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00:00:22Forum with Senate candidate James Tallarico, a face-to-face meeting
00:00:25with voters, unfiltered, unedited. Can the Democratic
00:00:29aspirant
00:00:38The full story with Anderson Cooper.
00:00:51I was born in that hospital, you receive these immigrant
00:00:55workers who come, I'm fine, we need people
00:00:59to cover it.
00:01:03The positions in our hospital, you were also born in the
00:01:05a lab hospital, yes, it's bringing diversity to the city and they are good people,
00:01:09Jonesto, so it's not like we're receiving an influx of
00:01:13people, it seems that the evolution that has occurred in Heddinger has been
00:01:16received with open arms, well,
00:01:19change is always a
00:01:21challenge,
00:01:23but if the hospital closes, this town is
00:01:26nothing.
00:01:30We're on our way to interview Republican State Representative Kith
00:01:34Kepnick.
00:01:36For over 30 years he represented this southwest corner of North
00:01:40Dakota. Knick was one of the proponents of a bill that
00:01:44would have eliminated the legal immigration office, a state
00:01:47agency that helped places like the hospital in Hedinger find
00:01:50workers.
00:01:54are now facing What was your problem with the legal immigration
00:01:57decades, immigrants have helped office? Well, I think there's a lot of duplication
00:02:00of some of the things that are already happening, because
00:02:03we don't provide the
00:02:05visas.
00:02:07It was interpreted that by sponsoring that bill, you were opposed to legal
00:02:11immigration. Well,
00:02:13it's, and you look at the promoter, the person who promoted
00:02:16it, but that was referring to what you just
00:02:20said, that we should focus on local
00:02:23years ago, observe the employment
00:02:26who lived here accepted instead of trying to do it with immigration.
00:02:30That just wasn't my opinion on why I was
00:02:33doing it.
00:02:35Do you regret signing it? No matter, it didn't pass. When
00:02:39analyzing the labor force needed to keep Hedinger's hospital running,
00:02:43we see that it needs immigrants.
00:02:47It needs help, that is, the positions need to be filled. Yes,
00:02:50there's no point in having a hospital or anything else if you can't fill the
00:02:54position, but you also need skilled personnel, like many
00:02:58of these, when you enter the professional field, I think they have the necessary
00:03:02skills, it's probably the communication, it talks about a language
00:03:05barrier, yes, the language and understanding of what you say and what
00:03:09I say, have you heard specifically from the hospital
00:03:12about whether these language barriers have been a problem? Well,
00:03:16it's a concern. Do you generally support or are you concerned
00:03:20about the amount of immigrant labor that needs to be
00:03:22brought in? You can harm people if there's a misunderstanding
00:03:26about what you're trying to do or what the intention is,
00:03:33a kind of problem in many areas. In what
00:03:37way? Well, are you assimilating into this country or
00:03:41do you want to keep your home country, if so, why don't you go back
00:03:45country left at 9:30 there? Do you support the immigrant workforce that
00:03:48is coming to Hedinger? Yes, we are all
00:03:51immigrants, I may be illegal, I don't know, they lost my
00:03:54trace or our name back in 1820,
00:03:58but the two things I always...
00:04:079:30 in the morning from the Angel of Because if you want to work here, but you don't want to assimilate, then go back to your country and
00:04:11fix it, you come from a country that is
00:04:14broken, I'm going to say broken, there are probably worse words
00:04:18and you want to bring that
00:04:22culture here that is not
00:04:25ours.
00:04:39Relax, all the patients
00:04:41I have, okay,
00:04:45I take care of them with all my heart, with
00:04:49all my heart, I will check the
00:04:52belly
00:04:54area,
00:04:58do you want to stay here?
00:05:02Do you see yourself anywhere
00:05:04people who live here accepted else? I love the place. What else
00:05:07do you need? Do you want me to put the pillow between your
00:05:10legs?
00:06:12down at the hospital. What's happening? We'll draw blood
00:06:15again. We wouldn't have
00:06:18department.
00:06:21I couldn't take you back to the
00:06:22operating room.
00:06:26We couldn't deliver
00:06:29babies. We wouldn't have enough
00:06:31staff.
00:06:33The hospital would be reduced to a shadow of its
00:06:36former self.
00:06:39The Trump administration's new offensive against H1B
00:06:42visas. Major changes are coming in how the United
00:06:46States manages visas for foreign workers, they have also been
00:06:50attacking other legal immigration pathways. Trump says he is trying
00:06:53to protect American workers. A lot of
00:06:56attention has been focused on undocumented
00:06:59immigrants. But a shift is occurring.
