TELEARUBA — broadcast
20261012 090000 UTC
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[00:00:00] Thanks to our guests, María Teresa Cardona, Israel Ortega,
[00:00:03] Andrés Flores and Octavio Pescador, and to all of you for allowing us to enter
[00:00:07] your homes. I am Juan Carlos López, on behalf of the technical
[00:00:11] and production team of CNN Washington, of clash of opinions from our colleagues in
[00:00:20] live on USA and next Sunday here on Choque de opiniones de
[00:00:24] CNE.
[00:00:41] We are CNN, the world leader in
[00:00:45] was a protest and it's really one of news.
[00:00:49] The Full Story with Anderson Cooper. I'm Anderson Cooper, welcome to the Full
[00:00:53] Story. While the Trump administration has tightened measures against
[00:00:56] undocumented immigrants in the United States, it has also taken initiatives to limit
[00:01:00] legal immigration, arguing, in part, to preserve jobs for
[00:01:04] American workers. However, hospitals across the country are increasingly
[00:01:08] turning to immigrant labor to fill positions for doctors, nurses,
[00:01:12] and technicians. The healthcare sector has been facing a staff shortage for over a decade,
[00:01:16] a shortage that became even more severe after the
[00:01:19] COVID-19 pandemic. The situation is especially critical in rural areas
[00:01:22] where hospitals struggle to attract candidates. One such facility is
[00:01:26] West River Hospital in Hettinger, North Dakota. It is
[00:01:30] located near South Dakota and Montana and provides medical services to all
[00:01:33] three states. More than 13% of its full-time staff come from
[00:01:37] other countries and fill positions that in some cases had been vacant
[00:01:41] for years. Edla Bandera of CNN and her team spent 30
[00:01:45] consecutive days filming inside this hospital, accompanying doctors and
[00:01:49] nurses from the emergency room to the operating rooms to show you the reality of
[00:01:52] life in a small town hospital and how much they depend on
[00:01:56] immigrant labor, both the hospital and the patients you will see in the next hour,
[00:02:00] granted permission to be
[00:02:01] filmed.
[00:02:10] Do you think we have understood the challenges they face? I
[00:02:14] hope so, no answer, ma'am, no
[00:02:17] answer, we'll probably
[00:02:21] let her go. Father Adam is here. Push,
[00:02:24] push. Good, you're working
[00:02:27] hard, you can already see the head.
[00:02:31] All right, preparing some fluids, let's get started. Tonight when she came
[00:02:34] home she was vomiting, I'll check her blood to make sure there's no stress
[00:02:37] on her heart, she needs oxygen, she had
[00:02:41] abdominal pain, it got worse, her surgery
[00:02:44] is over, we're just waiting for her to
[00:02:46] wake up, you're at a very high risk of having a heart
[00:02:49] attack, we're going to check the baby's
[00:02:53] movements, it's coming, yes, it's
[00:02:55] coming,
[00:02:58] country, left at 9:30 in everything seems to be fine, no reason to worry. 30 days from the inside, hospitals and the
[00:03:02] immigrant workforce,
[00:03:02] inmigrante,
[00:03:09] you're listening to KNDC 1490
[00:03:12] AM 106.7 FM in
[00:03:14] Hettinger,
[00:03:18] I'm going to retire in about 2
[00:03:19] years,
[00:03:22] I'm worried about someone coming to take my
[00:03:31] I don't know if they're going to find someone to fill my
[00:03:34] position,
[00:03:41] all rural areas are running out of people,
[00:03:44] it's becoming increasingly difficult to recruit and retain staff to work in the
[00:03:48] healthcare sector, and the situation worsened after
[00:03:52] COVID-19,
[00:03:58] in Hettinger live.
[00:04:02] about 100 people.
[00:04:05] We are 112 km from Montana,
[00:04:09] 6 km from South Dakota. But our
[00:04:12] service area at the
[00:04:13] hospital
[00:04:19] covers about 52,000 square kilometers.
[00:04:23] We serve 2,000 people in a large
[00:04:26] area.
