household goods.

What has gone wrong in Venezuela?

Labour Minister Oswaldo Vera, from the ruling Socialist Party (PSUV), visited the factory in Maracay and said it was illegal.

Almost 1,000 workers had asked him to re-start production, he said.

Mr Vera said: “Kimberly-Clark will continue producing, now in the hands of the workers.

“We’ve just turned on the first engine.”

The Texas-based company said in a statement: “If the Venezuelan government takes control of Kimberly-Clark facilities and operations, it will be responsible for the well-being of the workers and the physical asset, equipment and machinery in the facilities going forward.”

In just 12 hours, more than 35K Venezuelans cross Colombian border to buy food, medicine

In just 12 hours, more than 35,000 Venezuelans crossed the border into Colombia on Sunday to buy food and medicines in the city of Cucuta, when the Venezuelan government agreed to opened border crossings for one day only.

People began crossing the Simon Bolivar international bridge at 5:00 a.m. to purchase products that are scarce in Venezuela.

“We’re from here in San Antonio (and), honestly, we don’t have any food to give our children, so I don’t think it’s fair that the border is still closed,” a Venezuelan woman told EFE in Cucuta.

The woman, who preferred to not give her name, crossed the international bridge with her husband and children ages 5 and 2.

The border crossings between Tachira state and Norte de Santander province were closed on Aug. 19, 2015, by Venezuelan President Nicolas Maduro, who said he took the measure to fight smuggling and prevent members of paramilitary groups from entering Venezuela.

Maduro later ordered all crossings along the 1,378-mile border closed.

Tachira Gov. Jose Gregorio Vielma Mora said Saturday that the border would be opened on Maduro’s orders.

After the announcement, hundreds of Venezuelans began lining up to cross the Simon Bolivar international bridge.

“A second entry by Venezuelans into Colombia was planned by the Venezuelan right, with the pretext of buying food and medicines,” Vielma Mora said.

The governor was apparently referring to an incident last Tuesday, when about 500 Venezuelans from the city of Ureña crossed the closed Francisco de Paula Santander international bridge and went into Cucuta to buy food.

Norte de Santander Gov. William Villamizar, for his part, said in a Twitter post after visiting the border crossings that the humanitarian corridor “has benefited 25,000 people” who were able to buy “food and medicines.”

Villamizar spoke with some of the people streaming across the border and posed for photos with a family carrying a poster that read, “Colombia, gracias por su solidaridad con Venezuela” (Colombia, Thanks for Your Solidarity with Venezuela).

“This is super nice on Colombia’s part, very good,” Rosalba Jaimes, a San Antonio resident, told EFE.

Betty Rojas, a Venezuelan already heading home, said she and others planned to cross whenever the border was open.

“We bought rice, pasta, sugar, toilet paper, butter, everything we could bring back. We had enough for lots of stuff,” Rojas told EFE, adding that she wanted to tell the Colombian government “thank you.”

Cucuta police chief Col. Jaime Barrera said officers would “guarantee security in Cucuta’s business districts for the thousands of people coming from Venezuela.

Officers have been posted at the border crossings and at businesses across the border city, the provincial police chief said.

Colombian President Juan Manuel Santos and Foreign Minister Maria Angela Holguin visited Cucuta on Wednesday.

The president said he would try to negotiate with Maduro in an effort to reopen the border crossings.

Venezuela: Decree Grants New Powers To President, Defense Minister

Stratfor: Venezuelan President Nicolas Maduro issued a presidential decree July 11 granting new, sweeping powers to himself and Defense Minister Vladimir Padrino Lopez, Sumarium reported. Maduro said the decree establishes a new program that concentrates economic and political power at the very top of government, which will enable the country to correct its economic woes and get production back on track. Moreover, all government institutions and ministries in the country will now fall under the direct control of the president and the defense minister. The president said that he will provide more information about the decree, which effectively makes Padrino Lopez a second head of state in Venezuela, within the coming days.

 

Amb. Samantha Power on Refugees, She’s NUTS

There is SO much wrong in what she wrote here. If there was ANY foreign policy with regard to fighting wars and hostilities to swift victory, none of this would come to be. The U.S. Ambassador to the United Nations, Samantha Power is delivering history, guilt and culpability of failure. Furthermore, she is demanding more money and wait for it…..Obama has his moment scheduled at the UN….this is not going to end well and will be yet another hit to our sovereignty.

 

This is an outrage, what say you?

Related reading: John Kerry Sells a Borderless World in a Graduation Address

What is especially interesting is as noted by Ambassador Power, these people want to go home.