00:07:02People who have come to the United States through legal means
00:07:07retaliation.
00:07:10President Trump signed an executive order. His new plan could worsen
00:07:13the existing doctor shortage.
00:07:17The full story with Anderson
00:08:22age, many say they want to reach Mexico
00:08:26City, but others seek to go further
00:08:28north.
00:08:32The Mexican army's anti-drone battalion consists of
00:08:36these types of inhibitory elements to bring down drones
00:08:39that have become a threat. The
00:08:42Chiapas authorities have detected a cattle smuggling
00:08:45point. This is one of the illegal crossing
00:08:49points for cattle going from Central America to
00:08:52Mexico. Thousands of protesters, workers from this
00:08:58in the morning from the Angel of Independence. I am in
00:09:01the municipality of Teuchitlán in the Mexican state of Jalisco.
00:09:05Here the discovery was macabre by groups
00:09:08of people searching for missing persons. What made
00:09:12you come here with the suspicion that your son might be on this ranch?
00:10:38of the H1B visa program, it's a scam for the
00:10:41American people, it all comes down to cheap foreign
00:10:44labor to replace the American
00:10:46worker. Jobs that could be filled
00:10:50by Americans are given to H1B visa
00:10:53holders.
00:10:55You may have heard a lot of debate about the H1B visa
00:10:59lately, this is Hedinger's main street, it's the only grocery
00:11:03store in town.
00:11:05It's what is technically known as a non-immigrant visa, but
00:11:09it grants temporary work permission to highly trained and
00:11:13qualified workers.
00:11:15There's the Past Time Bar Steak House, I think it's been owned by four
00:11:19generations or more.
00:11:22There's no doubt that many of the people who get these visas and come
00:11:26dream of a better future, they aspire to eventually obtain
00:11:29legal immigrant
00:11:30status.
00:11:36You're here on an H1B visa,
00:11:43you like to get a green card, yes, for my children, this is also for the
00:11:47future of my children.
00:11:51You're here on an H1B visa, yes, and how
00:11:54long does this last? First 3 years and then you can
00:11:58renew it for another 3 years. Anesthesia
00:12:02administration. I was hired through
00:12:05H1B, that visa expired in January of this
00:12:09year.
00:12:16after the approval of the H1B Visa.
00:12:20Many of my friends are still in the Philippines waiting for their
00:12:23visa.
00:12:26Some have been waiting for 3 years.
00:12:30Others are about to give up.
00:12:32What
00:12:42challenges does attracting immigrant workers
00:12:44entail?
00:12:47The hardest thing lately has been the $1000
00:12:51quota.
00:12:55We had several nurses and potential employees in the hiring
00:12:58process who just had to wait, and I've been
00:13:02waiting for over a year. Welcome to the
00:13:05lab, even the recruiters who could help us
00:13:08stopped sending us
00:13:16H1B Visas? About 20. That would be
00:13:1920 times $1, that's 2 million dollars.
00:13:22What impact would that have on your?
00:13:26I don't want to think about that, I think it's something we know
00:13:30is not feasible, we would have to rely on travel staff, but
00:13:33economically that's not a long-term solution. Hospitals
00:13:37across the country need travel nurses who work on
00:13:40temporary contracts for higher fees. If you want to use
00:13:44my numbers and make a prettier chart,
00:13:46go ahead, with a travel nurse
00:13:50hired in 3 years we would be paying over
00:13:5370,000 in costs. If we had a full-time
00:13:56H1B nurse, it would be just over 200,000,
00:14:00so there's a difference of approximately 50,000 in 3
00:14:03years. In 2025, when the
00:14:07Trump administration proposed that $1000 quota for the H1B
00:14:10Visa, a federal judge rejected it, but now in August
00:14:142026, the Trump administration is trying again, this
00:14:17time proposing an even higher fee of
00:14:19$103.
00:14:21The Trump administration is proposing a new, exorbitant
00:14:25price for the popular H1B worker visa. One of the
00:14:29concerns with the last price hike was that hospitals and
00:14:32universities would be exempt
00:14:34today. We found out
00:14:38yesterday, it would directly affect us. It would
00:14:42actually affect the public sector. Since we are a
00:14:45non-profit organization, we are not subject to
00:14:48capped H1B visas. So this
00:14:52specific fee of $103 is only
00:15:01we receive emails from our lawyers almost every
00:15:04day, we never know what's
00:15:06going to happen.
00:15:11We are so happy to be here in the United States, I never imagined that we
00:15:14would face this, I might cry, no, I don't want
00:15:17to cry.
