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WASHINGTON (AP) — Tom Homan, the acting director of the agency charged with combatting illegal immigration, is stepping down.U.S. Immigration and Customs Enforcement announced Homan's decision Monday. The Senate had yet to act on his confirmation.Homan has been one of the most public faces of the Trump administration's crackdown on illegal immigration and has made frequent media appearances warning of the dangers he says illegal immigrants pose.Homan says in a statement that it's been the "honor" of his life "to lead the men and women of ICE for more than a year," and says his decision is "bittersweet."But he says that after 34 years, he wants to focus on his family.Homan informed Department of Homeland Security leadership earlier this year that he planned to retire this summer. 797

WASHINGTON (AP) — Social Security recipients will get a modest 1.3% cost-of living-increase in 2021, but that might be small comfort amid worries about the coronavirus pandemic and its consequences for older people. Government estimates released Tuesday show the increase amounts to a month for the average retired worker. The estimated average Social Security payment for a retired worker would be ,543 a month. The cost-of-living adjustment, or COLA, affects the personal finances of about 1 in 5 Americans. The economic fallout from the virus reduced tax collections for Social Security and Medicare. But there's been no real discussion of either program in the election contest between President Donald Trump and Joe Biden. 741

WASHINGTON (AP) — The Trump administration will begin allowing so-called “Dreamer” immigrants to renew their permits to remain and work in the U.S. for a year while it reviews a Supreme Court ruling and the underlying legality of the Deferred Action for Childhood Arrivals program.A White House official confirmed the announcement Tuesday. Renewals for the Obama-era program, which covers hundreds of thousands of immigrants brought to the U.S. illegally as children, had been halted as the Trump administration pushed to end the program.The Supreme Court ruled earlier this month that Trump failed to follow appropriate procedure when he tried to end the program, but affirmed his ability to do so. The White House has been studying the ruling and devising plans to try again to end DACA — though it was not immediately clear whether the politically sensitive move would be undertaken before November's election.The administration will continue not to accept new applications for the program. 1001

WASHINGTON (AP) — The number of U.S. active-duty troops deployed to the U.S.-Mexico border has "pretty much peaked" at the current total of 5,800, the Pentagon's No. 2 official said Thursday.That is far below the 10,000 to 15,000 that President Donald Trump initially said would be needed to secure the border against what he called an "invasion" of migrants.Deputy Defense Secretary Patrick Shanahan was asked about the military mission one day after his boss, Defense Secretary Jim Mattis, visited troops near McAllen, Texas, and defended the use of the military for border security.Mattis said that within a week to 10 days, the troops currently deployed along the border in Texas, Arizona and California will have accomplished all the tasks initially requested by Customs and Border Protection, although he said additional requests were expected.Shanahan did not go into detail beyond saying substantial additional troops do not appear to be required."We've pretty much peaked in terms of the number of people that are down there," he told reporters at the Pentagon. He noted that the current mission is scheduled to end Dec. 15, adding, "That could always be amended."Mattis, while on his way to visit troops along the border in south Texas on Wednesday, declined to provide an estimate of how much the mission will cost.In his most extensive remarks about the hastily arranged mission, Mattis argued that it fits an historical pattern dating to early in the 20th century. He noted that President Woodrow Wilson deployed tens of thousands of National Guard and active duty troops to the border in 1916 in response to a Mexican military raid into the U.S. led by Gen. Francisco "Pancho" Villa.He noted that more recently, National Guard troops were used in border missions ordered by President George W. Bush and President Barack Obama, although not on the cusp of a midterm election.Mattis did not say how soon the mission might end.In addition to the 5,800 active duty troops in the border area, about 2,100 National Guard troops have been providing border support since April.Critics have questioned the wisdom of using the military on the border where there is no discernible security threat. Since the Nov. 6 election, Trump has said little about the matter, and no border threat has yet materialized.Asked whether he believes there is a security threat at the border that justifies the use of the active duty military, Mattis said he defers to the judgment of Homeland Security Secretary Kirstjen Nielsen, who joined him at the border Wednesday.Mattis said the short-term objective is to get sufficient numbers of wire and other barriers in place along the border as requested by Customs and Border Protection. The longer-term objective, he said, is "somewhat to be determined."Mattis said the mission, which does not include performing law enforcement tasks, was reviewed by Department of Justice lawyers and deemed a legal undertaking. "It's obviously a moral and ethical mission to support our border patrolmen," he said.___AP Radio correspondent Sagar Meghani contributed to this report. 3109

