MINNEAPOLIS \u2014 Gabi has big brown eyes, pigtails, and a genetic condition that makes her bones brittle. They fracture easily, leaving the 2-year-old in such pain that her mother quit her job cleaning offices to stay home and cradle her in the one-bedroom apartment they share with six relatives. <\/p>\n
When federal immigration agents descended on their city, officers deported Gabi\u2019s father and detained her aunt.<\/p>\n
Gabi was born in the U.S. and is an American citizen. Her best chance to stand, or even walk, someday is a complex surgery on her legs and feet that was scheduled for January. But her mother, too terrified to take out the garbage let alone venture through the city to a hospital, canceled the procedure. KFF Health News agreed to only partially identify the patients and their families in this article because they fear becoming targets of President Donald Trump\u2019s immigration crackdown.<\/p>\n
\u201cI want more than anything for my baby to walk,\u201d her mother said in Spanish, as Gabi cooed and wriggled in her arms, a feeding tube snaking from her stomach to an IV pole. \u201cBut with the situation that\u2019s happening, I canceled the surgery and all the physical therapy appointments\u201d that would have followed. \u201cBecause I\u2019m afraid to leave.\u201d<\/p>\n
The Department of Homeland Security has declared an end to what it called Operation Metro Surge, carried out by officers with the Immigration and Customs Enforcement and Customs and Border Protection agencies. Even so, health care workers say, immigration agents are still camping out in hospital parking lots. And drones fly overhead in agricultural areas beyond Minneapolis, where Somali and Latino immigrants have settled in recent years.<\/p>\n
The Minnesota crackdown revealed the sweep of the surveillance and capture system the Trump administration is using to uproot immigrant communities in the United States, and the effect of its powerful brake on the medical system.<\/p>\n
Similar health crises surfaced wherever immigration officers massed in the past year. In Dallas, public health clinics administered about 6,000 vaccinations to Latinos last August, half as many as during a similar program a year earlier. In Chicago, doctors rerouted patients daily from clinic to clinic depending on ICE activity. Across the country, crackdowns suppressed immigrants\u2019 health care visits.<\/p>\n
In Minnesota, medical systems have reported cancellation and no-show rates of up to 60% since December.<\/p>\n
Tricia McLaughlin, a spokesperson for the Department of Homeland Security, blamed protesters for the disruption. \u201cIf anyone is impeding Americans from making appointments or picking up prescriptions,\u201d she said, \u201cits [sic] violent agitators who are blocking roadways, ramming vehicles, and vandalizing property.\u201d<\/p>\n
While Minnesotans rose up to oppose the surge in the streets, doctors and nurses have quietly operated informal, underground medical networks, dodging detection to care for patients at home.<\/p>\n
\u201cI used to look somebody in the eyes and say, with good faith, \u2018You will be fine at the hospital,\u2019\u201d said Emily Carroll, a nurse practitioner at HealthFinders Collaborative, a community clinic in Faribault, some 50 miles south of Minneapolis. \u201cBut now, I can\u2019t make that guarantee.\u201d<\/p>\n
As thousands of federal agents move on from Minneapolis, other communities need to prepare, said Minnesota Democratic state Sen. Alice Mann, a physician.<\/p>\n
\u201cI know it sounds crazy,\u201d she said, but health care providers \u201cneed to start an underground network of how to get people care in their homes. Because letting people die at home or come close to death because they are terrified to go into the hospital, in 2026, is outrageous.\u201d<\/p>\n
The Surge Delivers Harm<\/strong><\/p>\n Home visits, clinicians say, may be the only way to reach those who still feel under siege. In Los Angeles, starting last June, St. John\u2019s Community Health brought medical care to some 2,000 immigrant families too frightened to leave home during an immigration sweep after the clinic\u2019s no-show rates ballooned to more than 30%, said Jim Mangia, the organization\u2019s president.<\/p>\n \t\t\t\t\t<\/p>\n \t\t\t\t\t<\/p>\n Many of Minnesota\u2019s large health institutions have relied on telemedicine and only dabbled in home care.