00:15:20Push, it was a difficult delivery,
00:15:23breathe. You're doing well, you're working
00:15:26hard, do you feel that the
00:15:29you?
00:15:33The full story with Anderson Cooper.
00:15:44But regardless of that, the truth is that everything that happens in the world
00:15:48is shaking up in some way, and Latin America, with all
00:15:51the aspects that are there, as you said, of elections,
00:15:55of the treaty of Mexico
00:15:58with Canada and the United States, will have the spotlight
00:16:01on it, and it comes at a time when the markets, to stay a little bit in
00:16:04our focus today of markets,
00:16:08when the markets have been doing quite well
00:16:11too, and there are expectations that, to the extent
00:16:15that they are difficult to anticipate, certainly, but that are
00:16:18moving in a way they haven't in
00:16:22many years.
00:17:37to migrate, knows no age. Many
00:17:40claim they want to reach Mexico City, but others seek
00:17:43to go further
00:17:44north.
00:17:48The Mexican army's anti-drone battalion consists of
00:17:52this type of inhibitory elements to bring down drones
00:17:55that have become a threat. The
00:17:58Chiapas authorities have detected a point of cattle
00:18:02smuggling. This is one of the illegal crossing
00:18:05points for cattle going from Central America to
00:18:09Mexico. Thousands of protesters, workers from this
00:18:12country left at 9:30 in the morning from the
00:18:15Angel of Independence. I am in the municipality of
00:18:18Teuchitlán in the Mexican state of Jalisco. Here the discovery
00:18:22was macabre by groups of people searching for
00:18:26missing persons. What made you come
00:18:29here with the suspicion that your son might be on this
00:18:31ranch?
00:18:35Forum with Senate candidate. A face-to-face meeting with
00:18:39voters, unfiltered, unedited. Can the Democratic aspirant
00:18:42win in a Republican state? CNN and Jubil
00:18:46forum with James Talarico, Wednesday on
00:18:49CNN, would you like to have a healthier life,
00:18:53join me to discover new tips, advances in
00:18:56science and current methods that can help us improve our
00:19:00mind and body in a consultation with Dr. Huerta, a
00:19:03CNN podcast.
00:19:08The full story with Anderson
00:19:09Cooper.
00:19:13During filming in Hedinger, three new elementary school teachers
00:19:16arrived. We arrived, it's a long
00:19:37teachers from the Philippines, we finally arrived, that
00:19:41has never happened, it has never happened in
00:19:44Hedinger.
00:19:46We are happy and excited to meet our children. How do you
00:19:50feel? Overwhelmed. Yes, that's right.
00:19:53When you post a job opening for a teacher, how many applicants
00:19:57do you get? In the last two decades, the situation has been reduced
00:20:01to if you get two or three it's incredible. To be
00:20:04honest, in some cases you're lucky if you get one.
00:20:08Welcome to North Dakota, I'm so glad we're
00:20:11finally here, tomorrow when I wake up I'll
00:20:15have my coffee and say, hello
00:20:17Hedinger, we're happy to be here in the United
00:20:21States, I never imagined we'd face
00:20:30Yes, yes, I might cry, no, I don't want
00:20:32to cry.
00:20:37The flag of the United
00:20:41States, of the United States of America. Take your
00:20:45crayons.
00:20:48Yes, it's difficult, maybe I can help you. 7,
00:20:518, 9, 10, good, I know you can
00:20:55do it, now we have our months of the
00:20:58year, September, October,
00:21:02November, one of my students told me, thank you for coming,
00:21:06you left your daughter in the Philippines just for us,
00:21:10it's 4 + 2, what's the answer, I'm very
00:21:13touched by that, because they see our effort as a teacher to
00:21:17come, so yes. That's
00:21:21all, I'm
00:21:21sorry.
00:21:25I left my daughter in
00:21:26the Philippines.
00:21:30It's the first time we've been
00:21:31apart.
00:21:36A week after she arrived, she got sick and had a
00:21:38fever, my mother
00:21:47students?
00:21:50to manage the classroom and with time I will gain their attention, I will
00:21:53win their affection, you just have to build a positive
00:21:57relationship throughout the year and
00:22:04home, from my
00:22:05home?
00:22:09My daughter, my son and my
00:22:11husband. Here I am with my
00:22:15son, this is the first time I won't be
00:22:19with him.
00:22:22I'm doing this for our
00:22:23future.
00:22:27Hello, let's check the baby's
00:22:30movements.
00:22:33Hedinger, like many rural cities, is facing a rapid
00:22:36population decline. You are 32 weeks and
00:22:396 days. According to researchers analyzing US census
00:22:43data, over the past two
00:22:47repopulate rural areas of the United States. It will arrive
00:22:50very soon, it will arrive soon.
