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Global Library of Underwater Biological Sounds, “GLUBS,” will help monitor changing marine life

Of the roughly 250,000 known marine species, scientists think all ~126 marine mammals emit sounds – the ‘thwop’, ‘muah’, and ‘boop’s of a…

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Of the roughly 250,000 known marine species, scientists think all ~126 marine mammals emit sounds – the ‘thwop’, ‘muah’, and ‘boop’s of a humpback whale, for example, or the boing of a minke whale. Audible too are at least 100 invertebrates, 1,000 of the world’s 34,000 known fish species, and likely many thousands more.

Credit: FishSounds.net

Of the roughly 250,000 known marine species, scientists think all ~126 marine mammals emit sounds – the ‘thwop’, ‘muah’, and ‘boop’s of a humpback whale, for example, or the boing of a minke whale. Audible too are at least 100 invertebrates, 1,000 of the world’s 34,000 known fish species, and likely many thousands more.

Now a team of 17 experts from nine countries has set a goal of gathering on a single platform huge collections of aquatic life’s tell-tale sounds, and expanding it using new enabling technologies – from highly sophisticated ocean hydrophones and artificial intelligence learning systems to phone apps and underwater GoPros used by citizen scientists.

The Global Library of Underwater Biological Sounds, “GLUBS,” will underpin a novel non-invasive, affordable way for scientists to listen in on life in marine, brackish and freshwaters, monitor its changing diversity, distribution and abundance, and identify new species. Using the acoustic properties of underwater soundscapes can also characterize an ecosystem’s type and condition.

The team’s paper, “Sounding the Call for a Global Library of Biological Underwater Sounds,” is published in the journal “Frontiers in Ecology and Evolution.”

Says lead author Miles Parsons of the Australian Institute of Marine Science: “The world’s most extensive habitats are aquatic and they’re rich with sounds produced by a diversity of animals.”

“With biodiversity in decline worldwide and humans relentlessly altering underwater soundscapes, there is a need to document, quantify, and understand the sources of underwater animal sounds before they potentially disappear.”

The team’s proposed web-based, open-access platform will provide:

  • A reference library of known and unknown biological sound sources (by integrating and expanding existing libraries around the world);

  • A data repository portal for annotated and unannotated audio recordings of single sources and of soundscapes;

  • A training platform for artificial intelligence algorithms for signal detection and classification;

  • An interface for developing species distribution maps, based on sound; and

  • A citizen science-based application so people who love the ocean can participate in this project

The wide range of uses for PAM is expanding in step with advances in technology, providing a large volume of easily-accessible data on aquatic life.

Current uses include:

  • Monitoring, characterizing and delineating underwater soundscapes

  • Investigating aquatic communities

  • Documenting distribution and migration patterns of fish, whales, and other marine mammals

  • Characterizing marine life responses to changes in, e.g. temperature, salinity or tides, or changes in behavior and distribution in response to climate change, algal blooms, hurricanes and other extreme weather events

  • Understanding how prey change their sound production rates or behaviors in the presence of predators

  • Observing how human-caused ocean noise pollution – shipping, resource exploration, construction, aircraft or wind turbines, for example – affect aquatic life communication and other behaviors

Many fish and aquatic invertebrate species are predominantly nocturnal or hard to find, the paper notes, making visual observations difficult or impossible. As a result, “PAM is proving to be one of the most effective ways to monitor visually elusive but vocal species in aquatic environments, which can potentially aid in more effective conservation management,” including zoning in marine park areas or fishery closures, the paper says.

Besides making sounds for communication, many aquatic species produce ‘passive sounds’ while eating, swimming, and crawling – often less acoustically complex or distinct than active sounds but important contributions to an ecosystem’s tell-tale soundscape.

“Collectively there are now many millions of recording hours around the world that could potentially be assessed for a plethora of both known and, to date, unidentified biological sounds.”

Says co-author Aran Mooney of the Wood’s Hole Oceanographic Institution: “Like a biodiverse rainforest, coral reefs are rich with sounds produced by animals as they seek to communicate, defend territories, and attract mates.”

