[Script Info] Title: [Events] Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text Dialogue: 0,0:00:00.75,0:00:04.50,Default,,0000,0000,0000,,Several years ago a young man\Ncame to see me in my clinic. Dialogue: 0,0:00:05.92,0:00:08.00,Default,,0000,0000,0000,,He told me he was running for his life. Dialogue: 0,0:00:09.38,0:00:11.48,Default,,0000,0000,0000,,He said that he fled his home, Dialogue: 0,0:00:11.50,0:00:13.98,Default,,0000,0000,0000,,because there, homosexuality\Nwasn't just illegal, Dialogue: 0,0:00:14.00,0:00:16.29,Default,,0000,0000,0000,,in some cases it was punishable by death. Dialogue: 0,0:00:17.92,0:00:21.31,Default,,0000,0000,0000,,So when his sexual\Norientation was exposed, Dialogue: 0,0:00:21.33,0:00:23.23,Default,,0000,0000,0000,,his family rejected him, Dialogue: 0,0:00:23.25,0:00:25.10,Default,,0000,0000,0000,,his boss fired him Dialogue: 0,0:00:25.12,0:00:28.46,Default,,0000,0000,0000,,and angry mobs repeatedly\Nattacked him in the streets. Dialogue: 0,0:00:29.58,0:00:33.68,Default,,0000,0000,0000,,And each time the police\Narrived only to arrest him, Dialogue: 0,0:00:33.71,0:00:35.92,Default,,0000,0000,0000,,detain and torture him further. Dialogue: 0,0:00:36.96,0:00:40.64,Default,,0000,0000,0000,,And he knew that if he couldn't\Nescape the cycle of violence, Dialogue: 0,0:00:40.67,0:00:42.00,Default,,0000,0000,0000,,he would surely be killed. Dialogue: 0,0:00:43.29,0:00:45.85,Default,,0000,0000,0000,,So he had to do\Nwhat he needed to do to survive. Dialogue: 0,0:00:45.88,0:00:48.31,Default,,0000,0000,0000,,He left everything behind. Dialogue: 0,0:00:48.33,0:00:51.48,Default,,0000,0000,0000,,All of his friends,\Nhis family, his career. Dialogue: 0,0:00:51.50,0:00:53.31,Default,,0000,0000,0000,,He fled his home, Dialogue: 0,0:00:53.33,0:00:55.89,Default,,0000,0000,0000,,he escaped to the United States Dialogue: 0,0:00:55.92,0:00:58.17,Default,,0000,0000,0000,,and here he applied for asylum. Dialogue: 0,0:00:59.46,0:01:02.06,Default,,0000,0000,0000,,But like many people\Nfleeing this kind of persecution, Dialogue: 0,0:01:02.08,0:01:03.35,Default,,0000,0000,0000,,he couldn't carry much. Dialogue: 0,0:01:03.38,0:01:04.85,Default,,0000,0000,0000,,He had some basic ID, Dialogue: 0,0:01:04.88,0:01:07.12,Default,,0000,0000,0000,,barely any money\Nand a few other belongings. Dialogue: 0,0:01:07.83,0:01:10.02,Default,,0000,0000,0000,,He certainly didn't bring\Nofficial documents Dialogue: 0,0:01:10.04,0:01:12.31,Default,,0000,0000,0000,,from the police who tortured him. Dialogue: 0,0:01:12.33,0:01:15.18,Default,,0000,0000,0000,,No videos from the mob\Nthat tried to kill him. Dialogue: 0,0:01:15.21,0:01:18.25,Default,,0000,0000,0000,,He didn't have this kind of evidence\Nto help support his claims, Dialogue: 0,0:01:19.79,0:01:22.89,Default,,0000,0000,0000,,yet here he was, sitting in my clinic, Dialogue: 0,0:01:22.92,0:01:26.29,Default,,0000,0000,0000,,showing me some of the most powerful\Nevidence of his persecution. Dialogue: 0,0:01:27.92,0:01:31.29,Default,,0000,0000,0000,,That was the physical and psychological\Nscars that he brought with him. Dialogue: 0,0:01:32.79,0:01:35.46,Default,,0000,0000,0000,,You see, he suffered\Nfrom chronic, debilitating pain. Dialogue: 0,0:01:36.58,0:01:39.43,Default,,0000,0000,0000,,He had severe scars\Nscattered over his body, Dialogue: 0,0:01:39.46,0:01:42.33,Default,,0000,0000,0000,,poorly