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Yuuuup. A lot of "illegal immigration"and often even the technically legal stuff is honestly closer to "human trafficking." They want people they can pay less and who will be too scared of ICE to speak up about labor violations and shady / dangerous business practices. A looot of nursing homes are staying in business while understaffing to the point of extreme neglect by hiring immigrant nurses then telling them they'll get deported or owe them $10k+ for breaking their contract or otherwise losing them as an employer. This is how you wind up hearing stories about a nursing home that had one nursing assistant responsible for 32+ patients, half or more total care who in addition to needing to be fed and cleaned also need to be turned side to side every two hours to not literally wear holes in the skin over their bones. In my clinical placement I saw a pressure injury from a nursing home so big the wound care nurse could fit her fist in and when she debrided the dead tissue you could see the sacrum underneath. The nurses at these places are too scared to speak up because even if what the employer is telling them is illegal they don't know for sure or it would take resources they don't have to fight it. And by the time the patient gets any help you've got those massive pressure ulcers. I'm very pro DNR just let me go ffs.