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.

Europe has an Unaccompanied Children Crisis Too

New World Dis-Order

Unaccompanied child refugees: ‘These children aren’t seen as children’

A network of 30 European NGOs supporting missing and exploited children have come together to tackle the rising problem of missing refugee children

Guardian: Human smugglers increasingly combine smuggling with exploitation and their victims are often children,” says Federica Toscano. “At chaotic border situations, it happens that smugglers deliberately separate refugee children from their parents to exploit them.’’

“We also hear that families at the border between Greece and Macedonia have been forced to ‘pay’ smugglers with one of their children,” continues Toscano. “Smugglers have come to realise they can make much more profit by taking advantage of vulnerable people. And the most vulnerable people are children.”

Toscano is well-placed to know. She works for Missing Children Europe, a network of thirty European NGOs that are active in the field of missing and sexually exploited children. Since its foundation in 2001, MCE has focussed on different groups of missing children (pdf). Half of the cases of children that disappear in Europe are runaways: those who run away from home or institutions after a history of violence or abuse. More than a third are abducted by parents.

Related reading: Invisible refugees: ‘You are the only organisation that has ever visited us’ 

But the most recent category is unaccompanied child refugees. “This group only makes up 2% of cases, which is a low percentage,” says Delphine Moralis, the secretary general of MCE, “but that doesn’t say anything about the magnitude of the problem. These children are seldom reported as missing. That’s why we find it so important to focus on this problem too.’’

Earlier this year Europol stated that at least 10,000 unaccompanied child refugees have gone missing in Europe. A recent EU report warned that these children have become targets for criminal gangs, who exploit them in the sex industry or force them to beg, steal or smuggle drugs.

But MCE believe the true number to be far higher than 10,000. Toscano says that “in Italy alone 5,000 refugee children have gone missing. And Germany reported that in 2015 almost 6,000 of these children have disappeared.’’

The organisation has been aware of the problem for some time. “As far back as 2005 a Belgian study showed that one fourth of unaccompanied children seeking asylum went missing within the first 48 hours upon arrival. So it’s no news to us.”

But for a whole range of reasons, many of these disappearances go unreported. “First of all, there’s no sense of urgency,” explains Toscano. “When a child refugee goes missing, the general assumption is that he or she has a plan, and that the child is resilient. The police and social services don’t feel the same sense of urgency as when the child is from their own country. They are not aware of the risks these children run, that they might fall victim to exploitation. So nothing is really done.’’

The lack of formal procedures when these children disappear is another problem. “Much depends on the goodwill of the single professional involved,” says Toscano. “There is no common system to collect information about missing children in Europe. There are good practices, but they’re very local. So the traffickers just go to another area.’’

MCE was founded fifteen years ago in 2001, when it became clear that European cooperation on this issue was seriously lacking. “I was working for a Belgian NGO at the time when two Belgian girls went missing,” says Moralis. “On the third day of their disappearance a judge called us and said: ‘We have no idea where these children are, they could be anywhere in Europe, we really need your help now.’ There was no other way to tackle the problem but by contacting one by one all the 309 European organisations working in this field. That’s when we realised it was necessary to create a network of contact points for missing children.”

The organisation facilitates training of professionals to respond better to the disappearance of child refugees. It also exerts pressure on European institutions to provide clear rules and legislation to protect these children. This year, MCE has published a handbook (pdf) on good practises to help prevent and respond to unaccompanied children going missing.

“We try to be as practical as possible,” says Toscano. “You can do so much to prevent a child from disappearing. Just a simple example: when a child arrives in a shelter and is given food, he may think he has to pay for it. When he has no money, he will try to escape as soon as possible. Workers should take time to explain everything to the child … Sometimes these children don’t even realise it when they are exploited. Their traffickers tell them all kinds of lies to make them extra vulnerable. They say: watch out for authorities, they will lock you up.’’

They also closely monitor development throughout Europe. Toscano has been collecting information on missing children in Europe through the EU co-funded SUMMIT project (pdf). This included a study into interagency cooperation around unaccompanied migrant children done through surveys and interviews with hotlines for missing children, professionals at refugee reception centres, guardians and law enforcement in the UK, Italy, Greece, Cyprus, Spain, Belgium and Ireland.

As a result they are hearing from the frontlines. “We know that there are networks of child traffickers that operate in different countries,” says Toscano. “For example, when a refugee child has been exploited in Eritrea and claims asylum in the Netherlands, there will be another criminal gang waiting to exploit him there. Traffickers have excellent lines of communication. When a child has a history of trafficking, the risk that he will be trafficked again is very high.”

According to Moralis, the closing of borders means that lots of refugees are stuck in bad conditions: “This makes them more vulnerable and creates more opportunities for criminals. How is it possible that all this is going on in Europe and nobody seems to know where these children are?”

