The Atlantic

The Border Patrol–to–Emergency Room Pipeline

The conditions in facilities at the border are so dire that many migrants are in need of medical care as soon as they are released.
Source: Eric Gay / AP

While cradling her baby, who had just finished breastfeeding, Sara reached her other hand out to her older son. With her right thumb and forefinger, she gently pressed on the bridge of her 2-year-old son’s nose to hold his oxygen mask in place. A foggy mist of breathing medication enveloped his nose and swirled in front of his mouth. The 2-year-old, who has asthma, would soon be diagnosed with pneumonia. His baby brother, in his mother’s arms, was suffering from bronchiolitis. Just one week earlier, Sara said, having traveled hundreds of miles from Honduras, before they entered immigration detention, the boys were healthy.

After crossing the Rio Grande on a small boat in late June, 22-year-old Sara, her two boys, and her 3-year-old daughter turned themselves in to Border Patrol agents to seek asylum in the United States. Their hope was to soon travel to South Carolina, where Sara’s husband was waiting for them. Once on U.S. soil, migrants like Sara and her family are usually taken to Border Patrol detention facilities where they are processed, fingerprinted, and examined by a medical provider.

Although says migrants are not supposed to be held there for longer than were detained there for weeks, according to the government’s own internal review. Mark Weber, a spokesperson for the Department of Health and Human Services, that as of Tuesday, July 9, Border Patrol wasn’t holding any children longer than 72 hours. Sara, whose last name is being withheld so that she could speak freely on her experiences in detention, said doctors at the facility handed out fever and flu medication, but they didn’t offer anything to remedy the gravelly cough her boys had developed—an early symptom of the infections growing in their lungs. “It was like prison,” she said in Spanish, sitting on a blue couch in an exam room at Valley Baptist Medical Center’s emergency room in Brownsville, Texas.

You’re reading a preview, subscribe to read more.

More from The Atlantic

The Atlantic5 min readSocial History
The Pro-life Movement’s Not-So-Secret Plan for Trump
Sign up for The Decision, a newsletter featuring our 2024 election coverage. Donald Trump has made no secret of the fact that he regards his party’s position on reproductive rights as a political liability. He blamed the “abortion issue” for his part
The Atlantic6 min read
The Happy Way to Drop Your Grievances
Want to stay current with Arthur’s writing? Sign up to get an email every time a new column comes out. In 15th-century Germany, there was an expression for a chronic complainer: Greiner, Zanner, which can be translated as “whiner-grumbler.” It was no
The Atlantic5 min readAmerican Government
What Nikki Haley Is Trying to Prove
This is an edition of The Atlantic Daily, a newsletter that guides you through the biggest stories of the day, helps you discover new ideas, and recommends the best in culture. Sign up for it here. Nikki Haley faces terrible odds in her home state of

Related Books & Audiobooks