“Biodiversity and our ocean ecosystems are in trouble, with healthy coral reefs declining at alarming rates. This is a problem because reefs provide billions of US dollars in support, in terms of food, protection from storms, and pharmaceutical products. This developing library is a key way to catalog, monitor and track changes in biodiversity on reefs and other ocean habitats before they are gone but also help us define ‘what a healthy reef is’ as we seek to rebuild reefs.”

Adds Jesse Ausubel, a founder of the IQOE and a scientist at The Rockefeller University: “Human song varieties include love and work songs, lullabies, chants, and anthems. Marine animals must sing love songs. Maybe AI applied to the Global Library can help us understand the lyrics of these and many others.”

Example audio, identified species:

1) Growl of the streaked gurnard (Chelidonichthys lastoviza, recorded by Amorim and Hawkings, 2000 (from FishSounds.net; photos: https://bit.ly/3soVka8 and at the Encyclopedia of Life (EOL): eol.org/pages/51109318)

2) Complex ‘boop, grunt, swoop’ call of the Bocon toadfish (Amphichthys cryptocentrus) recorded by Staaterman et al., 2017 and 2018 (from FishSounds.net; photos https://bit.ly/3gxylnR; EOL: eol.org/pages/46565889)

3) Drum sound of the red piranha (Pygocentrus nattereri), recorded by Raick et al., 2020 (from FishSounds.net; photos https://bit.ly/3BaQykv, and at EOL: eol.org/media/2822570)

4) Kina, a sea urchin endemic to New Zealand (description, photo https://bit.ly/3HI6hu2)

5) Paddle crab, endemic to New Zealand (description, photos: https://eol.org/media/3027555

6) “Boing” produced by dwarf minke whales in Western Australia (Balaenoptera acutorostrata); Erbe et al., 2017 (taken from Marine Mammals of Australia and Antarctica).

What on Earth? Recordings of Unidentified Swimming Objects:

1) Chorus of unidentified fish species in the Indo-Pacific, recorded by Pine et al., 2018 (from FishSounds.net).

2) Unidentified fish species, Azores seamounts, recorded by Carriço et al., 2019 (from FishSounds.net)

3) Growl of an unidentified tropical coral reef fish species, recorded by Staaterman et al., 2013 (from FishSounds.net).

4) A fish call recorded off Austrlia’s western coast, the second half of which reminds scientists of “a section of the Hut of Baba Yaga from Mussorgsky’s Pictures at an Exhibition.”

* * * * *

“A database of unidentified sounds is, in some ways, as important as one for known sources,” the scientists say. “As the field progresses, new unidentified sounds will be collected, and more unidentified sounds can be matched to species.”

This can be “particularly important for high-biodiversity systems such as coral reefs, where even a short recording can pick up multiple animal sounds.”

Existing libraries of undersea sounds (several of which are listed with hyperlinks below) “often focus on species of interest that are targeted by the host institute’s researchers,” the paper says, and several are nationally-focussed. Few libraries identify what is missing from their catalogs, which the proposed global library would.

“A global reference library of underwater biological sounds would increase the ability for more researchers in more locations to broaden the number of species assessed within their datasets and to identify sounds they personally do not recognize,” the paper says.

“A global database could serve broader questions, like determining universal trends in underwater sound production, while individual, specialized repositories could continue to inform and detail other topics, such as documenting the presence of soniferous species in a particular region.”

The changing ranges of marine life

The scientists note that listening to the sea has revealed great whales swimming in unexpected places, new species and new sounds.

With sound, “biologically important areas can be mapped; spawning grounds, essential fish habitat, and migration pathways can be delineated…These and other questions can be queried on broader scales if we have a global catalog of sounds.”

Meanwhile, comparing sounds from a single species across broad areas and times helps understand their diversity and evolution.

Numerous marine animals are cosmopolitan, the paper says, “either as wide-roaming individuals, such as the great whales, or as broadly distributed species, such as many fishes.”

Fin whale calls, for example, can differ among populations in the Northern and Southern hemispheres, and over seasons, whereas the call of pilot whales are similar worldwide, even though their home ranges do not (or no longer) cross the equator.

Some fishes even seem to develop geographic ‘dialects’ or completely different signal structures among regions, several of which evolve over time.

Madagascar’s skunk anemonefish (https://bit.ly/3uA6Bad), for example, produces different agonistic (fight-related) sounds than those in Indonesia, while differences in the song of humpback whales have been observed across ocean basins.