We don’t often think of racism impacting people’s health. But Dr. Amber Johnson has made a career of studying how the two issues are intertwined.“We’re in Los Angeles at this moment. Black women are the most rent-burdened in this area, so you think about having the stresses of being in a low-class environment and having to deal with racism and cope with racism," said Dr. Johnson, a professor at California State Long Beach who focuses on racism in health care. "And a lot of times, there’s feelings of isolation and loneliness all those things contribute to early physiological wear and tear on our body. Our bodies are literally wearing down."Dr. Johnson says racism is ingrained in our health system. One reason she says implicit bias, which are attitudes or stereotypes that affect our understanding and our decisions, even if we don’t realize it.“These implicit biases are passed down through practice, beliefs, experimentation, all these other things that really contribute to these implicit biases that we see, that are, that become very apparent when black people present in health care fields,” she explained.But systemic racism may start before you get to the doctor's office. Some experts say it begins with access.“People of color face long-standing and persistent disparities in health and healthcare, and these span across a wide array of measures,” said Samantha Artiga, the Director of the Disparities Policy Project at the Kaiser Family Foundation. Artiga's job is to look at how people of different races, genders, and classes are treated differently within the health care system. She says disparities in health care and health outcomes start with access to care and works their way up through every imaginable facet of life.“People of color are more likely to be uninsured than white individuals. That translates into increased barriers to access and care because they’re more concerned about costs, may have less access to a provider, not have a huge source of care outside of the emergency room,” she explained.Those healthcare woes can then be tied directly to jobs because 159 million Americans of all races get health insurance through their employers.But experts say the root of the race and health care problem lies in the kinds of jobs filled mostly by Black and Brown Americans. This is because they are more likely to be working in industries that may not offer coverage to their employees, or when it is offered it may not be affordable to individualsResearch from the National Institute of Health and the Center for American Progress shows African Americans in the US are less likely to have health care coverage than white people. That may be why Black women are more likely to be overweight. Black children are more likely to have asthma. Black adults are more likely to have hypertension. Cancer kills Black people at a higher rate than any other group. Black people are more likely to be diabetic than white people. Black babies die at more than double the rates of all other races in the US, and Black women die more than three times as often during childbirth as white women.Those are just some of the disparities that exist.Over and over again while researching this story, we heard about another major healthcare issue for many people of color: a shortage of doctors, nurses, and other health care workers that look like them, sound like them and have similar life experiences.“Black physicians make up 4-5 percent of all doctors practicing nationwide, whereas, Blacks make up 13 percent of the US population,” said Dr. Leon McDougle, the president of the National Medical Association, a national group that represents Black physicians in the US. He says when he was in medical school, he didn’t have a lot of Black classmates.“I went to medical school here at the Ohio State in the mid-’80s and there weren’t many faculty doctors that looked like me, and when you saw a Black doctor, it almost became a mental image. So, that was inspiration for me to say this has to change,” said Dr. McDougle.He says in 2020 when he sees patients of color, it has an impact on them and they have an impact on him and his students.“More than half the time when I see patients, I have a medical student, and not too uncommonly, that student will be African-American or LatinX. And to just hear the patients give them, cause most of my patients are African American, and to hear them help uplift them in their pursuit of becoming a physician, I hear that all the time,” he said.So, there is hope that there will be more healthcare workers of color, but there is still a long way to go. According to the Association of American Medical Colleges, over the last five years, the number of Black medical students has gone up about one percent, from 6 percent to 7 percent.Many say that's not enough.And the people working for change say the opportunity to make it happen is now.“It’s hard work to move systems and move structures and I just hope we don’t miss the opportunity that is presented at this current time, in terms of the attention, focus, and movement to do something about it,”“It’s not just for me to say I did this, but it’s for me, it’s for my mom, for my grandmother, it’s for my daughter. That’s four generations of black women that I’ve seen negatively affected by racism,” said Artiga.“It’s killing Black people. It’s killing, it’s killing us,” said Dr. Johnson. 5410