“Our main aim is to raise awareness that these children are children,” says Toscano. “It’s very simple. You’d think that everyone would be aware of this, but it is certainly not the case. Not for authorities, not for members of the civil society, nor for the general public. These children usually aren’t seen as children, but as people who just come here and use resources that we want to use for something else.’’

Migrants linked to 69,000 would-be or actual crimes in Germany

Inviting in people of unknown backgrounds under the banner of humanitarian objectives is a dangerous policy, when innocent citizens are victims. This is occurring in the United States with wild abandon, yet apathy reigns and there are no real grass-roots efforts to demand and restore order or security.

Even if cases go to court, the judicial systems in Europe and in the United States render feeble sentences which is worse and almost no one is deported. Discretionary application of the law for the sake of an alleged culture, humanity and for refugee/asylum conditions with grow instability, clog and corrupt processes and cause illness or death.

Below, in the case of Germany the publication of this condition translate to a situation that is likely worse than actually being reported especially when Merkel had control over a media blackout.

Migrants linked to 69,000 would-be or actual crimes in Germany in first three months of 2016: police

Reuters: Migrants in Germany committed or tried to commit some 69,000 crimes in the first quarter of 2016, according to a police report that could raise unease, especially among anti-immigrant groups, about Chancellor Angela Merkel’s liberal migrant policy.

Immigrants are escorted by German police to a registration centre, after crossing the Austrian-German border in Wegscheid near Passau, Germany, October 20, 2015. REUTERS/Michael Dalder

There was a record influx of more than a million migrants into Germany last year and concerns are now widespread about how Europe’s largest economy will manage to integrate them and ensure security.

The report from the BKA federal police showed that migrants from northern Africa, Georgia and Serbia were disproportionately represented among the suspects.

Absolute numbers of crimes committed by Syrians, Afghans and Iraqis – the three biggest groups of asylum seekers in Germany – were high but given the proportion of migrants that they account for, their involvement in crimes was “clearly disproportionately low”, the report said.

It gave no breakdown of the number of actual crimes and of would-be crimes, nor did it state what percentage the 69,000 figure represented with respect to the total number of crimes and would-be crimes committed in the first three months of 2016.

The report stated that the vast majority of migrants did not commit any crimes.

It is the first time the BKA has published a report on crimes committed by migrants containing data from all of Germany’s 16 states, so there is no comparable data.

The report showed that 29.2 percent of the crimes migrants committed or tried to commit in the first quarter were thefts, 28.3 percent were property or forgery offences and 23 percent offences such as bodily harm, robbery and unlawful detention.

Drug-related offences accounted for 6.6 percent and sex crimes accounted for 1.1 percent.

In Cologne at New Year, hundreds of women said they were groped, assaulted and robbed, with police saying the suspects were mainly of North African and Arab appearance. Prosecutors said last week three Pakistani men seeking asylum in Germany were under investigation after dozens of women said they were sexually harassed at a music festival.

The number of crimes committed by migrants declined by more than 18 percent between January and March, however, according to the report.

Refugees with Active TB Arrived

Eleven Refugees With Active TB Arrived in Florida After 2013

Eleven refugees with active tuberculosis (TB) were among more than 111,000 refugees who arrived in Florida during the three years between 2013 and 2015, according to a report the Florida Department of Health recently sent to Breitbart News.

Their active TB status was determined in medical screenings completed within 90 days of their arrival in the Sunshine State.

This news comes barely a week after Breitbart News reported that four refugees with active TB were sent to Indiana in 2015.

The Florida Department of Health provided a breakdown, by year of arrival, of the eleven refugees who arrived in Florida with active TB:

Number of refugees who completed domestic medical screening who were diagnosed with active TB at the time of that screening.

Year        Number Diagnosed with Active TB
2013                               5
2014                               5
2015                               1

Total                             11

Breitbart: The vast majority of these refugees who arrived in Florida between 2013 and 2015–104,000 of the 111,000– came from Cuba  under the “wet-foot, dry-foot policy,” the 1995 “amendment to the 1966 Cuban Adjustment Act. . . [that] gives migrants from Cuba special treatment that no other group of refugees or immigrants receives… [and] puts Cubans who reach U.S. soil on a fast track to permanent residency,” as Dan Moffett reports.

Only a small percentage of these 104,000 Cuban refugees–an estimated total of 3,000–entered as “traditional arrival” refugees, the program through which approximately 70,000 refugees per year enter the United States from over 100 different countries.

The remaining 111,000 Cuban refugees were classified as part of the additional 70,000 migrants who enter the United States annually and are designated as “other served populations” eligible to participate in refugee programs administered by the Office of Refugee Resettlement. Many in this group are classified by the federal government as “non-traditional arrivals,” a designation that includes “irregular maritime arrivals. . . and border crossers.”