<\/p>\n Not Munira Maalimisaq, co-founder of Inspire Change Clinic in Minneapolis\u2019 Ventura Village neighborhood. After about one-third of her patients stopped showing up for appointments, \u201cI was like, \u2018We have to do something,\u2019\u201d the nurse practitioner said. So she called a physician friend. What if they just started seeing patients at home?<\/p>\n \u201cAnd she\u2019s like, \u2018You know what? Let\u2019s do it.\u2019\u201d<\/p>\n They now have about 150 doctors \u2014 a volunteer \u201crapid response\u201d team that has made more than 135 home visits. The first call was a woman whose husband had been deported. She was home with her children, was 39 weeks pregnant, and was in labor. Maalimisaq called an obstetrician volunteer, and they rushed to the patient\u2019s house.<\/p>\n \u201cShe was 8 centimeters dilated,\u201d Maalimisaq said, \u201cand did not want us to call an ambulance. She says, \u2018Can I have the baby here?\u2019\u201d<\/p>\n The woman was not a good candidate for a home birth, Maalimisaq said. They persuaded her to ride to the hospital in Maalimisaq\u2019s car, a \u201csmall Tesla, white seats. Everything that could go wrong was there.\u201d<\/p>\n But they made it to the hospital in time, and the woman had a safe, healthy delivery. \u201cIf we were not there, I can only imagine what would have happened.\u201d<\/p>\n Maalimisaq\u2019s caregiving follows a Hippocratic logic: \u201cSomeone was in need. I cannot just do nothing. And we cannot call an ambulance against her will and have her shoved in there. We had no choice but to do something, and that was the only thing that we could do safely.\u201d<\/p>\n In other visits, she has seen \u201cpeople so stressed out they pulled the hair out of their skull.\u201d She said she met a mother who\u2019d been rationing her child\u2019s seizure medicine despite the child having experienced \u201cone seizure after another.\u201d<\/p>\n The Trump administration says its Minnesota operation improved public safety. \u201cSince Operation Metro Surge began, our brave DHS law enforcement have arrested over 4,000 criminal illegal aliens including vicious murderers, rapists, child pedophiles and incredibly dangerous individuals,\u201d according to McLaughlin, the DHS spokesperson. DHS announced last month that McLaughlin was leaving her post.<\/p>\n Minnesota correctional officials say many people accused of crimes were released directly to ICE by state or county prisons and jails. And only 29%<\/a> of people arrested by ICE nationwide in January had criminal convictions, according to DHS data. Far fewer were convicted of violent crimes.<\/p>\n Agents Outside Hospitals, Clinics<\/strong><\/p>\n On the first day of his second term, President Donald Trump rescinded a 2011 policy that prohibited immigration enforcement in \u201csensitive locations\u201d such as schools, hospitals, and churches.<\/p>\n In Northfield, about 45 miles south of Minneapolis, ICE agents have been sitting in their cars for hours at least twice a week outside the town hospital, said Carroll, the nurse practitioner. Agents have made arrests in the area almost every day, Carroll and her colleagues said.<\/p>\n \u201cICE does not conduct enforcement at hospitals \u2014 period,\u201d McLaughlin said.<\/p>\n One recent morning, three ICE vehicles sat in a Baptist church parking lot across the street from an elementary school in Northfield as volunteers ferried 35 children of immigrants back and forth to the school so their parents could avoid going out, Carroll said.<\/p>\n \u201cICE is not going to schools to arrest children \u2014 we are protecting children,\u201d McLaughlin said.<\/p>\n Drones that Carroll and others believe are operated by immigration agents hover most nights, and sometimes during the day, over a trailer park that mostly houses immigrants who have moved to the area to work in agriculture and manufacturing over the past 15 years. Families paper over trailer windows, Carroll said.<\/p>\n \u201cYou cannot feel safe anywhere,\u201d she said. \u201cOn the way to school, on the way to clinic, you might pass ICE. The sort of crushing fear and feeling of being trapped that these families are going through is outrageous.\u201d<\/p>\n That fear means patients with diabetes and heart disease are missing blood sugar and blood thinner tests. Patients aren\u2019t getting exercise, and the chronically ill are getting sicker, said Calla Brown, a Minneapolis pediatrician.<\/p>\n At the Faribault clinic where Carroll works, staff members deliver medicine, food, and other necessities to patients. A staffer drives 12 middle and high school kids to and from class every day in a clinic van.