[00:04:30] that offers similar services is 112 km from
[00:04:34] here and there are already people who drive 145 km to
[00:04:38] get
[00:04:38] here.
[00:04:47] We all perform multiple functions, the executive
[00:04:50] director drove the
[00:04:51] ambulance.
[00:04:55] It's difficult to recruit staff because it requires a lot of training to be a technician.
[00:05:02] of emergency medical services, hello Paul, I'm Dr. Hull, what happened to
[00:05:06] you today, did you feel dizzy, chest pain, difficulty breathing, what happened,
[00:05:10] I've been doing ambulance transfers for three years. as a driver,
[00:05:13] she also has emphysema and asthma, helping to transport
[00:05:17] people,
[00:05:22] did they do an electrocardiogram on you,
[00:05:25] we currently have more than 40 vacant positions, this is my
[00:05:28] office with about 200 employees currently, this used to be the
[00:05:32] lobby,
[00:05:35] this position has been vacant for about 10 years since
[00:05:38] 2016.
[00:05:46] The drive to Hettinger, North Dakota is beautiful, I'm going south,
[00:05:50] sur,
[00:05:53] the views are
[00:05:54] majestic,
[00:05:59] vast
[00:06:00] plains,
[00:06:03] the landscape is
[00:06:04] breathtaking.
[00:06:14] How do you pronounce the name of the town? Hettinger.
[00:06:17] See the
[00:06:20] map.
[00:06:24] You feel like you're in the middle of nowhere. A
[00:06:27] little bit and that's good. That's the
[00:06:30] goal.
[00:06:37] And also from
[00:06:38] Montana.
[00:06:42] This small hospital serves three states, three states,
[00:06:53] what challenges do you face running a small hospital in a small
[00:06:56] town? We have the resources for the
[00:07:00] materials and
[00:07:01] tools,
[00:07:04] but we lack the workforce, Hettinger Hospital, how can I
[00:07:08] help you?
[00:07:12] We have a lady coming in by ambulance, they found her unconscious at her
[00:07:16] home.
[00:07:19] No response, ma'am, no
[00:07:21] response.
[00:07:25] We'll probably admit her, keep her comfortable and let her
[00:07:27] die. They called her
[00:07:30] priest. Father Adam is
[00:07:34] here. The census information on the demographics
[00:07:37] of the patients you treat shows that 90% are
[00:07:40] white. It was probably
[00:07:43] 98%. Not a big cut.
[00:07:46] We have a very large elderly population. I think it's deep
[00:07:50] and every time you use your hand it will open wider. Maybe insert one to bring
[00:07:54] that deep tissue together. We have our large
[00:07:57] farming population.
[00:08:00] That is, farmers, ranchers. Good thing
[00:08:03] your doctor had you get the tetanus shot. There are
[00:08:07] fewer young people, but
[00:08:16] pain. Take a deep breath, inhale and exhale. It's a
[00:08:20] struggle because of hiring. Does
[00:08:24] that hurt? We are very far from everything and we must do what
[00:09:02] Shower's funeral, what shoes should I wear? I
[00:09:05] think Dr. Shower came here after finishing his
[00:09:08] residency,
[00:09:11] he was a very important part of this place for many
[00:09:15] years, he was really an advocate for
[00:09:19] rural healthcare,
[00:09:21] well, I think this funeral will be
[00:09:23] big,
[00:09:29] hello, how are you all, it's been a long time since
[00:09:32] I've seen you, I have to sit in the aisle because
[00:09:36] I'm on call, but maybe I'll sit on the side behind
[00:09:39] Jerry, yes.
[00:10:55] who will retire,
[00:10:57] but it is becoming increasingly difficult to find people to fill the
[00:11:01] vacancies, there are simply fewer and fewer people willing to come
[00:11:04] here and engage in this type of
[00:11:13] operating room
[00:11:58] Today I was home making
[00:12:00] lunch,
[00:12:03] then they called me and told me I had a patient for a blood
[00:12:07] draw in emergency room
[00:12:09] 2, I'm from the
[00:12:12] Philippines, I grew up in a town similar to
[00:12:16] this one,
[00:12:20] it's like I never left
[00:12:22] home.