In 2015, for instance, of the 140,093 total migrants who were eligible to be served by the refugee programs administered by the Office of Refugee Resettlement 69,933 were refugees, while 70,160 were “other served populations.”

Another small percentage of the 111,000 refugees who entered Florida between 2013 and 2015–a total of 7,000–entered through the “traditional arrival” refugee resettlement program administered by the Office of Refugee Resettlement from countries other than Cuba.

While all 10,000 refugees (3,000 from Cuba, 7,000 from other countries) who arrived in Florida between 2013 and 2015 through the “traditional arrival” refugee resettlement program were medically screened overseas prior to being approved to come to the U.S., the 101,000 Cubans who came to Florida under the category “others served by the refugee resettlement program” over the same period were not medically screened prior to their arrival in the U.S.

Most startling of all the information included in the Florida Department of Health data is that only two of the eleven refugees (18 percent) who arrived in Florida with active TB were included in the B1, B2, B3 refugee tuberculosis medical risk notifications sent to the Florida Department of Health by the CDC through the National Electronic Disease Notification System.

Total number of refugees who arrived with a B1, B2, or B3 tuberculosis notification who were diagnosed with active TB at the time of that screening, expressed as an absolute number and also as a percentage of notification of refugees screened.

Year         Number Diagnosed with Active TB          Percentage of Refugee Notifications
2013                                 1                                                              3.7%
2014                                 1                                                              2.4%
2015*                               0                                                               0%
* Preliminary data

The other nine refugees who arrived in Florida with active TB (82 percent) were most likely Cuban migrants in the category “others served by the refugee resettlement program” who were not medically screened overseas prior to their arrival in the U.S. It possible, however, that some of the non-Cubans who were given a clean bill of health by the CDC’s overseas medical screening program were in this latter  group.

When the CDC provides the Florida Department of Health with advance notifications for each “traditional arrival” refugee bound for Florida when they arrive at a U.S. port of entry, it also provides B1, B2, and B3 tuberculosis medical risk notifications for those “traditional arrival ” refugees carrying those classifications. The Florida Department of Health provided Breitbart News with the number of refugees who arrived with  B1,B2, and B3 medical risk notifications between 2013 and 2015:

Number of B1, B2, and B3 tuberculosis notifications sent to the Florida Department of Health by the CDC.

Arrival         Number of Refugees
2013                             61
2014                             80
2015                             92

Source: Electronic Disease Notification system (EDN)

Refugees who entered Florida with these medical risk notifications were from among the 10,000 “traditional arrival” refugees between 2013 and 2015, 3,000 from Cuba, and 7,000 from other countries. None of the 111,000 Cubans who entered Florida between 2013 and 2015 from the “others served by the refugee resettlement program” category were subject to these medical notifications, since none had been medically screened overseas.

Though the CDC has gone to great lengths to assure Americans that refugees do not present a tuberculosis health risk to them, the actual data from Florida and Indiana belie that claim.

As Breitbart News reported previously:

Refugees who are diagnosed in overseas medical screenings as having “active infectious tuberculosis” are classified as Class A medical risks, and are not allowed to migrate to the United States without a special waiver.

Refugees who are diagnosed as having something the CDC calls, in a classic bureaucratic oxymoron, “active tuberculosis – non-infectious,” are classified as Class B1 medical risks and are allowed to migrate to the United States.

According to the most recent 2007 standards provided by the CDC to the approximately 700 medical doctors who have been authorized by U.S. embassies or consulates overseas to be part of the U.S. Control Panels that perform overseas medical screenings of U.S. bound refugees, any refugee who (1) has a chest radiograph that suggests the presence of TB and has either (1) sputum smears that test positive or (2) sputum cultures that test positive, is categorized as a Class A medical risk.

Class B2 tuberculosis medical risks are refugees who complete the overseas medical screening and require “[l]atent tuberculosis infection evaluation .”

Class B3 tuberculsosis medical risks are refugees who complete the overseas medical screening and require “contact evaluation.”

The Florida Health Refugee Health Program Report for 2010 to 2012 explains why refugees from Cuba and Haiti are treated differently than those from other countries:

Most refugee arrivals in Florida enter through the Miami port of entry and resettle in Miami-Dade County. However, Florida is experiencing an increase in refugees arriving through the Chicago and New York City ports of entry.

The RHP (Florida Refugee Health Program) is notified in advance of traditional port of entry (i.e.,international airports and seaports) refugee arrivals by the Centers for Disease Control and Prevention’s (CDC’s) Electronic Disease Notification (EDN) System.

The RHP does not receive prior arrival notifications for non-traditional refugee arrivals such as primary asylees, irregular maritime arrivals, and border crossers who are eligible for refugee services.

