-Caveat Lector-

http://www.csmonitor.com/durable/2001/07/20/fp1s1-csm.shtml
Aid flows to illegal immigrants

In a controversial move, states make it easier for families to get
everything from drivers' licenses to healthcare.

By Kris Axtman ([EMAIL PROTECTED])
Staff writer of The Christian Science Monitor

HOUSTON

Seven years after Californians voted to sharply curtail public benefits
to illegal immigrants, a growing number of states are moving to offer
more services to those living illegally in this country - sometimes
even in defiance of federal rules.

Faced with burgeoning populations of undocumented people, many big
Southern states in particular are changing strictures governing access
to everything from healthcare to drivers' licenses.

The moves come at a time when anti-immigrant sentiment still runs deep
in many parts of the country, and the Republican Party is sharply
divided over the possibility that President Bush might liberalize US
policy toward illegal immigrants from Mexico.

In just the past few months:

� Texas became the first state to allow undocumented immigrants to pay
in-state tuition instead of the international tuition usually required.
California and Minnesota, among others, are considering similar bills.

� Tennessee and Utah removed the need to have a Social Security number
to get a driver's license - something that has long been an impediment
to illegal immigrants seeking to drive.

� Arizona is struggling with the federal government to continue
providing non-emergency healthcare to illegal immigrants who need
special treatments, such as dialysis, something they have been doing
for years with state funds.

Overall, "there is a growing movement of support for providing services
to undocumented immigrants," says Tatcho Mindiola, director of the
Center for Mexican American Studies at the University of Houston.
"People are beginning to recognize the important role they play in
society."

Not every state, of course, is suddenly turning completely benevolent.
In Texas, Gov. Rick Perry (R) recently vetoed legislation that would
have allowed illegal immigrants in the state to obtain drivers'
licenses. He said existing laws already provide ways for foreign
nationals to do so.

Other states are trying to provide certain benefits to undocumented
immigrants, but are being stymied by the federal government -
particularly in the area of healthcare.

Help now or get hit later

Arizona's healthcare fight is one of the most visible examples. Voters
there passed a proposition to expand healthcare insurance to the
working poor.

But to receive financial help from the federal government, the state
had to make some concessions - one of which was to stop funding
nonemergency care to those who are undocumented.

At present, Washington provides money for those who are illegal only
for emergency-room visits. So, come Oct. 1, some 200 Arizona immigrants
getting chemotherapy and other such treatments will be on their own.

"We see those services as an outgrowth of emergency care," says Frank
Lopez, a spokesman with the Arizona Health Care Cost Containment
System. "If we don't provide those services, these patients will be
back in the emergency room until we can stabilize them again. It's kind
of like a revolving door."

Some localities trying to expand healthcare services to illegals are
running into other problems. Last week, Texas Attorney General John
Cornyn found that the Harris County Hospital District, based in
Houston, was violating federal law by providing preventive care to
undocumented immigrants. It was told to stop providing such care -
something it hasn't yet done.

"The need to uphold the law and the need to provide good healthcare -
both are valid and legitimate needs," says John Guest, the hospital
district's president. "But in this case, they are not on the same
path."

Following different playbooks

Many states and localities, in fact, feel like they're "not on the same
path" with the federal government when it comes to the care of illegal
immigrants. When it overhauled immigration policy in 1996, Congress
bowed out of funding many benefits for immigrants and left it up to
states to decide whether they would cover the cost for those benefits.

That worried states with large immigrant populations, such as
California, Texas, and New York.

"States have to do something," says Mark Krikorian, executive director
of the Center for Immigration Studies in Washington. "They have been
left holding the bag because of the failure of the federal government
to stop immigration."

Those who oppose providing benefits to the undocumented have long
argued that these services simply encourage more illegal immigration.

But in a study published last year, Project Hope, a healthcare advocacy
group, found that - out of 800 illegal immigrants polled in California
and Texas - fewer than 1 percent said they came to the United States
for the social services.

Most said they came to work or to be reunited with family. In addition,
37 percent reported visiting a doctor in the past year, compared with
75 percent in the overall US population.

"We found that healthcare was not a drawing factor," says Marc Berk
with Project Hope in Bethesda, Md. "Even the most restrictive rules
would not have any effect on immigration."

The debate over how benevolent the US should be toward illegal
immigrants is about to intensify even more. Mr. Bush is considering
asking Congress to grant amnesty to millions of undocumented Mexicans
currently in the United States and to significantly expand the guest
worker program.

But opposition is mounting within GOP ranks.

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