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Philadelphia leads the way on ending medical deportations

Patient in a hospital bed

"Hospitals around the country should not be in the business of sending their patients somewhere else to die because they don’t want to pay for care," writes Martinez.

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Martínez is a leader in Philadelphia’s End Medical Deportation campaign.

On Dec. 14, 2023, members of the End Medical Deportation Coalition celebrated a dream three years in the making: outlawing private medical deportations in my city of Philadelphia.

I am proud of the Philadelphia leaders creating history once again as the first city in the country to ban medical deportations. Due to the support of Councilmember Jim Harrity and the entire council body, we now have a law that prevents hospitals from repatriating immigrant patients without consent, requires all materials regarding medical reparations to be translated and gives victims of medical deportations the right to sue hospitals for harm.


We shouldn’t underestimate the importance of this landmark law. Hospitals around the country should not be in the business of sending their patients somewhere else to die because they don’t want to pay for care. It’s that simple. I hope our leadership persuades other cities to follow our example across the country.

Of course I am aware of the fact that hospitals face serious financial strain due to the upsurge in the need to care for undocumented workers who most often do not have medical insurance. Hospitals can serve an important purpose in advocating for comprehensive immigration reform to address health care access and the exploding costs. This is the role they should be playing as opposed to any involvement in deporting their patients.

Medical deportations happen when hospitals send seriously ill, undocumented patients out of the country to a deeply uncertain future. I know firsthand how devastating this practice is because it almost happened to my family. In June 2020, at the height of the pandemic, a Philadelphia hospital attempted to deport my uncle after he was hit by a motorcycle while walking as a pedestrian. At the time they wanted to deport him he was bedridden and unconscious, had fractures in his ribs and legs, was on a feeding tube, and was still recovering from traumatic head injuries. My uncle would have died if he had been deported to Guatemala. I repeatedly told the hospital that. My family and I were against it and did not consent to his transport. My uncle had lived in Philadelphia for 20 years. His support network was here.

The hospital continued to ignore us until the community rallied around my uncle. Thanks to that support, my uncle is alive today. He was able to receive the medical treatment he needed in Philadelphia thanks to advocates who pushed the hospital to help him apply for Emergency Medical Assistance.

This situation profoundly affected my family, and that is why I asked the Philadelphia City Council to support ]Harrity’s legislation. Since sharing my story I’ve learned of other cases of medical deportation in Allentown, where a hospital tried to send a comatose mother to the Dominican Republic, and elsewhere around the nation. It must stop.

Philadelphia’s new law sets a model for the nation by providing much needed oversight of the practice of medical repatriation. It ensures patients and families get the in-language information they need to make the best decision for care; to fully consent to any medical repatriation. When the hospital wanted to deport my uncle, they did not give me all the information in my language, which is necessary to make such important decisions.

Most importantly, this law makes sure there are ways to hold bad actors accountable. It creates the pathway for the city to enforce this legislation, levy fines on those who violate patient's rights, and require reporting from hospitals to monitor how widespread the practice of medical deportation is.

No one should be thrown away for needing health care. We all deserve access to it. No hospital in Philadelphia or anywhere in America should separate a sick or injured person from their support network. The values of this city that my uncle and I call home are rooted in welcoming everyone and centering brotherhood. Medical deportation is not consistent with those values, which is why it’s time to end it not just in Philadelphia, but across the United States. I am so proud of our leadership here and look forward to seeing it spread across the country.

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Democrats’ Redistricting Gains Face New Court Battles Ahead of 2026 Elections
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Democrats’ Redistricting Gains Face New Court Battles Ahead of 2026 Elections

Earlier this year, I reported on Democrats’ redistricting wins in 2025, highlighting gains in states like California and North Carolina. As of December 18, the landscape has shifted again, with new maps finalized, ongoing court battles, and looming implications for the 2026 midterms.

Here are some key developments since mid‑2025:

  • California: Voters approved Proposition 50 in November, allowing legislature‑drawn maps that eliminated three safe Republican seats and made two more competitive. Democrats in vulnerable districts were redrawn into friendlier territory.
  • Virginia: On December 15, Democrats in the House of Delegates pushed a constitutional amendment on redistricting during a special session. Republicans denounced the move as unconstitutional, setting up a legal and political fight ahead of the 2026 elections.
  • Other states in play:
    • Ohio, Texas, Utah, Missouri, North Carolina: New maps are already in effect, reshaping battlegrounds.
    • Florida and Maryland: Legislatures have begun steps toward redistricting, though maps are not yet finalized.
    • New York: Court challenges may force changes to existing maps before 2026.
    • National picture: According to VoteHub’s tracker, the current district breakdown stands at 189 Democratic‑leaning, 205 Republican‑leaning, and 41 highly competitive seats.

Implications for 2026

  • Democrats’ wins in California and North Carolina strengthen their position, but legal challenges in Virginia and New York could blunt momentum.
  • Republicans remain favored in Texas and Ohio, where maps were redrawn to secure GOP advantages.
  • The unusually high number of mid‑decade redistricting efforts — not seen at this scale since the 1800s — underscores how both parties are aggressively shaping the battlefield for 2026.
So, here's the BIG PICTURE: The December snapshot shows Democrats still benefiting from redistricting in key states, but the fight is far from settled. With courts weighing in and legislatures maneuvering, the balance of power heading into the 2026 House elections remains fluid. What began as clear Democratic wins earlier in 2025 has evolved into a multi‑front contest over maps, legality, and political control.

Hugo Balta is the executive editor of the Fulcrum and the publisher of the Latino News Network

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