[00:12:25] give them the immigrant labor that is coming in to keep this place
[00:12:28] running, keep squeezing my hand if you feel any discomfort, that's becoming
[00:12:32] an increasingly important part of our survival, it's going
[00:12:36] to move, it's slowing down, this week, on Thursday
[00:12:39] we have a person coming in for an interview for an internal
[00:13:10] comprehensive analysis of how many applications I
[00:13:13] received, 31 from the Philippines, 11 from
[00:13:17] Nigeria, and three from
[00:13:18] Ghana.
[00:14:26] age. Many say they want to reach Mexico
[00:14:29] City, but others seek to go further
[00:14:32] north.
[00:14:36] The Mexican army's anti-drone battalion consists of
[00:14:39] these types of inhibitor elements to bring down drones
[00:14:43] that have become a threat. Chiapas
[00:14:46] authorities have detected a cattle smuggling
[00:14:49] point. This is one of the illegal crossing
[00:14:53] points for cattle going from Central America to
[00:14:56] Mexico. Thousands of protesters, workers from this
[00:14:59] country, left at 9:30 in the morning from the
[00:15:03] Angel of Independence. I am in the municipality of
[00:15:06] Teuchitlán in the Mexican state of Jalisco. Here
[00:15:09] the discovery was macabre by collectives of people
[00:15:13] searching for disappeared persons. What made
[00:15:15] you come here with the suspicion that your son might be on this
[00:15:19] ranch?
[00:16:33] I'm Gabi Frías in Mexico City, we are CNN.
[00:16:40] The full story with Anderson
[00:16:41] Cooper.
[00:16:47] Okay, let's jump right in.
[00:16:51] He's an 80-year-old
[00:16:52] man.
[00:16:55] He came in because he has chest pain. He's at a pretty high
[00:16:59] risk of having a heart attack right now and it might be
[00:17:01] developing.
[00:17:07] We're going to do a blood
[00:17:08] test for him,
[00:17:15] how important is this hospital to you? It's very
[00:17:19] important, it's the closest
[00:17:22] to us, there are only small
[00:17:25] towns around,
[00:17:31] I analyzed the blood samples from the emergency patient, this is a
[00:17:35] hematology machine. How long have you been working
[00:17:38] here, since 2022, 4
[00:17:42] years, we're all Filipino
[00:17:46] here,
[00:17:49] the
[00:17:53] migration flow is, oh, that would seem to be, it's really the
[00:17:56] most viable way for me to have a suitable candidate to work
[00:17:58] here.
[00:18:11] We received 31 applications directly online
[00:18:14] from the Philippines, all from very
[00:18:17] qualified candidates, we had 11 applicants from Nigeria and
[00:18:21] three from Ghana. We also had two very viable
[00:18:25] candidates, both American. We
[00:18:29] offered the job to both
[00:18:30] of them,
[00:18:33] but both declined.
[00:19:24] university.
[00:19:31] It's for the
[00:19:32] salary.
[00:19:37] amount of
[00:20:43] Why did you come to the United States to work?
[00:20:47] It's my dream.
[00:21:07] are they fasting,
[00:21:09] yes, we only had about three applicants between 2022 and
[00:21:13] 2024, two were from the United
[00:21:17] States, she drank water.
[00:21:33] not qualified, Marichu was the applicant,
[00:21:49] to fill the
[00:22:16] we were both born and raised here.
[00:22:38] as you do, this photo is just before our
[00:22:42] 50th anniversary, it gives you peace of mind to know that hospital
[00:22:46] is nearby,
[00:22:48] yes, nearby a... got kicked in the head by a horse, a
[00:22:52] man got off his combine and broke his leg, it's
[00:22:55] necessary, this is an old one, when we had
[00:22:59] our children, we went there, if we had gone to Bowman, our
[00:23:03] children would not have made it, because they were born prematurely, what do you
[00:23:07] mean by that, they would have died,
[00:23:10] and when your children were born, there were more American-born employees
[00:23:14] at the hospital, have you seen that change, yes, over the
[00:23:18] years.