healing wounds\Nthat got infected over and over again. Dialogue: 0,0:01:43.75,0:01:45.56,Default,,0000,0000,0000,,He suffered from severe depression Dialogue: 0,0:01:45.58,0:01:50.46,Default,,0000,0000,0000,,and continued to have regular, paralyzing\Nflashbacks and nightmares from PTSD. Dialogue: 0,0:01:52.54,0:01:54.10,Default,,0000,0000,0000,,So we continued our work. Dialogue: 0,0:01:54.12,0:01:56.31,Default,,0000,0000,0000,,We met regularly for months, Dialogue: 0,0:01:56.33,0:01:59.25,Default,,0000,0000,0000,,documenting each of these pieces\Nof medical evidence. Dialogue: 0,0:02:00.25,0:02:02.60,Default,,0000,0000,0000,,We went over the details of every attack, Dialogue: 0,0:02:02.62,0:02:04.02,Default,,0000,0000,0000,,photographed his scars, Dialogue: 0,0:02:04.04,0:02:06.43,Default,,0000,0000,0000,,documented his injuries and wounds, Dialogue: 0,0:02:06.46,0:02:10.89,Default,,0000,0000,0000,,and we were even able to start\Nchronicling his slow but steady recovery Dialogue: 0,0:02:10.92,0:02:12.21,Default,,0000,0000,0000,,while under our care. Dialogue: 0,0:02:13.62,0:02:15.81,Default,,0000,0000,0000,,Working closely with his lawyers, Dialogue: 0,0:02:15.83,0:02:18.10,Default,,0000,0000,0000,,I submitted a detailed affidavit, Dialogue: 0,0:02:18.12,0:02:21.64,Default,,0000,0000,0000,,including the findings\Nof this forensic medical evaluation, Dialogue: 0,0:02:21.67,0:02:24.77,Default,,0000,0000,0000,,and we included it as part\Nof his asylum application. Dialogue: 0,0:02:24.79,0:02:26.77,Default,,0000,0000,0000,,And then we waited Dialogue: 0,0:02:26.79,0:02:30.17,Default,,0000,0000,0000,,for several long years\Nwhile he navigated the courts. Dialogue: 0,0:02:31.21,0:02:33.21,Default,,0000,0000,0000,,And then one day I got an email from him. Dialogue: 0,0:02:34.88,0:02:37.17,Default,,0000,0000,0000,,It said that he was granted asylum. Dialogue: 0,0:02:38.00,0:02:40.85,Default,,0000,0000,0000,,And everyone in the clinic was overjoyed. Dialogue: 0,0:02:40.88,0:02:44.81,Default,,0000,0000,0000,,He said in his email\Nthat this was the first time in years Dialogue: 0,0:02:44.83,0:02:48.81,Default,,0000,0000,0000,,that he didn't fear deportation and death. Dialogue: 0,0:02:48.83,0:02:51.52,Default,,0000,0000,0000,,It was the first time in years\Nthat he truly felt safe, Dialogue: 0,0:02:51.54,0:02:54.71,Default,,0000,0000,0000,,that he had the security\Nto rebuild his life all over again. Dialogue: 0,0:02:57.00,0:02:59.60,Default,,0000,0000,0000,,And it was only through this medical\Nand legal advocacy Dialogue: 0,0:02:59.62,0:03:03.06,Default,,0000,0000,0000,,that we were able to help restore\Nhis legal status and his rights, Dialogue: 0,0:03:03.08,0:03:04.89,Default,,0000,0000,0000,,that he could do that, Dialogue: 0,0:03:04.92,0:03:06.33,Default,,0000,0000,0000,,all through asylum. Dialogue: 0,0:03:07.58,0:03:09.52,Default,,0000,0000,0000,,Now for many people fleeing persecution, Dialogue: 0,0:03:09.54,0:03:11.60,Default,,0000,0000,0000,,they come to programs\Nand clinics like this Dialogue: 0,0:03:11.62,0:03:13.52,Default,,0000,0000,0000,,telling unimaginable tales of violence Dialogue: 0,0:03:13.54,0:03:16.35,Default,,0000,0000,0000,,and different reasons\Nthey were persecuted. Dialogue: 0,0:03:16.38,0:03:18.08,Default,,0000,0000,0000,,But one thing is always the same. Dialogue: 0,0:03:19.21,0:03:21.35,Default,,0000,0000,0000,,The violence