When President Donald Trump took office in January, he pledged a sea change in the way the U.S. manages legal and undocumented immigration. In his first 100 days in office, Trump has delivered the disruption he promised, with immigration down dramatically and many foreign-born nationals rethinking working in the U.S. This effort may affect the ability of older Americans to get the home healthcare help they need, either because it becomes more expensive or because workers are harder to find.
The U.S. does not have a specific visa program for home healthcare aides to work in the U.S. A patchwork of temporary or permanent visa arrangements allows some workers to immigrate, but these visas are limited. Most people enter through "chain migration," via family members who are already citizens or green card holders. This is a form of legal migration that Trump has pledged to end or reduce.