00:22:54I'm from Mexico, why is it
00:22:57there? From Aguas
00:22:59Calientes. I'm from
00:23:02Jalisco.
00:23:06The head is here, oh, it's down.
00:23:09When you moved to Hedinger 15
00:23:13movement, do you feel that the people
00:23:16you? With closed hands.
00:23:20I think they love us, but it was more of a political
00:23:24thing, everything seems to be fine, nothing to
00:23:27worry about, glad to hear
00:23:36I don't know what language you speak, do you speak Chinese or what? No, I speak
00:23:40Spanish, you know, because there are some people who don't just
00:23:44go around here, and now how many languages do you hear in
00:23:47Hedinger? There are many. Look, she's in the
00:23:51hospital now, they could bring her to the hospital.
00:23:55Get a little
00:23:55comfortable.
00:23:59It was a very long and
00:24:01difficult delivery. She's been pushing for two
00:24:05hours. And she must be
00:24:23push, you can do it, you can do it, keep going, keep
00:24:27going.
00:24:30It's okay to cry, you've been pushing for about two and a
00:24:41hard. Every delivery is so
00:24:44different, yes, so different, this is the most complicated
00:24:48for you, right? Come on.
00:24:51The head is already visible, I'm going to need a gown, can you
00:24:54bring it?
00:24:59Push, it's right
00:25:00there.
00:25:04Push, push, push, that's
00:25:05it.
00:25:10Now I need to clean it, here
00:25:11it comes.
00:25:14Very good, everything went as planned, I have it if
00:25:17we want to hold it.
00:25:37okay, it's a privilege to be part of this
00:25:41with a family,
00:25:44especially with such a kind and welcoming family like
00:25:47them. Oh, my life,
00:25:51what, what, my
00:25:52love.
00:25:55They are a fundamental part of our
00:25:57community.
00:26:02Do you imagine your family growing old
00:26:10him, what would happen if I died one
00:26:14day, he told me he would send me to Phoenix, Arizona, because all the
00:26:17family is there, and now what do you think,
00:26:20Hedinger, it feels like home, yes, that's
00:26:23right.
00:26:37a job interview on our last day here, yes, what
00:26:41happened, I got a message two days before from the recruiter saying
00:26:44that she had found another position and was planning to
00:26:47accept it, do you have other names you can call
00:26:51on or are you starting from scratch, we're
00:26:54starting from scratch, we've had this vacancy for several
00:26:56years.
00:27:06First you have to start with liquids, today we received a couple of
00:27:10ambulances, tonight when she arrived she was
00:27:12vomiting.
00:27:15We gave her breathing, it was very busy yesterday,
00:27:18we'll take one of your samples to the
00:27:20lab.
00:27:23I'm about 60 hours into my 72-hour
00:27:26shift, do you want an ultrasound, do you think
00:27:29we've understood well?
00:27:33And the challenges they
00:27:34face.
00:27:39I hope so.
00:27:42You have no idea what this
00:27:44hand has been through.
00:27:47People live here
00:27:48too
00:27:51and they need medical
00:28:09According to a 2026 analysis, more than
00:28:1140% of rural hospitals are operating at a loss in the United
00:28:15States, 417 are at risk of closing.
00:29:31The need to migrate. It knows no ages, many
00:29:34assure they want to reach Mexico City, but others seek
00:29:38to go further
00:29:39north.
00:29:43The Mexican army's anti-drone battalion consists of
00:29:46this type of inhibitory elements to bring down drones
00:29:50that have become a threat. The
00:29:53Chiapas authorities have detected a point of cattle
00:29:56smuggling. This is one of the illegal crossing
00:30:00points for cattle that goes from Central America. America to
00:30:03Mexico. Thousands of protesters, workers from this
00:30:06country left at
00:30:10Independence. I am in the municipality of Teuchitlán in the
00:30:14Mexican state of Jalisco. Here the discovery was macabre
00:30:18by groups of people searching for missing persons.
00:30:21What made you come here with the suspicion that your
00:30:25son might be on this
00:30:26ranch?
00:30:30Forum with Senate candidate James Stallary. A face-to-face meeting with
00:30:33voters, unfiltered, unedited. Can the Democratic aspirant
00:30:37win in a Republican state? CNN Forum
00:30:40with James Talarico, Wednesday on
00:30:43CNN. I am Emirano Jiménez in Buenos Aires,
00:30:47Argentina, we are
00:30:49CNN.
00:30:55We are CNN, the world leader in
00:30:57news.