meted against them Dialogue: 0,0:03:21.38,0:03:23.75,Default,,0000,0000,0000,,was done with complete impunity, Dialogue: 0,0:03:25.21,0:03:28.06,Default,,0000,0000,0000,,sometimes by the hands of the state\Ndirectly through police Dialogue: 0,0:03:28.08,0:03:29.81,Default,,0000,0000,0000,,or military officials. Dialogue: 0,0:03:29.83,0:03:33.35,Default,,0000,0000,0000,,In other cases,\Nthe state just turns a blind eye Dialogue: 0,0:03:33.38,0:03:35.56,Default,,0000,0000,0000,,and condones the acts\Nof paramilitary groups Dialogue: 0,0:03:35.58,0:03:37.58,Default,,0000,0000,0000,,or even violent domestic partners. Dialogue: 0,0:03:39.21,0:03:41.52,Default,,0000,0000,0000,,In other cases,\Nstate is completely powerless Dialogue: 0,0:03:41.54,0:03:43.96,Default,,0000,0000,0000,,to protect the vulnerable\Nfrom powerful gangs. Dialogue: 0,0:03:45.79,0:03:48.81,Default,,0000,0000,0000,,Now we know that social determinants\Nof health play a huge role Dialogue: 0,0:03:48.83,0:03:52.35,Default,,0000,0000,0000,,in determining the health\Nand well-being of our patients: Dialogue: 0,0:03:52.38,0:03:54.60,Default,,0000,0000,0000,,housing, income, education, race, Dialogue: 0,0:03:54.62,0:03:56.29,Default,,0000,0000,0000,,social inclusion. Dialogue: 0,0:03:57.38,0:04:01.10,Default,,0000,0000,0000,,But the same can be true\Nfor equal protection in the law -- Dialogue: 0,0:04:01.12,0:04:02.73,Default,,0000,0000,0000,,due process. Dialogue: 0,0:04:02.75,0:04:05.64,Default,,0000,0000,0000,,Especially in societies\Nfor the most vulnerable, Dialogue: 0,0:04:05.67,0:04:06.98,Default,,0000,0000,0000,,the marginalized Dialogue: 0,0:04:07.00,0:04:09.68,Default,,0000,0000,0000,,and even those who are actively targeted, Dialogue: 0,0:04:09.71,0:04:12.48,Default,,0000,0000,0000,,their access to these\Nhuman rights protections Dialogue: 0,0:04:12.50,0:04:16.18,Default,,0000,0000,0000,,that can mean the difference\Nbetween sickness and health, Dialogue: 0,0:04:16.21,0:04:19.17,Default,,0000,0000,0000,,and often it's the difference\Nbetween life and death. Dialogue: 0,0:04:20.79,0:04:25.18,Default,,0000,0000,0000,,And for millions of people\Nwho endure persecution and torture, Dialogue: 0,0:04:25.21,0:04:26.85,Default,,0000,0000,0000,,the only way to heal Dialogue: 0,0:04:26.88,0:04:30.93,Default,,0000,0000,0000,,is to acknowledge the human rights\Nabuses that have occurred Dialogue: 0,0:04:30.96,0:04:35.46,Default,,0000,0000,0000,,and to help restore the rights\Nand protections that were so violated. Dialogue: 0,0:04:36.54,0:04:38.68,Default,,0000,0000,0000,,After the atrocities of World War II, Dialogue: 0,0:04:38.71,0:04:43.10,Default,,0000,0000,0000,,the asylum system was set up\Nas one pathway to that kind of relief. Dialogue: 0,0:04:43.12,0:04:46.77,Default,,0000,0000,0000,,But these days it seems like that pathway\Nhas turned into an obstacle course, Dialogue: 0,0:04:46.79,0:04:48.33,Default,,0000,0000,0000,,setting people up to fail. Dialogue: 0,0:04:49.83,0:04:52.23,Default,,0000,0000,0000,,Asylum seekers oftentimes\Ndon't know how to start, Dialogue: 0,0:04:52.25,0:04:55.39,Default,,0000,0000,0000,,let alone complete the process\Nthat can drag on for years. Dialogue: 0,0:04:55.42,0:04:58.58,Default,,0000,0000,0000,,They're not entitled to lawyers,\Nso they don't know their rights. Dialogue: 0,0:04:59.29,0:05:01.43,Default,,0000,0000,0000,,Increasingly, they're even