“If the observer knows a target species’ signal characteristics, these sounds may be more easily detected, but without prior knowledge of either presence or structure of sounds, listening through the noise can be difficult,” the paper says.

“This has been highlighted by the recent COVID ‘anthropause’ experienced at various aquatic locations around the world.” Early in the pandemic, “removal of the anthropogenic component of some soundscapes has provided an opportunity to observe sounds (and therefore presence) of marine fauna that might otherwise be lost in the noise.”

Just as artificial intelligence has enabled facial or voice recognition, as well as phone apps that identify music or plants or birds, AI can one day help scientists distinguish marine life sounds from noise. However, a large number – ideally several thousands – of examples are needed, the paper adds.

As the library expands, it can form the foundation for AI training, which in turn will also facilitate the mining and extraction of marine life sounds from thousands of previously collected recordings.

Phone apps, underwater GoPros and citizen science

Much like BirdNet and FrogID, a library of underwater biological sounds and automated detection algorithms would be useful not only for the scientific, industry and marine management communities but also for users with a general interest.

“Acoustic technology has reached the stage where a hydrophone can be connected to a mobile phone so people can listen to fishes and whales in the rivers and seas around them. Therefore, sound libraries are becoming invaluable to citizen scientists and the general public,” the paper adds.

And citizen scientists could be of great help to the library by uploading the results of, for example, the River Listening app (www.riverlistening.com), which encourages the public to listen to and record fish sounds in rivers and coastal waters.

Low-cost hydrophones and recording systems (such as the Hydromoth) are increasingly available and waterproof recreational recording systems (such as GoPros) can also collect underwater biological sounds.

The library would help standardize the format in which sounds are reported.

“A library to archive unknown sounds and their recording times and locations will be crucial for guiding future studies of marine bioacoustics and biodiversity,” the scientists say. “This is especially important in areas that are rarely investigated or where source identification is particularly problematic, such as the twilight and midnight zones, where a description of unknown sounds can give us insights on biodiversity in the deep ocean.”

“The changing environment and decreasing biodiversity are compelling the documentation of baseline acoustic observations. Technical advances associated with data collection and an increasing number of researchers and institutes collecting PAM data are providing the ability to create bioacoustic databases.”

“Concurrently, awareness of the importance of acoustic cues to aquatic fauna, the impacts of noise on them and the potential for acoustic communities to provide an indication of ecosystem health has reached a stage where PAM is becoming appreciated as a mainstream data source across more species and ecosystems than ever.”

“Finally, public interest and access to user applications means citizen scientists can drive widespread knowledge sharing.”

“Now is the time to facilitate that progress by gathering the acoustic, ecological, and bioinformatic community together to realize an aquatic-sounds sharing platform.”

* * * * *

The paper, “Sounding the Call for a Global Library of Biological Underwater Sounds,” evolved from the ‘Working Group on Acoustic Measurement of Ocean Biodiversity Hotspots’ of the International Quiet Ocean Experiment, an international program of research, observation and modeling formed to better characterize and understand ocean sound fields and the effects of sound on marine life.

Support for IQOE is provided by the Scientific Committee on Oceanic Research, Partnership for Observation of the Global Ocean, Richard Lounsbery Foundation, Monmouth University Urban Coast Institute, and Rockefeller Program for the Human Environment.

A more detailed discussion, involving a wider network of contributors, is planned through upcoming stakeholder engagement and scoping workshops.

* * * * *

Example biological sound libraries with recordings of mammal, fish, avian and invertebrate sounds.

Title (host)

Weblink (citation)

Details

Audio Gallery (Discovery of Sound in the Sea)

https://dosits.org/galleries/audio-gallery/ (Vigness-Raposa et al., 2012)

Sound samples of 44 marine mammal, 29 fish and 4 invertebrate species from around the world

Fish Sounds (University of Rhode Island)

http://www.gso.uri.edu/fishsounds/ (Fish and Mowbray, 1970)

155 sound samples of 153 fish species from the Western North Atlantic (Fish and Mowbray, 1970)

The SOUND Table (FishBase)

https://www.fishbase.de/topic/List.php?group=sounds (Kaschner, 2012)

121 sound samples of 90 fish species, mostly from the Western North Atlantic (Fish and Mowbray, 1970)

