She rides three buses from her Panorama City house to her job as a caretaker for an 83-year-old Sherman Oaks woman with dementia, and lately she is worried about taking federal agents.
When I asked what she will do when she is deported, B., who is 60 and asked me to keep her name behind, paused paused to put together herself.
“I don’t want to cry,” she said, but losing her job of $ 19 hours would be devastating because she sends money to the Philippines to support her family.
The world turns grayer every day thanks to an epic demographic wave. In California, 22% of the state inhabitants will be 65 and older by 2040, by 14% from 2020.
“At a time when it seems that less and less of us wants to work in long-term care, the need has never been greater,” Harvard Healthcare Policy analyst David C. Grabowski told the Los Angeles Times’ Emily Alpert Reyes in January.
So how will millions of older Americans be able to afford to physical and cognitive decline, especially in view of the big beautiful proposed cutbacks of President Trump for Medicaid, who comprises about two -thirds of the nursing home residents? And who will take care of those who don’t have family members who can get up?
There are currently no good answers.
Shrinking workforce
Deporting care providers can be useful if there was a plan to make the jobs more attractive for home -grown replacements, but none of us would be a day old donut.
National and in California are the vast majority of employees in healthcare institutions and private institutions citizens. But employers already had problems recruiting and keeping staff to do jobs that are low -paid and difficult, and now the policy of Trump’s administration could further reduce staff.
Earlier this year, the administration ordered to put an end to programs that offer temporarily protected status and work authorization, and the last goal in the action of Trump against illegal immigration is to perform 3,000 arrests every day.
“People are worried about the threat of deportation … but also about losing every job they have and are unable to secure other work,” said Aquilina Soriano Versoza, director of the Pilipino Workers Center, that estimated that about half of the members of its interest group was not documented.
In the past, she said, employers did not necessarily ask for work authorization documents, but that changes. And she fears that, given the political climate, some employers ‘have the feeling that they are impunity to exploit employees’, many of whom are women from Southeast -Asia, Africa, the Caribbean, Mexico and Latin -America.
That can already happen.
“We have seen a lot of fear, and we have seen employees who no longer want to pursue their affairs” When it comes to theft of Loon, Yvonne Medrano, a lawyer for working rights at Bet Tzedek, a non -profit for legal services, a non -profit organization.
Medrano said the employees are worried that the pursuit of justice at the courts will expose them to a greater risk of being started out of the country. In one case, she said, an employee owed a final salary for a terminated job, but the employer made a veiled threat and warned that it appears to pick it up expensive.
Given the hostile environment, some employees give up and go home.
“We have seen an increase in employees self -aged,” said Medrano.
Conditions for elderly care staff were gloomy enough before Trump took office. Two years ago I met documented and without paper care providers and although they are in health care, some of them did not have health insurance for themselves.
I met a survivor of cancer and caregiver who rented a converted garage without a kitchen. And I visited an apartment in Panorama City where Josephine Biclar struggled in her early 1970s with knee and shoulder injuries while still working as a caretaker.
Biclar shared a tight studio with two other care providers. They used room distributors to cut their space into sleeping quarters. When I checked with Biclar last week, she said that four women now share the same space. They all have a legal status, but because of low wages and the high costs of housing, together with the burden of supporting families abroad, they cannot afford better housing schemes.
B. and another care provider shares a single room, for an amount of $ 400 each, from a homeowner in Panorama City. B. said that her commuting takes more than an hour as of one way, and during her nine-hour service her duties for her 83-year-old customer are cooking, nourishing and bathing.
Fear and chaos
At the moment she only works three days a week and said that extra jobs are difficult to find, given her status and immigration performance. She was upset that she could not afford to send money home in the past two months.
Retired UCLA-learned Fernando Torres-Gil, who served as assistant secretary of President Clinton on aging, said that “fear and chaos” in the older healthcare sector will probably not end during this presidential administration. And given budget restrictions, California will hardly be under pressure to do more for care providers and those who need care.
But he thinks the growing crisis could eventually lead to a wake.
“We are going to see more and more older people without long-term care,” said Torres-Gil. “Hopefully Democrats and Republicans will get away from talking about open boundaries and talking about selective immigration” that serves the economic and social needs of the country.
The US does not agree alone, be Torres-Gil. The same demographic shifts and health care needs affect the rest of the world, and other countries can open their doors for employees who manage the US.
“As more baby boomers” close to the ranks of those who need help, he said, “We can finally understand that we need some kind of leadership.”
Nowadays it is difficult not to be cynical, but I would like to think he is doing something.
Steve Lopez is a columnist in Los Angeles Times. © 2025 Los Angeles Times. Distributed by Tribune Content Agency.
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