 

Remarks on “The Global Refugee Crisis: Overcoming Fears and Spurring Action,” at the U.S. Institute of Peace

Ambassador Samantha Power
U.S. Permanent Representative to the United Nations
U.S. Mission to the United Nations
Washington, DC
June 29, 2016
****

AS DELIVERED

Thank you, Nancy, for that generous introduction, and more importantly, for your leadership on this and other critical issues, both when you were inside the government and now in this incredibly important role you’re in at the U.S. Institute of Peace.

Let me begin with a fact with which you are all familiar: We are in the midst of the greatest refugee crisis since the Second World War. Just like the people at the heart of it, this crisis crosses borders, oceans, and continents. And because it is global in scale, anything less than a global response will fall short of addressing it. Yet rather than spur a united front, a united effort, the challenge of mass displacement has divided the international community – and even individual nations – leaving the lion’s share of the response to a small number of countries, stretching our humanitarian system to its breaking point, and putting millions of people in dire situations at even greater risk.

Today I will make the case for why we must do better. I will first describe the gap between the unprecedented scale of the crisis and the growing shortfalls in the international response. I will then take on some of the most common concerns one hears when it comes to admitting refugees, showing that, while there are, of course, genuine risks, these are often distorted; the actual threats can be mitigated. Our current approach of leaving a small number of nations to bear most of the costs, by contrast, carries hidden dangers, risking the lives of countless refugees, while also weakening our partners and strengthening violent extremists and organized crime. A global response is urgently needed, and the United States must help lead it.

At the end of 2015, more than 65 million people were displaced worldwide, over half of them children. That is the highest number on record since the UN’s Refugee Agency started collecting statistics. To help put that number in perspective, that’s the equivalent of one in every five Americans being displaced. Some 34,000 people will be displaced today alone. Think about that. Thirty-four thousand.

Many rightly point to the role that the turmoil in Syria has played in this crisis. Roughly half of Syria’s pre-war population of 23 million has been uprooted since the conflict began in 2011 – some six-and-half million within Syria’s borders, and five million to other countries. But the conflict in Syria is far from the only driver of this problem. The wars forcing people from their homes are multiplying – with at least 15 conflicts erupting or reigniting since 2010. And conflicts are lasting longer, meaning people have to wait longer before it is safe to return home. Roughly one in three refugees today is caught in what is called a “protracted refugee situation.” In 1993, the typical protracted refugee situation lasted nine years; today, the median duration is 26 years and counting.

People do not become refugees by choice, obviously; they flee because their lives are at risk – just as we would do if we found ourselves in such a situation. And most want to go home. So we recognize that the most effective way to curb the mass displacement of people is by addressing the conflicts, violence, and repression that they have fled in the first place, and that continues to make it unsafe for them to return home. Consider a survey of Syrian refugees carried out early this year in Gaziantep, along Turkey’s southern border. It found that 95 percent of the Syrians polled said that they would return home if the fighting stopped. In May, a study of Nigerian refugees in Cameroon – most of whom had fled Boko Haram – found that more than three in four wanted to return home. I met with refugees in both of these places, and when I posed the question of who wanted to go home to groups of refugees, all hands shot up in the air. Many of you have had similar experiences.

Even as we recognize the need to work toward the solutions that will reduce the drivers of mass displacement, we also have to meet the vital needs of refugees in real time. And on that front we in the international community are coming up far short. For one, we are seeing record shortfalls in providing essential humanitarian assistance. In 2015, the UN requested approximately $20 billion to provide life-saving aid, only $11 billion of which was funded. This year, the $21 billion that the UN is seeking is less than one-quarter funded.

Often we find ourselves using bureaucratese – the language of “shortfalls,” and “masses” of refugee “caseloads” – sterile language that makes it easy to lose sight of the human consequences of our collective action challenge. So we must constantly remind ourselves that these gaps mean more people are left without a roof or tarp to sleep under; more families are unable to afford gas to keep warm in sub-zero temperatures; more kids are forced to drink water that makes them sick – poor parents have to watch that happen. Last year, the World Food Program had to cut back significantly rations to some 1.6 million Syrian refugees, and half a million refugees from Somalia and South Sudan in Kenya. In Jordan, in July 2015, approximately 250,000 Syrian refugees received news – often on their phone – that the UN aid they were receiving would be halved to the equivalent of 50 cents’ worth of aid a day. In Iraq, the shortfall forced the World Health Organization to shutter 184 health clinics in areas with high levels of displacement, resulting in three million people losing access to basic health care. The WHO’s director for emergency assistance described the impact as follows: “There will be no access for trauma like shrapnel wounds, no access for children’s health or reproductive health…A generation of children will be unvaccinated,” he said. Imagine, for just one minute, being the official forced to decide whose rudimentary health care to cut off. Imagine being the patient or the parent who receives the news that the aid you’ve been receiving – which is already insufficient to feed your kids or to deal with health ailments – will be cut in half.