Macaulay Library (Cornell University)

https://www.macaulaylibrary.org/ (Macaulay Library, 2021)

1,189,562 sound samples of 10,056 bird species and 2,674 non-bird species

Marine Mammals of Australia and Antarctica (Curtin University)

http://cmst.curtin.edu.au/research/marine-mammal-bioacoustics/ (Erbe et al., 2017)

Sound samples of 43 mammal species from Australasia

Ocean Networks Canada (Sound Cloud)

https://soundcloud.com/oceannetworkscanada/albums (Oceans Networks Canada, 2021)

60 sound samples of marine mammal and fish species from Canada

Watkins Marine Mammal Sound Database (Woods Hole Oceanographic Institution)

https://cis.whoi.edu/science/B/whalesounds/index.cfm (Watkins Marine Mammal Sound Database, Sayigh et al. 2016)

About 15,000 sound samples of 55 marine mammal species, as well as about 1,600 full soundscape recordings, mainly collected during the career of William Watkins

Sonothèque (Muséum National d’Histoire Naturelle)

https://sonotheque.mnhn.fr/ (Sonothèque, 2018)

19,589 sound samples of wildlife species, including marine mammals and fishes, predominantly collected by Bernie Krause with additional contributors

British Library Sound Archive (The British Library)

https://sounds.bl.uk/Environment (The British Library Board, 2021)

240,000 sound samples of 10,000 bird, mammal, amphibian, reptile, fish, and invertebrate species from around the world

Voices in the Sea (University of California San Diego)

http://voicesinthesea.ucsd.edu/ (Voices in the Sea, 2018)

Sound samples of 33 Cetacean and 10

Pinniped species

FishSounds (MERIDIAN)

https://www.fishsounds.net (Looby et al., 2021)

240 sound samples of 130 fish species

MobySound

mobysound.org (Heimlich et al., 2012)

Sound samples of 25 Cetacean and 2 Pinniped species

Animal Sound Archive (Museum für Naturkunde in Berlin)

https://www.tierstimmenarchiv.de/ (Tierstimmenarchiv, 2020)

120,000 sound samples of any wildlife, including invertebrates, marine mammals, and fishes

FonoZoo (Museo Nacional de Ciencias Naturales Madrid)

http://www.fonozoo.com/ (FonoZoo, 2021)

11,656 sound samples of 1,620 species, including invertebrates, marine mammals, amphibians and fishes

* * * * *

Authors

Miles J. G. Parsons, Australian Institute of Marine Science, Perth, WA, Australia

Tzu-Hao Lin, Biodiversity Research Center, Academia Sinica, Taipei, Taiwan

T. Aran Mooney, Biology Department, Woods Hole Oceanographic Institution, Woods Hole, MA, United States

Christine Erbe, Centre for Marine Science and Technology, Curtin University, Perth, WA, Australia

Francis Juanes, Department of Biology, University of Victoria, Victoria, BC, Canada

Marc Lammers, Hawaiian Islands Humpback Whale National Marine Sanctuary, Kihei, HI, United States

Songhai Li, Marine Mammal and Marine Bioacoustics Laboratory, Institute of Deep-Sea Science and Engineering, Chinese Academy of Sciences, Sanya, China

Simon Linke, Commonwealth Scientific and Industrial Research Organisation, Dutton Park, QLD, Australia

Audrey Looby, Fisheries and Aquatic Sciences, University of Florida, Gainesville, FL, United States; University of Florida, Institute of Food and Agricultural Sciences (UF/IFAS) Nature Coast Biological Station, University of Florida, Cedar Key, FL, United States

Sophie L. Nedelec, Hatherly Laboratories, Biosciences, College of Life and Environmental Sciences, University of Exeter, Exeter, United Kingdom

Ilse Van Opzeeland, Ocean Acoustics Lab, Alfred-Wegener-Institute Helmholtz-Zentrum for Polar and Marine Research, Bremerhaven, Germany; Helmholtz Institute for Functional Marine Biodiversity (HIFMB), Carl von Ossietzky University of Oldenburg, Oldenburg, Germany

Craig Radford, Leigh Marine Laboratory, Institute of Marine Science, University of Auckland, Warkworth, New Zealand