<\/p>\n Some patients are treated at home. Carroll recently diagnosed a baby with influenza, telling the parents it wasn\u2019t an immediate threat \u2014 yet.<\/p>\n \u201c\u2018If you see the baby struggling to breathe, if the baby\u2019s not eating, if the baby isn\u2019t making wet diapers, you have to go to the hospital,\u2019\u201d Carroll said she told them. \u201c\u2018I cannot promise it\u2019s safe. But you\u2019ve got to go.\u2019\u201d<\/p>\n \u2018We\u2019re Nice to Each Other\u2019<\/strong><\/p>\n In Minneapolis, nurse-midwife Fernanda Honebrink spends most of her daylight hours calling, coordinating, and shuttling between a ballooning group of fearful people stuck in their homes. She prefers not to call it a medical underground.<\/p>\n \u201cIt\u2019s more like, that\u2019s how we function in Minnesota,\u201d said Honebrink, a U.S. citizen who emigrated from Ecuador 23 years ago. \u201cWe\u2019re nice to each other.\u201d<\/p>\n Honebrink spent a recent afternoon at the home of a family with a baby boy. His parents, Alex and Isa, desperately want him to receive vaccinations and blood tests at his one-year well-child appointment.<\/p>\n But they haven\u2019t left their apartment for more than a month. \u201cYou don\u2019t know what is most important: whether to go out for his well-being, or to go out and think that you might not come back,\u201d Alex said.<\/p>\n The couple, who were interviewed in Spanish, entered the U.S. legally from Venezuela in 2024 under a program called Humanitarian Parole, which Trump ended in May. Since then, federal agents have detained and deported workers at a company where Alex, a mechanical engineer by training, worked in construction.<\/p>\n Alex and Isa have seen government vehicles outside their home. They knew of a man, they said, who had legitimate work papers but was picked up while walking to church one Sunday, flown to Texas, then put on a plane to Venezuela. It was a terrifying prospect for those who\u2019ve fled that country\u2019s dictatorship and economic chaos.<\/p>\n \u201cIt feels like a psychological attack,\u201d Alex said. \u201cThe possibility of being separated from your family.\u201d<\/p>\n Isa, a lawyer back in Venezuela, has endured postpartum depression, cooped up for weeks in their apartment. The state program that provided health insurance to all immigrants ended Jan. 1. A therapist checks in occasionally by phone, free of charge.<\/p>\n She has tried to keep the family afloat by selling homemade cakes and necklaces, and babysitting.<\/p>\n Her worst fear is being separated from her son, who was born in the U.S. and is a citizen. The possibility hadn\u2019t occurred to her until an acquaintance urged her to sign a form<\/a> to designate someone to have temporary custody if she were deported.<\/p>\n \u201cIt was something I never imagined,\u201d said Isa, who sobbed as she recalled the moment. \u201cHe\u2019s my baby! He\u2019s not someone else\u2019s! What? My baby would remain here with someone?\u2019\u2019<\/p>\n Honebrink suddenly piped up: \u201cI will guarantee him. I\u2019ll sign the form.\u201d<\/p>\n She later told a reporter, \u201cI told my husband I wouldn\u2019t do that. I\u2019ve already signed as a sponsor for four kids.\u201d<\/p>\n As soon as she left the apartment, Honebrink jumped back on the phone and traded favors with local pediatricians, clinic schedulers, and volunteers. Within hours, she\u2019d set up a new well-child visit for the baby and found a vetted driver to transport the family.<\/p>\n \u201cA white person,\u201d Honebrink explained.<\/p>\n Two days later, Honebrink sent a picture of her small victory: Alex and Isa\u2019s baby boy with a Band-Aid on his legs. \u201cHe got his vaccines,\u201d she said via text. \u201cI\u2019m so happy.\u201d<\/p>\n But other medical needs cannot be as swiftly addressed. One February evening, Honebrink greeted Gabi and her mother with a trunk full of donated baby wipes, diapers, and toys.<\/p>\n Gabi\u2019s surgery is rescheduled for August. Her mother said she hoped by then it would be safe to leave home.<\/p>\n \u201cI used to take the kids to the park, but now we don\u2019t leave at all,\u201d she said. \u201cThey grab people, they mistreat them. How I wish it would end soon!\u201d<\/p>\n KFF Health News\u2019 Jackie Forti\u00e9r contributed to this report.<\/em><\/p>\n KFF Health News<\/a> is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF\u2014an independent source of health policy research, polling, and journalism. Learn more about KFF<\/a>.<\/p>\nUSE OUR CONTENT<\/h3>\n