Not only are countries giving far too little support to meet refugees’ critical needs, few countries – and in particular, few wealthy countries – are stepping up to resettle more refugees. As a result, a hugely disproportionate share of refugees are being housed by a small group of developing countries. At the end of 2015, 10 countries – with an average GDP per capita of around $3,700 – were hosting some 45 percent of the world’s refugees. The United States’ GDP per capita, by comparison, is approximately $54,600. Add in the dramatic cuts in humanitarian assistance, and you start to get a sense of the direness of the situation.

To be fair, it can take time for governments to lay the groundwork for admitting more refugees. We are dealing with this challenge right now in the United States, as we make the adjustments necessary to take in 10,000 Syrian refugees this year, out of a total of 85,000 refugees, a goal we, of course, intend to meet. Yet even as a country with experience admitting and resettling more than three million refugees in the last four decades, it has not been easy.

But the work required to scale up admissions is not what is preventing many countries from taking in more refugees. Instead, even as the crisis continues to grow, many countries are making no effort at all to do their fair share. Worse, some countries are actually cutting back on the number of admitted refugees, or they’ve said that they won’t take any refugees at all. Other governments have taken measures that cut against the core principles of the 1951 Refugee Convention and its 1967 Protocol, such as offering financial rewards for asylum seekers who withdraw their applications and return home, or confiscating the cash and valuables of those seeking refuge to offset the costs of hosting them. Meanwhile, with multiple countries – including our own – certain states, cities, and even towns have said that they don’t want to take refugees admitted by their respective national governments.

Now, why are so many countries resisting taking in more refugees? Let me speak to the two concerns that we hear the most often.

The first is, of course, security. Now, it is reasonable to have concern that violent extremist groups might take advantage of the massive movement of migrants and refugees to try to sneak terrorists into countries that they want to attack. In Germany, for example, suspected terrorists have been arrested in recent months who entered the country traveling amidst groups of refugees. We must constantly evaluate whether the procedures that we and our partners have put in place can effectively identify terrorists posing as refugees, as our nation’s law enforcement and intelligence agencies are doing.

At the same time, as with any threat, it is important that our policy response be commensurate with the risk. The comprehensive, rigorous review process implemented by the U.S. Refugee Admissions Program both protects our security and lives up to our long-standing commitment to give sanctuary to people whose lives are at risk. The program screens refugee applicants against multiple U.S. government databases – including the National Counterterrorism Center, the FBI, the Department of Defense, and the Department of Homeland Security – which incorporate information provided by partners all around the world. Refugees are interviewed, often several times, before ever being allowed to travel to the United States; and refugees from Syria are subjected to a thorough, additional layer of review. We do not rush; in all, the process usually takes more than a year. If your aim is to attack the United States, it is hard to imagine a more difficult way of trying to get here than by posing as a refugee.

While no system is foolproof, our record to date speaks to the system’s efficacy. Of the approximately 800,000 refugees who have been admitted to the United States since September 11, not one has carried out an act of domestic terrorism. Zero. But that has not made us complacent; we are constantly assessing new threats, and we spare no effort to make the program stronger.

Being able to measure accurately the relative gravity of threats and where they come from is critical to making smart policy and is critical to keeping the American people safe. That is why the efforts to halt our refugee program in the aftermath of the horrific attacks in Paris, and more recently in Orlando, were so misguided.

It is appropriate, and indeed, essential, in the aftermath of terrorist attacks to ask whether and how our policies should be changed to keep our citizens safe. What is not appropriate – what is, in fact, counterproductive – is using inaccurate characterizations of threats to justify shifts in policy, such as failing to see the difference between a homegrown terrorist and a refugee; or drawing misguided and discriminatory conclusions about entire groups of people based on the countries from which their families immigrated or the faith that they observe. Ignorance and prejudice make for bad advisors.

Yet that is what is driving the ill-informed and biased reactions we have seen to these and other attacks from some in our country. After the Paris attack, 31 U.S. governors and their states did not want to host any Syrian refugees, and several officials filed lawsuits aimed at blocking the federal government from resettling Syrians in their states. In the aftermath of Orlando, House Republicans announced that they will put forward legislation to ban all refugees from our country. That is not all. As you know, some are calling for even broader bans, such as banning immigrants based on their religion, or suspending immigration from parts of the world with a history of terrorism.