Aaron N. Rice, Cornell Lab of Ornithology, K. Lisa Yang Center for Conservation Bioacoustics, Cornell University, Ithaca, NY, United States

Laela Sayigh, Biology Department, Woods Hole Oceanographic Institution, Woods Hole, MA, United States, Hampshire College, Amherst, MA, United States

Jenni Stanley, Coastal Marine Field Station, School of Science, University of Waikato, Tauranga, New Zealand

Edward Urban, Scientific Committee on Oceanic Research, University of Delaware, Newark, DE, United States

Lucia Di Iorio, Université de Perpignan Via Domitia, CNRS, Centre de Formation et de Recherche sur les Environnements Méditerranéens, Perpignan, France; CHORUS Institute, Grenoble, France

* * * * *


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International

Illegal Immigrants Leave US Hospitals With Billions In Unpaid Bills

Illegal Immigrants Leave US Hospitals With Billions In Unpaid Bills

By Autumn Spredemann of The Epoch Times

Tens of thousands of illegal…

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Illegal Immigrants Leave US Hospitals With Billions In Unpaid Bills

By Autumn Spredemann of The Epoch Times

Tens of thousands of illegal immigrants are flooding into U.S. hospitals for treatment and leaving billions in uncompensated health care costs in their wake.

The House Committee on Homeland Security recently released a report illustrating that from the estimated $451 billion in annual costs stemming from the U.S. border crisis, a significant portion is going to health care for illegal immigrants.

With the majority of the illegal immigrant population lacking any kind of medical insurance, hospitals and government welfare programs such as Medicaid are feeling the weight of these unanticipated costs.

Apprehensions of illegal immigrants at the U.S. border have jumped 48 percent since the record in fiscal year 2021 and nearly tripled since fiscal year 2019, according to Customs and Border Protection data.

Last year broke a new record high for illegal border crossings, surpassing more than 3.2 million apprehensions.

And with that sea of humanity comes the need for health care and, in most cases, the inability to pay for it.

In January, CEO of Denver Health Donna Lynne told reporters that 8,000 illegal immigrants made roughly 20,000 visits to the city’s health system in 2023.

The total bill for uncompensated care costs last year to the system totaled $140 million, said Dane Roper, public information officer for Denver Health. More than $10 million of it was attributed to “care for new immigrants,” he told The Epoch Times.

Though the amount of debt assigned to illegal immigrants is a fraction of the total, uncompensated care costs in the Denver Health system have risen dramatically over the past few years.

The total uncompensated costs in 2020 came to $60 million, Mr. Roper said. In 2022, the number doubled, hitting $120 million.

He also said their city hospitals are treating issues such as “respiratory illnesses, GI [gastro-intenstinal] illnesses, dental disease, and some common chronic illnesses such as asthma and diabetes.”

“The perspective we’ve been trying to emphasize all along is that providing healthcare services for an influx of new immigrants who are unable to pay for their care is adding additional strain to an already significant uncompensated care burden,” Mr. Roper said.

He added this is why a local, state, and federal response to the needs of the new illegal immigrant population is “so important.”

Colorado is far from the only state struggling with a trail of unpaid hospital bills.

EMS medics with the Houston Fire Department transport a Mexican woman the hospital in Houston on Aug. 12, 2020. (John Moore/Getty Images)

Dr. Robert Trenschel, CEO of the Yuma Regional Medical Center situated on the Arizona–Mexico border, said on average, illegal immigrants cost up to three times more in human resources to resolve their cases and provide a safe discharge.

“Some [illegal] migrants come with minor ailments, but many of them come in with significant disease,” Dr. Trenschel said during a congressional hearing last year.

“We’ve had migrant patients on dialysis, cardiac catheterization, and in need of heart surgery. Many are very sick.”

He said many illegal immigrants who enter the country and need medical assistance end up staying in the ICU ward for 60 days or more.

A large portion of the patients are pregnant women who’ve had little to no prenatal treatment. This has resulted in an increase in babies being born that require neonatal care for 30 days or longer.

Dr. Trenschel told The Epoch Times last year that illegal immigrants were overrunning healthcare services in his town, leaving the hospital with $26 million in unpaid medical bills in just 12 months.

ER Duty to Care

The Emergency Medical Treatment and Labor Act of 1986 requires that public hospitals participating in Medicare “must medically screen all persons seeking emergency care … regardless of payment method or insurance status.”

