How do you devastate an already-fragile system? Target its workers AND its funding.

In our @statnews.com op-ed, @rachelwerner.bsky.social and I explore how immigration enforcement & Medicaid cuts will impact millions who depend on long-term care—and what we can do.

www.statnews.com/2025/05/30/l...

@rachelwerner.bsky.social and Norma Coe laying out the evidence. "...we know how crucial nursing home staff members are—and why efforts to roll back the new minimum staffing rules pose such a threat to the residents and their families who rely on these staffers."
www.nytimes.com/2025/02/07/o...

Read more about our estimates of lives that will be lost here:

www.warren.senate.gov/imo/media/do...

And thank you to @warren.senate.gov and her office for her tireless work on this important issue.

Thank you to @nytopinion.nytimes.com for elevating this issue.

@pennldi.bsky.social
@warren.senate.gov

Last year CMS increased nursing home staffing minimums in nursing homes, a major step toward protecting nursing home residents. Norma Coe and I estimate this will save 13,000 lives every year. This regulation is now under threat of repeal.

www.nytimes.com/2025/02/07/o...

NEWS: Penn LDI and Wharton are thrilled to announce a historic $3.5 million gift from the Leonard & Sophie Davis Fund to support the Summer Undergraduate Mentored Research Program and LDI programs focused on expanding insurance and health care access.
ldi.upenn.edu/our-work/res...

⬆️Join us on Friday, 12/6 for a virtual seminar where we'll discuss recommendations in the Policy Brief. Register: ldi.upenn.edu/events/integ...
#Medsky

#DuallyEligible
CC:
@aishaadkins.bsky.social @matthewbehrens.bsky.social @rachelwerner.bsky.social

Two critically important research articles related to this.

One third (!!!!) of the home health and personal care aide workforce is foreign-born.

amandakreider.github.io/in-progress/... (from @amandakreider.bsky.social)

www.nber.org/papers/w30960

As the baby boom generation enters its prime years for long-term care needs, its difficult to come up with a more challenging backdrop than an immigration system about to be cut off at its knees (think: nursing home aides) and states having to fill in funding gaps from Medicaid spending shortfalls.

Over a year ago, the prescient @dusetzinas.bsky.social sent me an invite code to join her here. I signed up but never logged in. Now, finally, I’m here! And @pennldi.bsky.social came along!