being barred Dialogue: 0,0:05:01.46,0:05:04.29,Default,,0000,0000,0000,,from setting foot\Nin places of potential refuge. Dialogue: 0,0:05:05.46,0:05:07.02,Default,,0000,0000,0000,,They're arrested or prosecuted, Dialogue: 0,0:05:07.04,0:05:09.92,Default,,0000,0000,0000,,even deported before they ever\Nget to see an asylum officer. Dialogue: 0,0:05:11.00,0:05:13.29,Default,,0000,0000,0000,,And even if they do\Nmake it through the process, Dialogue: 0,0:05:14.21,0:05:17.31,Default,,0000,0000,0000,,asylum grant rates\Ncan be as low as 20 percent Dialogue: 0,0:05:17.33,0:05:19.43,Default,,0000,0000,0000,,and far worse for some. Dialogue: 0,0:05:19.46,0:05:22.02,Default,,0000,0000,0000,,It's almost like the system was designed Dialogue: 0,0:05:22.04,0:05:24.21,Default,,0000,0000,0000,,to keep people\Nfrom exercising their right. Dialogue: 0,0:05:26.88,0:05:30.31,Default,,0000,0000,0000,,But there is something\Nthat many of these people can do. Dialogue: 0,0:05:30.33,0:05:33.89,Default,,0000,0000,0000,,Something that can potentially\Nincrease their chances of success Dialogue: 0,0:05:33.92,0:05:35.98,Default,,0000,0000,0000,,to 90 percent or more. Dialogue: 0,0:05:36.00,0:05:37.54,Default,,0000,0000,0000,,So what makes the difference? Dialogue: 0,0:05:38.46,0:05:42.27,Default,,0000,0000,0000,,Getting a lawyer\Nand having a medical evaluation. Dialogue: 0,0:05:42.29,0:05:43.88,Default,,0000,0000,0000,,It's as simple as that. Dialogue: 0,0:05:44.71,0:05:47.64,Default,,0000,0000,0000,,The man who came to my clinic\Nand won his asylum case. Dialogue: 0,0:05:47.67,0:05:51.73,Default,,0000,0000,0000,,Doctors and lawyers working together\Nto present all of the evidence, Dialogue: 0,0:05:51.75,0:05:53.27,Default,,0000,0000,0000,,including the medical evidence, Dialogue: 0,0:05:53.29,0:05:54.60,Default,,0000,0000,0000,,to the courts Dialogue: 0,0:05:54.62,0:05:57.50,Default,,0000,0000,0000,,allows judges to make\Ninformed and just decisions. Dialogue: 0,0:05:58.79,0:06:01.52,Default,,0000,0000,0000,,And it's this kind\Nof medical-legal partnership Dialogue: 0,0:06:01.54,0:06:03.98,Default,,0000,0000,0000,,that's now more important than ever, Dialogue: 0,0:06:04.00,0:06:07.18,Default,,0000,0000,0000,,because we live in a time\Nof epic, forced migration Dialogue: 0,0:06:07.21,0:06:08.75,Default,,0000,0000,0000,,due to violence and conflict. Dialogue: 0,0:06:09.71,0:06:14.77,Default,,0000,0000,0000,,In 2018 there were 70 million\Npeople worldwide forcibly displaced Dialogue: 0,0:06:14.79,0:06:17.52,Default,,0000,0000,0000,,due to war, conflict and persecution. Dialogue: 0,0:06:17.54,0:06:19.81,Default,,0000,0000,0000,,It includes 40 million\Ninternally displaced, Dialogue: 0,0:06:19.83,0:06:23.04,Default,,0000,0000,0000,,25 million refugees\Nand three million asylum seekers. Dialogue: 0,0:06:24.42,0:06:27.64,Default,,0000,0000,0000,,Here in the United States,\Nwe see the impact of escalating violence Dialogue: 0,0:06:27.67,0:06:30.23,Default,,0000,0000,0000,,in places like El Salvador,\NGuatemala and Honduras, Dialogue: 0,0:06:30.25,0:06:33.71,Default,,0000,0000,0000,,where murder rates can be as high\Nas those in Syria and Afghanistan. Dialogue: 0,0:06:35.54,0:06:39.81,Default,,0000,0000,0000,,Where police corruption\Nand gang violence are on the rise, Dialogue: 0,0:06:39.83,0:06:44.10,Default,,0000,0000,0000,,where poverty and child abuse\Nare widespread and