The numbers are difficult to gauge as the policy position of the Centers for Medicare & Medicaid Services (CMS) is that it “will not require hospital staff to ask patients directly about their citizenship or immigration status.”

In southern California, again close to the border with Mexico, some hospitals are struggling with an influx of illegal immigrants.

American patients are enduring longer wait times for doctor appointments due to a nursing shortage in the state, two health care professionals told The Epoch Times in January.

A health care worker at a hospital in Southern California, who asked not to be named for fear of losing her job, told The Epoch Times that “the entire health care system is just being bombarded” by a steady stream of illegal immigrants.

“Our healthcare system is so overwhelmed, and then add on top of that tuberculosis, COVID-19, and other diseases from all over the world,” she said.

A Salvadorian man is aided by medical workers after cutting his leg while trying to jump on a truck in Matias Romero, Mexico, on Nov. 2, 2018. (Spencer Platt/Getty Images)

A newly-enacted law in California provides free healthcare for all illegal immigrants residing in the state. The law could cost taxpayers between $3 billion and $6 billion per year, according to recent estimates by state and federal lawmakers.

In New York, where the illegal immigration crisis has manifested most notably beyond the southern border, city and state officials have long been accommodating of illegal immigrants’ healthcare costs.

Since June 2014, when then-mayor Bill de Blasio set up The Task Force on Immigrant Health Care Access, New York City has worked to expand avenues for illegal immigrants to get free health care.

“New York City has a moral duty to ensure that all its residents have meaningful access to needed health care, regardless of their immigration status or ability to pay,” Mr. de Blasio stated in a 2015 report.

The report notes that in 2013, nearly 64 percent of illegal immigrants were uninsured. Since then, tens of thousands of illegal immigrants have settled in the city.

“The uninsured rate for undocumented immigrants is more than three times that of other noncitizens in New York City (20 percent) and more than six times greater than the uninsured rate for the rest of the city (10 percent),” the report states.

The report states that because healthcare providers don’t ask patients about documentation status, the task force lacks “data specific to undocumented patients.”

Some health care providers say a big part of the issue is that without a clear path to insurance or payment for non-emergency services, illegal immigrants are going to the hospital due to a lack of options.

“It’s insane, and it has been for years at this point,” Dana, a Texas emergency room nurse who asked to have her full name omitted, told The Epoch Times.

Working for a major hospital system in the greater Houston area, Dana has seen “a zillion” migrants pass through under her watch with “no end in sight.” She said many who are illegal immigrants arrive with treatable illnesses that require simple antibiotics. “Not a lot of GPs [general practitioners] will see you if you can’t pay and don’t have insurance.”

She said the “undocumented crowd” tends to arrive with a lot of the same conditions. Many find their way to Houston not long after crossing the southern border. Some of the common health issues Dana encounters include dehydration, unhealed fractures, respiratory illnesses, stomach ailments, and pregnancy-related concerns.

“This isn’t a new problem, it’s just worse now,” Dana said.

Emergency room nurses and EMTs tend to patients in hallways at the Houston Methodist The Woodlands Hospital in Houston on Aug. 18, 2021. (Brandon Bell/Getty Images)

Medicaid Factor

One of the main government healthcare resources illegal immigrants use is Medicaid.

All those who don’t qualify for regular Medicaid are eligible for Emergency Medicaid, regardless of immigration status. By doing this, the program helps pay for the cost of uncompensated care bills at qualifying hospitals.

However, some loopholes allow access to the regular Medicaid benefits. “Qualified noncitizens” who haven’t been granted legal status within five years still qualify if they’re listed as a refugee, an asylum seeker, or a Cuban or Haitian national.

Yet the lion’s share of Medicaid usage by illegal immigrants still comes through state-level benefits and emergency medical treatment.

A Congressional report highlighted data from the CMS, which showed total Medicaid costs for “emergency services for undocumented aliens” in fiscal year 2021 surpassed $7 billion, and totaled more than $5 billion in fiscal 2022.

Both years represent a significant spike from the $3 billion in fiscal 2020.

An employee working with Medicaid who asked to be referred to only as Jennifer out of concern for her job, told The Epoch Times that at a state level, it’s easy for an illegal immigrant to access the program benefits.