Irregular maritime arrivals and border crosser populations refer to Cuban/Haitian entrants who may have arrived via water or land (U.S./Mexico or U.S./Canada border) and have received an immigration status that deems them eligible for refugee benefits.

The vast majority of Texas arrivals consisted of border-crossers.

Arrivals through non-traditional ports of entry increased dramatically between 2010 and 2012.

There were 338 (1.4%) non-traditional arrivals in 2010, 2,298 (8.8%) in 2011, and 8,229 (26.9%) in 2012. Non-traditional arrivals include both border-crossers and irregular maritime arrivals.

Border-crossers are Cuban/Haitian entrants who may have arrived via water or land (U.S./Mexico or U.S./Canada) and have received an immigration status that deems them eligible for refugee benefits, such as public interest parole…

Closely related to the trends in ports of entry for refugee arrivals are the trends in the immigration status of refugee arrivals. Although the term refugee is used throughout this report to encompass all eligible populations, there are 11 different immigration statuses represented in Florida’s arrivals.

Since 2010, parolees ( …individuals granted entry into the U.S. for humanitarian reasons or for emergent or compelling reasons of significant public benefit) have been the largest immigration status represented in the eligible arrival population in Florida, followed by refugees and asylees.

Many  Cuban refugees (the majority of whom are technically “parolees”) enter the United States by land, with Texas being the leading port of entry.  These individuals, along with Cuban refugees who are classified as “non-traditional maritime” arrivals are not medically screened prior to their arrival here.

As Pew Research reported:

Thousands of Cubans have migrated to the U.S. by land. Many fly to Ecuador because of the country’s liberal immigration policies, then travel north through Central America and Mexico. The majority of Cubans who entered the country arrived through the U.S. Border Patrol’s Laredo Sector in Texas, which borders Mexico. In fiscal 2015, two-thirds (28,371) of all Cubans came through this sector, an 82% increase from the previous fiscal year.

However, a larger percentage increase occurred in the Miami sector, which operates in several states, but primarily in Florida. The number of Cubans who entered in the Miami sector during fiscal 2015 more than doubled from the previous year, from 4,709 .

Over 80 percent of the more than 56,000 Cuban refugees and migrants who arrived in the United States in FY 2015 were resettled in Florida. Ten percent were resettled in Texas, while the remainder were resettled in other states.

In Florida, Cuban refugees and migrants account for well over 90 percent of all resettled refugees, as this breakdown of refugees arriving in the Sunshine State between 2013 and 2015, as provided to Breitbart News by the Florida Department of Health, shows:

FY 2013-2015 Arrivals,  By Country of Origin
Country                   2013              2014              2015              Total
Cuba                      29,506         31,443            43,681           104,630
Burma                         383              408                 467                1,258
Iraq                              481              577                  302               1,360
Haiti                             486             538                  189                1,213

Total                       31,906      33,978              45,907             111 ,791

NOTE: some of this data is still preliminary in nature.

Residents of the Sunshine State can take some comfort, however, in the fact that Florida has consistently had a very high rate–well over 90 percent–of arriving refugees who successfully complete their medical screenings within 90 days:

Total Arrivals, FY 2013 to FY 2015

Year                    Number of Arrivals Number Screened Percentage Screened
FY 13                            31,906                      29,838                   93.52%
FY 14                            33,978                      33,217                   97.76%
FY 15                           45,907                      44,672                    97.31%

This is just part of the TB refugee health data provided by the Florida Department of Health to Breitbart News, important information that is not made available to the public in many other states, particularly those like Tennessee where refugee resettlement operations are controlled by VOLAGs (voluntary agencies) selected by the Office of Refugee Resettlement under the statutorily questionable Wilson Fish alternative program.

The special treatment of Cuban refugees, however, may be coming to an end, a result of concerns over financial scandals reported in the resettlement program in Florida, as well as the re-establishment of formal relations with Cuba by the Obama administration in 2015.

Critics question why Cubans should not enter through the traditional refugee resettlement program like the 70,000 refugees resettled by ORR each year. Should that take place, Cuban refugees would then be subject to overseas medical screenings.

Since two of the eleven refugees who arrived in Florida with active TB between 2013 and 2015 went through that screening and were classified B1, B2, B3 tuberculosis medical risks cleared for entry into the U.S., it is not clear if adding overseas medical screenings to Cuban refugees will offer significant improvements to the public health risks Americans face from refugees who are now readily cleared by an obviously imperfect  medical screening system.

But, since nine of the eleven refugees who arrived with active TB between 2013 and 2015 were likely not subjected to overseas medical screening, adding overseas medical screenings as a requirement for entry for all Cuban refugees would not make the current flawed system worse.

The only sure-bet policy that could make the current system better, however, at least in terms of guaranteeing that no refugees arriving in the U.S. will increase the risk of Americans being infected with active or latent TB, would be to completely shut down the program and allow no refugees to enter.