[00:23:50] improve your life, oh yes, of
[00:23:52] course,
[00:23:54] in what way, many things, money,
[00:23:58] time,
[00:23:58] opportunities,
[00:24:03] before Ursula and Melissa arrived, the positions
[00:24:06] were vacant for at least 3 and a half
[00:24:10] years, nobody
[00:24:11] applied,
[00:24:19] we took
[00:24:22] it out. and now we're going to wake up the patient,
[00:24:26] I'll hold your hand because we don't want you to scratch your eyes,
[00:24:30] I don't know what the girl who woke me up was called,
[00:24:34] she's still in her fantasy world, Leona, she said wake
[00:24:37] up, you'll go back to sleep, the surgery is
[00:24:41] over, we're waiting for you to wake up, why did
[00:24:44] you want to work in the medical field, you're in the recovery
[00:24:48] room. I like to help
[00:24:52] people, for me it's a great satisfaction
[00:24:56] to share my knowledge with someone and know that it will be
[00:24:59] useful to them,
[00:25:02] here we had twins 49 years ago, I don't
[00:25:05] plan to return to our
[00:25:07] country,
[00:25:10] right now it seems a little hopeless
[00:25:12] to go back, you want to be an American
[00:25:16] citizen,
[00:25:22] there are many people who say that there are immigrants who come to this country, they take jobs
[00:25:26] from Americans, have you ever heard that or thought about
[00:25:29] that? We cannot live next to each other
[00:25:33] without taking anything from each other, how much do you appreciate the immigrants who work
[00:25:37] here. We need them, that's all I can
[00:25:40] say. Do you think that's a shared
[00:25:43] sentiment by everyone who lives in the
[00:25:46] area? Not necessarily.
[00:25:53] people who still say, I don't think they should be here, did you really hear that, when you hear
[00:25:56] people say what you're telling me, do you say anything to them, yes, I
[00:26:00] tell them, they're doing their job, be grateful to
[00:26:03] have them, otherwise, you might not even be
[00:26:07] alive without those people helping
[00:26:08] you.
[00:26:16] One reason we are here in Hettinger, has to do
[00:26:19] with something I've been reporting on for the last
[00:26:22] year.
[00:26:26] In Texas, tension has arisen in the Dallas suburbs.
[00:26:30] This is a town
[00:26:33] council meeting, most people are probably retired and don't understand how the H1B visa
[00:26:37] takes jobs from Americans, we need to
[00:26:40] take back the American worker and support our doctors, not give away
[00:26:44] our country. This
[00:26:48] the most overtly racist things I've seen in a long
[00:26:50] time.
[00:26:57] This evokes what we heard in Charlottesville a few years ago.
[00:27:01] Much of this dispute focuses on the number of immigrants who have arrived in the
[00:27:05] region on H1B visas,
[00:27:08] that's why it's important to be in a place like
[00:27:10] Hettinger. You come from a broken country
[00:27:13] and you want to bring that culture here, it
[00:27:17] represents us, the full story with Anderson Cooper.
[00:28:22] The need to migrate knows no age, many
[00:28:26] say they want to reach Mexico City, but others seek
[00:28:30] to go further north.
[00:28:34] The Mexican army's anti-drone battalion consists of
[00:28:38] these types of inhibitor elements to bring down drones
[00:28:41] that have become a threat. Chiapas
[00:28:44] authorities have detected a cattle smuggling
[00:28:48] point. This is one of the illegal crossing
[00:28:51] points for cattle going from Central America to
[00:28:55] Mexico. Thousands of protesters, workers from this
[00:29:00] the morning from the Angel of Independence, I am in the municipality
[00:29:04] of Teuchitlán, in the Mexican state of Jalisco, here
[00:29:08] the discovery was macabre by collectives of people
[00:29:11] searching for disappeared persons. What made
[00:29:14] you come here with the suspicion that your son might be on this ranch?
[00:30:51] I was born in that hospital. You welcome these
[00:30:55] immigrant workers who come and it's fine. We need
[00:30:59] people to cover it.