Jennifer said that when exceptions are sent from states to CMS for approval, “denial is actually super rare. It’s usually always approved.”

She also said it comes as no surprise that many of the states with the highest amount of Medicaid spending are sanctuary states, which tend to have policies and laws that shield illegal immigrants from federal immigration authorities.

Moreover, Jennifer said there are ways for states to get around CMS guidelines. “It’s not easy, but it can and has been done.”

The first generation of illegal immigrants who arrive to the United States tend to be healthy enough to pass any pre-screenings, but Jennifer has observed that the subsequent generations tend to be sicker and require more access to care. If a family is illegally present, they tend to use Emergency Medicaid or nothing at all.

The Epoch Times asked Medicaid Services to provide the most recent data for the total uncompensated care that hospitals have reported. The agency didn’t respond.

Continue reading over at The Epoch Times

Tyler Durden Fri, 03/15/2024 - 09:45

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Fuel poverty in England is probably 2.5 times higher than government statistics show

The top 40% most energy efficient homes aren’t counted as being in fuel poverty, no matter what their bills or income are.

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Julian Hochgesang|Unsplash

The cap set on how much UK energy suppliers can charge for domestic gas and electricity is set to fall by 15% from April 1 2024. Despite this, prices remain shockingly high. The average household energy bill in 2023 was £2,592 a year, dwarfing the pre-pandemic average of £1,308 in 2019.

The term “fuel poverty” refers to a household’s ability to afford the energy required to maintain adequate warmth and the use of other essential appliances. Quite how it is measured varies from country to country. In England, the government uses what is known as the low income low energy efficiency (Lilee) indicator.

Since energy costs started rising sharply in 2021, UK households’ spending powers have plummeted. It would be reasonable to assume that these increasingly hostile economic conditions have caused fuel poverty rates to rise.

However, according to the Lilee fuel poverty metric, in England there have only been modest changes in fuel poverty incidence year on year. In fact, government statistics show a slight decrease in the nationwide rate, from 13.2% in 2020 to 13.0% in 2023.

Our recent study suggests that these figures are incorrect. We estimate the rate of fuel poverty in England to be around 2.5 times higher than what the government’s statistics show, because the criteria underpinning the Lilee estimation process leaves out a large number of financially vulnerable households which, in reality, are unable to afford and maintain adequate warmth.

Blocks of flats in London.
Household fuel poverty in England is calculated on the basis of the energy efficiency of the home. Igor Sporynin|Unsplash

Energy security

In 2022, we undertook an in-depth analysis of Lilee fuel poverty in Greater London. First, we combined fuel poverty, housing and employment data to provide an estimate of vulnerable homes which are omitted from Lilee statistics.

We also surveyed 2,886 residents of Greater London about their experiences of fuel poverty during the winter of 2022. We wanted to gauge energy security, which refers to a type of self-reported fuel poverty. Both parts of the study aimed to demonstrate the potential flaws of the Lilee definition.

Introduced in 2019, the Lilee metric considers a household to be “fuel poor” if it meets two criteria. First, after accounting for energy expenses, its income must fall below the poverty line (which is 60% of median income).

Second, the property must have an energy performance certificate (EPC) rating of D–G (the lowest four ratings). The government’s apparent logic for the Lilee metric is to quicken the net-zero transition of the housing sector.

In Sustainable Warmth, the policy paper that defined the Lilee approach, the government says that EPC A–C-rated homes “will not significantly benefit from energy-efficiency measures”. Hence, the focus on fuel poverty in D–G-rated properties.

Generally speaking, EPC A–C-rated homes (those with the highest three ratings) are considered energy efficient, while D–G-rated homes are deemed inefficient. The problem with how Lilee fuel poverty is measured is that the process assumes that EPC A–C-rated homes are too “energy efficient” to be considered fuel poor: the main focus of the fuel poverty assessment is a characteristic of the property, not the occupant’s financial situation.

In other words, by this metric, anyone living in an energy-efficient home cannot be considered to be in fuel poverty, no matter their financial situation. There is an obvious flaw here.

Around 40% of homes in England have an EPC rating of A–C. According to the Lilee definition, none of these homes can or ever will be classed as fuel poor. Even though energy prices are going through the roof, a single-parent household with dependent children whose only income is universal credit (or some other form of benefits) will still not be considered to be living in fuel poverty if their home is rated A-C.