Now, I take this personally. I’m an immigrant to this country. My mother brought me and my brother to the United States from Dublin in 1979. It was a time when Ireland was still being roiled by violence related to The Troubles. And that violence included attacks that killed civilians – some of which were carried out in the city where I lived. So it’s not lost on me that were such a prejudiced and indiscriminate policy to have been applied when I was growing up – a policy that judges people collectively on the circumstances of their birth, rather than individually on the quality of their character – my family and millions of other Irish immigrants would never have been allowed to come to this country. That I, an Irish immigrant, now get to sit every day in front of a placard that says the United States of America, and to serve in the President’s Cabinet, is just a reflection of what makes this country so exceptional. And it sends the world a powerful message about the inclusive society that we believe in. Why on Earth would we want to give that up?

If the first concern one hears around admitting refugees is the security risk, the second is economic. People fear that refugees will place an additional burden on states at a time of shrinking budgets and a contracting global economy. The concerns tend to coalesce around two arguments in some tension with one another: either refugees will deplete government resources through a costly resettlement process, and through requiring public support for years; or they will find work quickly, taking jobs away from native-born citizens and driving down wages.

It is true that resettling refugees requires a substantial investment up front. Sufficient resources must be dedicated to ensuring that asylum seekers are properly vetted. And people who are admitted need support as they settle into a new, unfamiliar country and become self-sufficient – from finding places to live and work, to learning a new language. If we want to keep our citizens safe and give the refugees we take in a shot at becoming self-reliant, these up-front costs are unavoidable.

You might be surprised, though, to learn how little refugees actually receive from the U.S. government. Resettlement agencies are given a one-time amount to cover initial housing, food, and other essential expenses of $2,025 for each refugee. And while refugees can apply for additional federal assistance, such as funding for job training or special medical assistance – no supplementary support is guaranteed – and most lasts a maximum of eight months. Now imagine trying to survive on that amount in a new and unfamiliar place, with no job, no support system, and often without the ability to speak English. Refugees are also responsible for repaying the cost of their plane tickets to the U.S. within three and a half years.

Even in the short term, much of the assistance that goes toward supporting refugees ends up going back into our local economies, from the supermarkets where they buy groceries, to the apartments they rent. And a number of studies have found that refugees’ short-term impact on their host countries’ labor markets tends to be small, and is often positive, raising the wages of people in communities where they settle. And it is important to see these initial costs of taking in refugees for what they are: an investment in our shared future. You hear often about individual refugees who have made profound contributions to our nation – people like George Soros, Sergei Brin, and one of my predecessors as U.S. Ambassador to the United Nations, the great Madeleine Albright. There is no question that America would be a lesser country today without these individuals. Yet it is not only extraordinary individuals like these, but entire refugee communities who have made a lasting contribution to American prosperity.

Take the example of Vietnamese-Americans. After the fall of Saigon in 1975, America resettled more than 175,000 Vietnamese refugees in just two years. In 1979, a second wave of hundreds of thousands more Vietnamese refugees began arriving. Initially, politicians from both parties warned of the dire economic impact that the Vietnamese refugees would have on the communities where they were settled, and they asked that they be sent elsewhere. The Democratic governor of California at the time proposed adding a provision to legislation on assisting refugees that would guarantee jobs for Americans first, saying, “We can’t be looking 5,000 miles away and at the same time neglecting people who live here.” Seattle’s city council voted seven to one against a resolution welcoming them. Small towns where Vietnamese refugees were to be resettled, such as Niceville, Florida – [laughter] yes, Niceville – circulated petitions demanding they be sent elsewhere. A barber in Niceville told a reporter, “I don’t see why I ought to work and pay taxes for those folks who wouldn’t work over there.” The fears and reservations expressed in Niceville were hardly isolated; a 1979 poll found that 57 percent of Americans opposed taking in Vietnamese refugees.

And yet look at the 1.9 million Vietnamese-Americans living in our country today, many of whom either came to this country as refugees, or whose parents were refugees. They have a higher median household income than the national average, higher participation in the labor force, and lower unemployment. More, on average, attend college. Now this is not a success that has come at the expense of other Americans in a zero-sum economy; rather, the growth spurred by their success has benefitted both native born citizens and refugees, and repaid the costs of resettlement many, many times over.

Oftentimes, domestic debates about whether to do more for refugees are focused entirely on the question of what we risk by taking more people in. Is it safe? Will it help or hurt economically? These are important concerns to address, and I have tried to do so.

