Carl Higbie has been pounding the table on this issue because hardworking Americans are seeing the bill arrive with no accountability. On his Newsmax program he rightly pointed out that Democrats seem more interested in expanding benefits for people here illegally than in defending services for American taxpayers. That message resonates because families who pay taxes expect government to put citizens first.
Federal law already forces hospitals to treat anyone who walks into an emergency room — regardless of citizenship — under the Emergency Medical Treatment and Labor Act, which prevents hospitals from turning people away in a crisis. That commonsense law was written to stop patient dumping, not to create a backdoor for open-border giveaways, yet it is now being exploited as part of the Democrats’ broader agenda. Americans should be sympathetic to emergencies, but sympathy should not translate into a permanent fiscal transfer that rewards lawbreaking.
Meanwhile, watchdog reporting shows that the Department of Health and Human Services has funneled enormous sums into migrant-related grants in recent years, with auditors finding more than $22 billion in HHS grants tied to migrant resettlement activities between 2020 and 2024. That kind of scale is staggering and makes clear this is not a minor administrative issue — it is a large, sustained shift in federal priorities that squeezes the very programs citizens rely on. Taxpayers deserve to know why their dollars are being prioritized for noncitizens while veterans, seniors and the working poor wait in line.
On top of that, Congress and federal agencies have created and funded shelter programs that send hundreds of millions to cities and nongovernmental groups to house migrants; the Shelter and Services Program received major appropriations and transfers to FEMA to administer migrant housing in recent fiscal years. That money comes with strings and politics, and it has been used to shelter people who arrived unlawfully rather than to shore up shortages in American disaster relief. Voters should demand an audit and an end to funding streams that enable open-border incentives.
States have also stepped in, with a small but meaningful group using state funds to provide Medicaid-like coverage to children, pregnant people, and even some adults regardless of immigration status. According to state-by-state analyses, roughly a dozen states plus Washington, D.C., now run programs that extend taxpayer-funded benefits to noncitizens in ways most Americans would find unacceptable. When liberal states pick winners and losers, the losers are ordinary, law-abiding families who see their local services strained and their taxes rise.
Hospitals and health systems are already squeezed by inadequate reimbursements from Medicare and Medicaid and rising uncompensated care burdens, forcing them to shift costs or cut services. National hospital groups have warned Congress for years that shrinking margins and rising uncompensated care jeopardize access for everyone, and adding large numbers of nonpaying patients only accelerates that risk. The end result is predictable: higher costs and longer waits for Americans who did everything right.
This is a question of priorities and of basic fairness. Conservatives are not asking Americans to deny medical help to those in desperate need, but we are demanding that public policy not reward illegal entry or divert resources away from citizens. If Democrats truly cared about health care, they would secure the border, enforce existing laws, and restore accountability to federal programs instead of expanding them into a magnet for migrants.
Congress and state legislatures must act to stop the bleed: audit HHS grants, re-evaluate the Shelter and Services Program, and insist states stop expanding taxpayer-funded coverage to noncitizens until domestic needs are fully met. The American people deserve a government that protects its own citizens first, not politicians who treat voters like an afterthought while handing out benefits to anyone who crosses the border.
Patriotic Americans who pay taxes and follow the law must push back and demand leaders who will put citizens first. It’s time to end the giveaways, secure our border, and restore sanity to health-care policy so hardworking families stop paying for the consequences of Washington’s open-border experiments.