The lack of protection afforded to these households against an extremely volatile energy market is highly concerning.

In our study, we estimate that 4.4% of London’s homes are rated A-C and also financially vulnerable. That is around 171,091 households, which are currently omitted by the Lilee metric but remain highly likely to be unable to afford adequate energy.

In most other European nations, what is known as the 10% indicator is used to gauge fuel poverty. This metric, which was also used in England from the 1990s until the mid 2010s, considers a home to be fuel poor if more than 10% of income is spent on energy. Here, the main focus of the fuel poverty assessment is the occupant’s financial situation, not the property.

Were such alternative fuel poverty metrics to be employed, a significant portion of those 171,091 households in London would almost certainly qualify as fuel poor.

This is confirmed by the findings of our survey. Our data shows that 28.2% of the 2,886 people who responded were “energy insecure”. This includes being unable to afford energy, making involuntary spending trade-offs between food and energy, and falling behind on energy payments.

Worryingly, we found that the rate of energy insecurity in the survey sample is around 2.5 times higher than the official rate of fuel poverty in London (11.5%), as assessed according to the Lilee metric.

It is likely that this figure can be extrapolated for the rest of England. If anything, energy insecurity may be even higher in other regions, given that Londoners tend to have higher-than-average household income.

The UK government is wrongly omitting hundreds of thousands of English households from fuel poverty statistics. Without a more accurate measure, vulnerable households will continue to be overlooked and not get the assistance they desperately need to stay warm.

Torran Semple receives funding from Engineering and Physical Sciences Research Council (EPSRC) grant EP/S023305/1.

John Harvey does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

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Looking Back At COVID’s Authoritarian Regimes

After having moved from Canada to the United States, partly to be wealthier and partly to be freer (those two are connected, by the way), I was shocked,…

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After having moved from Canada to the United States, partly to be wealthier and partly to be freer (those two are connected, by the way), I was shocked, in March 2020, when President Trump and most US governors imposed heavy restrictions on people’s freedom. The purpose, said Trump and his COVID-19 advisers, was to “flatten the curve”: shut down people’s mobility for two weeks so that hospitals could catch up with the expected demand from COVID patients. In her book Silent Invasion, Dr. Deborah Birx, the coordinator of the White House Coronavirus Task Force, admitted that she was scrambling during those two weeks to come up with a reason to extend the lockdowns for much longer. As she put it, “I didn’t have the numbers in front of me yet to make the case for extending it longer, but I had two weeks to get them.” In short, she chose the goal and then tried to find the data to justify the goal. This, by the way, was from someone who, along with her task force colleague Dr. Anthony Fauci, kept talking about the importance of the scientific method. By the end of April 2020, the term “flatten the curve” had all but disappeared from public discussion.

Now that we are four years past that awful time, it makes sense to look back and see whether those heavy restrictions on the lives of people of all ages made sense. I’ll save you the suspense. They didn’t. The damage to the economy was huge. Remember that “the economy” is not a term used to describe a big machine; it’s a shorthand for the trillions of interactions among hundreds of millions of people. The lockdowns and the subsequent federal spending ballooned the budget deficit and consequent federal debt. The effect on children’s learning, not just in school but outside of school, was huge. These effects will be with us for a long time. It’s not as if there wasn’t another way to go. The people who came up with the idea of lockdowns did so on the basis of abstract models that had not been tested. They ignored a model of human behavior, which I’ll call Hayekian, that is tested every day.

These are the opening two paragraphs of my latest Defining Ideas article, “Looking Back at COVID’s Authoritarian Regimes,” Defining Ideas, March 14, 2024.

Another excerpt:

That wasn’t the only uncertainty. My daughter Karen lived in San Francisco and made her living teaching Pilates. San Francisco mayor London Breed shut down all the gyms, and so there went my daughter’s business. (The good news was that she quickly got online and shifted many of her clients to virtual Pilates. But that’s another story.) We tried to see her every six weeks or so, whether that meant our driving up to San Fran or her driving down to Monterey. But were we allowed to drive to see her? In that first month and a half, we simply didn’t know.

Read the whole thing, which is longer than usual.

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