But there’s another question – often overlooked – which is particularly relevant today: What do we risk by not doing more to help refugees? That’s the question I would like to turn to now. And the answer is that, in the current crisis, not doing more puts global stability and our nation’s security at heightened risk. While we often overstate the security threats and economic costs of resettling more refugees, we routinely understate the likely consequences of failing to muster the global response that is needed.

For one, failing to mobilize a more robust and equitable global response will increase the pressure on the small group of countries already shouldering a disproportionate share of the crisis’ costs, possibly leading to greater instability. The influx of refugees to these countries has overwhelmed public services and institutions that were often stretched to begin with. Look at Lebanon, which has taken in a million Syrian refugees, and where one in five people is now a Syrian refugee. To give you a sense of scale, that would be the equivalent, in our country – which of course is much wealthier and has a much more developed infrastructure – of taking in 64 million refugees. There are more Syrian refugee children of school age in Lebanon – approximately 360,000 in all – than there are Lebanese children in public school. Roughly half of the Syrian refugee kids in Lebanon are out of school.

In the face of such demands, and absent greater help from the international community, it is not hard to see how the mounting pressure on these frontline countries could stoke sectarian tensions, fuel popular resentment of refugees, and even lead to the collapse of governments. It’s also not hard to imagine how, in such circumstances, some of these countries might decide they cannot take in any more refugees and seal off their borders altogether.

Failing to mount a more effective international response will also strengthen the hand of organized crime and terrorist groups that pose a threat to our security and prosperity. If people fleeing wars, mass atrocities, and repression cannot find a safe, legal, and orderly way to get to places where they and their loved ones will be safe, and where they can fulfill their basic needs, they will seek another way to get to places of refuge. We’ve seen it. They will always find smugglers who promise to take them – for a price. INTERPOL estimates that, in 2015, organized crime networks made between five and six billion dollars smuggling people to the European Union alone. These criminal networks have little concern for the lives of the people they transport – as they have demonstrated by abandoning their boats at sea, sometimes with hundreds of passengers locked in holds that they cannot escape – and whose members routinely rape, beat, and sell into slavery the people that they are paid to transport.

Of course, it is not only refugees who are threatened by these criminal networks. The same routes and transports used to smuggle people across oceans and borders are also used to move illicit arms, drugs, and victims of human trafficking. And the corruption that these groups fuel harms governments and citizens worldwide. The more refugees that are driven into the hands of these criminal networks, the stronger we make them.

Violent extremist groups like ISIL, al-Qa’ida, and Boko Haram also stand to benefit if we fail to respond adequately to the refugee crisis. A central part of the narrative of these groups is that the West is at war with Islam. So when we turn away the very people who are fleeing the atrocities and repression of these groups; and when we cast all displaced Muslims – regardless of whether they were uprooted by violent extremists, repressive governments, or natural disasters – as suspected terrorists; we play into that narrative. To violent extremists, simply belonging to a group is proof of guilt, and can be punishable by death – whether that group is defined by religion or ethnicity, by profession or sexual orientation. When we blame all Muslims, all Syrians, or all members of any other group because of the actions of individuals, when we fall into the trap of asserting collective guilt, we empower the narrow-minded ideology that we are trying to defeat.

On the contrary, when we and the parts of the Muslim world where people are suffering or have sought refuge, when we open our communities and our hearts to the people displaced by the atrocities committed by groups like ISIL, and repressive regimes like Assad’s, we puncture the myth that the extremists paint of us. We show that our conflict is not with Islam, but with those who kill and enslave people simply for what they believe, where they are born, or who they love.

Now, I have spoken to how many of the concerns that people have about admitting more refugees are overblown, driven more by fear than by fact. And I’ve highlighted the risk we run if countries continue to shirk doing their fair share in addressing this crisis. So what can we do to try to fix this problem? For starters, countries must dramatically increase their humanitarian aid to close the growing gap between what governments and agencies are providing and what refugees need to survive. And we need countries to increase the number of refugees they are resettling so that the burden does not fall so heavily on a small number of frontline states.

Now, some have argued that, because it’s more cost effective for wealthy countries like ours to provide humanitarian support for refugees in countries of first asylum, we should channel all the resources we allocate to this crisis into helping frontline states. Why take an additional 10,000 Syrian refugees in the U.S., some argue, when the resources that we would spend vetting and resettling these individuals could support 10 or even a hundred times as many refugees in places like Lebanon or Kenya?

Of course, we cannot resettle all 21 million refugees in the world, or even a majority of them. Nor do we need to. Many refugees are able to find sufficient opportunities to live with independence and dignity in the countries where they are given first refuge. And most prefer to stay close to the places to which they hope to return.

But there are some individuals and families who cannot stay in the countries where they have arrived first – because they are not safe there, because they have special vulnerabilities, or because their basic needs just are not being met. The UN estimates that around 1.2 million people fall into this category worldwide, and need to be resettled to other countries. The problem is the international community only resettled around 107,000 individuals last year – less than one-tenth of those who UNHCR judges need to be moved to a new host country. We need to bridge that gap.

By providing more opportunities for resettlement, we give experts the chance to review applicants through orderly, deliberate processes, rather than the large-scale, irregular flows that Europe faced last year, which brought more than a million people to Germany alone. These unstructured marches make it more difficult for countries to subject those who arrive to thorough and rigorous screening. And by practicing what we preach through resettling refugees, we stand a better chance of persuading others to do the same. How can we ask governments and citizens in other countries to take in refugees if we are not prepared to do the same in our own communities? How can we convince others that fear can be overcome and risk can be mitigated if we ourselves are ruled by fear?

In recognition of the urgent need for all countries to do more, President Obama is convening a refugee summit in September at the UN General Assembly. The purpose of this summit is to rally countries around three major lines of effort. First, we’re asking governments to make a deeper commitment to funding UN and humanitarian organizations and appeals, increasing overall contributions by at least 30 percent. Second, we’re asking governments to commit to welcoming more refugees into their countries, with the goal of doubling the number of refugee admission slots worldwide. Third, we are asking frontline countries – who already are hosting considerable numbers of refugees with awe-inspiring generosity – to do even more, allowing the refugees they host greater opportunities to become more self-reliant. Our aim is to put at least a million more refugee children in school, and grant a million more refugees access to legal work.

We recognize that the United States can and must do more as well. We are the leading donor of humanitarian aid, contributing more than $5.1 billion for the Syrian conflict alone, and we will continue to provide robust support. And not only are we scaling up our resettlement efforts to admit 15,000 additional refugees this year, but we will scale up by 15,000 more next year, to admit 100,000 refugees overall. That’s a 40 percent increase in just two years – while maintaining our extremely rigorous security standards.

The summit is by no means a panacea; even if we hit every target, our response will still not match the scale of the crisis. But it would represent a step – an important step toward broadening the pool of countries that are part of the solution. We also recognize that governments cannot solve this problem alone. We need businesses, big and small, to do much more too; which is why tomorrow, the White House is launching a private sector call to action, which will rally companies to do their part, from providing jobs to donating services to refugees. We need a humanitarian system that is more efficient and better at anticipating and preventing the crises that force people from their homes – which many countries committed to build at the recent World Humanitarian Summit. We need more civic institutions to help empower refugees, such as the growing number of American universities that are providing scholarships to refugees who were forced to abandon their studies – a cause that I urge the college students and faculty in the audience to take up. We need faith-based and civic institutions to adopt this cause as their own, as Pope Francis has done by constantly showing people the human face of this crisis, even welcoming refugees into his own home; and as the Southern Baptist Leadership Convention recently did, by adopting a resolution urging its members to “welcome and adopt refugees into their churches and homes.” Only when all these efforts come together will we have a chance of rising to the challenge that we face.

Let me conclude. In a letter dated May 16, 1939, a British citizen named Nicholas Winton wrote to then-President Franklin D. Roosevelt. “Esteemed Sir,” the letter began, “Perhaps people in America do not realize how little is being and has been done for refugee children in Czechoslovakia.” Winton went on to describe how a small organization that he had started had identified more than 5,000 refugee children in Czechoslovakia, most of them Jews who had fled Nazi Germany who desperately needed to be evacuated. He wrote, “There are thousands of children, some homeless and starving, mostly without nationality, but they all have one thing in common: there is no future if they are forced to remain where they are. Their parents are forbidden to work and the children are forbidden schooling, and part from the physical discomforts, the moral degradation is immeasurable.” Winton closed his letter with a direct request: “Is it possible for anything to be done to help us with this problem in America? It is hard to state our case forcibly in a letter, but we trust to your imagination to realize how desperately urgent the situation is.”

Winton’s letter reached the White House, which promptly referred the matter to the State Department. And the State Department, in turn, sent the letter to the U.S. Ambassador in London, with instructions to inform Winton that “the United States government is unable, in the absence of specific legislation, to permit immigration in excess of that provided by existing immigration laws.”

Now Winton was undaunted, because he was undauntable. In the coming months, he bribed officials, forged documents, arranged secret transport through hostile territory, and persuaded families in the United Kingdom to take in foster children – anything to get those children out. Ultimately, he helped 669 children escape in less than a year. Almost all 669 kids were orphaned by the end of the war, their parents killed in the concentration camps.

“Perhaps people in America do not realize how little is being and has been done for refugee children.” That was how Winton had opened his letter. Yet the unfortunate reality is that even those who were aware of the refugees’ plight were reluctant to take them in. In January 1939, a few months after Kristallnacht, “the night of the broken glass,” unleashed a savage wave of violence targeting Jewish homes, synagogues, and businesses, a Gallup poll asked Americans whether 10,000 Jewish refugee children from Germany should be taken into the United States. Sixty-one percent of Americans said no.

And this isn’t an isolated case. Unfortunately, it was not only refugees fleeing the Nazis and Vietnam who the majority of Americans opposed admitting. In 1958, as Hungarians faced a vicious crackdown from the Soviet Union, Americans were asked whether they supported a plan to admit 65,000 refugees. Fifty-five percent said no. In 1980, as tens of thousands of Cubans – Cuban refugees – took to boats to flee repression, 71 percent of Americans opposed admitting them. The list goes on. In nearly every instance, the majority of Americans have opposed taking in large numbers of refugees when asked in the abstract.

Listening to the rhetoric that is out there today, it can feel at times as though the same is true today. But look around the country – look deeply – and you will find so many people who not only support admitting more refugees, but who themselves are making tremendous efforts to welcome them. People like the owners of Wankel’s Hardware Store in New York, where I live, which for decades has been employing recently resettled refugees, including 15 of their 20 current employees. Wankel’s keeps a map on the wall of the store with pins marking the 36 countries from which their refugee employees have come. Many Americans are doing their part and wish to find a way to do more. When visiting the International Rescue Committee resettlement office – just a 10-minute walk from the UN – recently, I noticed that many of their individual offices seemed to be overflowing with boxes. When I asked whether the folks who worked at IRC were moving in or moving out of the space, I was told that after some U.S. politicians threatened to curb the flow of refugees, the IRC had received a huge, unprecedented surge in donations. And they simply had no other space to store all the clothes, toys, and home furnishings that had come flooding in, just from ordinary people. A similar outpouring occurred inside the U.S. government. When we announced our goal to admit an additional 15,000 refugees this year, many U.S. national security professionals volunteered to take extra trainings and work extra hours in their already long days to help us meet that goal.

These examples abound. The small Vermont town of Rutland has committed to taking in 100 Syrian refugees. The mayor, whose grandfather came to the U.S. after fleeing war in his native Greece, said of the decision, “As much as I want to say it’s for compassionate reasons, I realize that there is not a vibrant, growing, successful community in the country right now that is not embracing new Americans.” Local schools are preparing to support kids who cannot support English, and local businesses in Rutland have said that they will look to hire refugees. One of them is a regional medical center, whose director is the grandson of refugees from Nazi Germany. “I know there is a good-heartedness to this city,” he said. “If you come here and want to make the community better, Rutlanders will welcome you with open arms.” A poll some of you have seen that was released this month by the Brookings Institution suggests that most Americans feel the same way. Asked if they would support the U.S. taking in refugees from the Middle East after they were screened for security risks, 59 percent of Americans said yes. Yes.

Nicholas Winton passed away last June, at the age of 106. At the time, the 669 children he saved had some 6,000 descendants. Six thousand people who otherwise would not have enriched our world, but mostly for the efforts of one single individual. Imagine, for just a moment, what would have happened if the United States, or any other country, had shared his sense of urgency in that instance, or in so many others. Imagine what we could do if we were to bring a similar urgency, a similar stubbornness, a similar resilience to the crisis today.

If we are proudest of the Wintons in our history – as I think we all are – we know what must be done. So that when his question comes to us – “Is it possible for anything to be done to help us with this problem?” – our answer must be yes, there is so much we can do. So much more we can do.

Thank you.

DoJ: National Healthcare Fraud Takedown

In what the Justice Department is calling the largest takedown of healthcare fraud in U.S. history, federal authorities on Wednesday brought charges against 301 people for $900 million in false billings.

Among those charged includes 61 doctors, nurses, and other licensed medical professionals who, among other crimes, allegedly committed money laundering, identity theft, and Medicare Part D pharmacy fraud. Across the country, 23 states and 36 federal districts coordinated with the Justice Department and the Department of Health and Human Services to go after the alleged fraud schemes.

The defendants allegedly submitted Medicare and Medicaid claims the Justice Department said “were medically unnecessary and often never provided.” Some of the defendants were paid kickbacks for providing information for fraudulent bills. At least 28 doctors were among those charged on Wednesday. More from Atlantic.

 

Lynch/Justice Department: Good morning everyone and thank you all for being here.  I am joined by several key leaders in our nation’s efforts to address health care fraud: Department of Health and Human Services Secretary [Sylvia] Burwell; Assistant Attorney General for the Criminal Division [Leslie] Caldwell; United States Attorney [Wifredo] Ferrer of the Southern District of Florida; FBI Associate Deputy Director [David] Bowdich; HHS Deputy Inspector General for Investigations [Gary] Cantrell; DCIS Acting Director [Dermot] O’Reilly; and [Shantanu] Agrawal, Deputy Administrator and Director of the Center for Program Integrity at the Centers for Medicare and Medicaid Services.

We are here today to announce a significant step in the federal government’s ongoing work to keep our nation’s health care system free of fraud and exploitation and to ensure that taxpayer dollars are used lawfully and appropriately.  Over the last three days, the Medicare Fraud Strike Force – a joint effort between the Department of Justice and the Department of Health and Human Services – executed a significant nationwide health care fraud takedown.  This action involved charging or unveiling charges against  approximately 300 defendants in 36 federal districts for their alleged participation in a variety of schemes involving more than $900 million in fraudulent billings, making this the largest takedown in the Strike Force’s nine-year history.

The defendants named in these charges include doctors, nurses, pharmacists, physical therapists and home health care providers.  They are accused of a wide range of serious crimes, from conspiring to commit health care fraud to making false statements and from bribery to money laundering.  They submitted dishonest claims, charged excessive fees and prescribed unnecessary drugs.  One group of defendants controlled a network of clinics in Brooklyn that they filled with patients through bribes and kickbacks.  These patients then received medically unnecessary treatment, for which the clinic received over $38 million from Medicare and Medicaid – money that the conspirators subsequently laundered through more than 15 shell companies.  In another case, a Detroit clinic billed Medicare for more than $36 million, even though it was actually a front for a narcotics diversion scheme.  And yet another defendant took advantage of his position in a state agency in Georgia by accepting bribes and recommending the approval of unqualified health providers.  These are just a few examples of the criminals that we targeted in this operation and although the specific nature of their wrongdoing varied from case to case, all of them betrayed the basic principles of their professions.

In addition to the usual patterns of fraud and deception that we’ve encountered in the past, we also saw new trends emerging in this year’s charges.  For instance, in a number of cases involving the Medicare prescription drug benefit program known as Part D, we saw new evidence of identity theft, including the use of stolen doctors’ IDs to prepare fake prescriptions.  We have also seen a growing number of cases involving compounded medications, which are combinations of two or more drugs prepared by a licensed professional.  In recent years, the cost of these drugs has grown exponentially, making them a more attractive target for criminals looking to exploit them for profit.

As this takedown should make clear, health care fraud is not an abstract violation or benign offense.  It is a serious crime.  The wrongdoers that we pursue in these operations seek to use public funds for private enrichment.  They target real people – many of them in need of significant medical care.  They promise effective cures and therapies, but they provide none.  Above all, they abuse basic bonds of trust – between doctor and patient; between pharmacist and doctor; between taxpayer and government – and pervert them to their own ends.  The Department of Justice is determined to continue working to ensure that the American people know that their health care system works for them – and them alone.

In tackling these challenges, the Medicare Fraud Strike Force relies on close cooperation between the federal, state and local, governments.  Since 2014, the Justice Department’s Criminal Division has organized an annual National Health Care Fraud Training Conference for Assistant U.S. Attorneys and state and federal law enforcement officers, which has substantially expanded the reach of our actions.  More than 20 non-Strike Force U.S. Attorney’s Offices participated in this year’s takedown, helping us to combat health care fraud in a total of 30 federal districts nationwide, from Alaska to Florida.  We were also assisted by approximately 20 state Medicaid Fraud Control Units, a reflection of the close partnership between state and federal authorities in combatting health care fraud – a partnership that we will continue to strengthen in the days ahead.

I want to thank my colleagues in the FBI, the Criminal Division and U.S. Attorneys’ Offices for their ongoing efforts to combat health care fraud.  I want to thank all of the state and local law enforcement officers across the country who participated in this complex and fast-moving takedown.  And I look forward to continuing our work together in the days ahead.

At this time, I’d like to turn things over to Secretary Burwell, who has been a dedicated leader and indispensable partner in this critical work and who will provide additional details on today’s announcement.