tolerated, Dialogue: 0,0:06:44.12,0:06:46.14,Default,,0000,0000,0000,,where basic systems of governance -- Dialogue: 0,0:06:46.17,0:06:47.93,Default,,0000,0000,0000,,public safety, Dialogue: 0,0:06:47.96,0:06:49.27,Default,,0000,0000,0000,,child protection -- Dialogue: 0,0:06:49.29,0:06:50.58,Default,,0000,0000,0000,,are ineffective. Dialogue: 0,0:06:51.83,0:06:54.68,Default,,0000,0000,0000,,It's no surprise then that many\Nof the most vulnerable Dialogue: 0,0:06:54.71,0:06:56.18,Default,,0000,0000,0000,,in some of these societies -- Dialogue: 0,0:06:56.21,0:06:59.77,Default,,0000,0000,0000,,children, women\Nand other targeted groups -- Dialogue: 0,0:06:59.79,0:07:01.64,Default,,0000,0000,0000,,they're growing increasingly desperate Dialogue: 0,0:07:01.67,0:07:04.29,Default,,0000,0000,0000,,and fleeing in unprecedented numbers. Dialogue: 0,0:07:05.17,0:07:06.56,Default,,0000,0000,0000,,Like over the past 10 years, Dialogue: 0,0:07:06.58,0:07:08.50,Default,,0000,0000,0000,,the numbers of unaccompanied children Dialogue: 0,0:07:09.79,0:07:11.98,Default,,0000,0000,0000,,trying to seek safety\Nat our southwest border Dialogue: 0,0:07:12.00,0:07:14.10,Default,,0000,0000,0000,,has increased 18-fold, Dialogue: 0,0:07:14.12,0:07:18.17,Default,,0000,0000,0000,,from 3,300 in 2009\Nto over 62,000 this past year. Dialogue: 0,0:07:20.25,0:07:24.33,Default,,0000,0000,0000,,That's in addition to nearly half\Na million people traveling as families. Dialogue: 0,0:07:25.08,0:07:28.60,Default,,0000,0000,0000,,Men, women and children\Ntrying to seek refuge at our borders, Dialogue: 0,0:07:28.62,0:07:31.62,Default,,0000,0000,0000,,but who are stranded\Nin a humanitarian crisis. Dialogue: 0,0:07:33.00,0:07:34.85,Default,,0000,0000,0000,,And what makes matters worse Dialogue: 0,0:07:34.88,0:07:38.02,Default,,0000,0000,0000,,is that they're caught in this fog\Nof claims and counterclaims Dialogue: 0,0:07:38.04,0:07:39.56,Default,,0000,0000,0000,,about who they are, Dialogue: 0,0:07:39.58,0:07:41.23,Default,,0000,0000,0000,,what they've experienced, Dialogue: 0,0:07:41.25,0:07:43.10,Default,,0000,0000,0000,,where the proof is Dialogue: 0,0:07:43.12,0:07:44.43,Default,,0000,0000,0000,,and what they deserve. Dialogue: 0,0:07:44.46,0:07:45.88,Default,,0000,0000,0000,,Do they deserve our help? Dialogue: 0,0:07:47.71,0:07:49.35,Default,,0000,0000,0000,,Sometimes people make claims Dialogue: 0,0:07:49.38,0:07:51.52,Default,,0000,0000,0000,,that they're not fleeing\Nhuman rights abuses Dialogue: 0,0:07:51.54,0:07:53.18,Default,,0000,0000,0000,,but are simply economic migrants. Dialogue: 0,0:07:53.21,0:07:55.81,Default,,0000,0000,0000,,Others say these children\Nare actually being exploited Dialogue: 0,0:07:55.83,0:07:57.42,Default,,0000,0000,0000,,and trafficked by their parents. Dialogue: 0,0:07:58.25,0:08:00.39,Default,,0000,0000,0000,,Others say they're\Nnot even children at all; Dialogue: 0,0:08:00.42,0:08:01.77,Default,,0000,0000,0000,,they're hardened criminals, Dialogue: 0,0:08:01.79,0:08:04.38,Default,,0000,0000,0000,,they're gang members\Ntrying to infiltrate our country. Dialogue: 0,0:08:05.12,0:08:06.73,Default,,0000,0000,0000,,To cut through some of this fog, Dialogue: 0,0:08:06.75,0:08:09.23,Default,,0000,0000,0000,,my colleagues and I conducted a study. Dialogue: 0,0:08:09.25,0:08:12.68,Default,,0000,0000,0000,,We looked at data\Nfrom children seeking asylum Dialogue: 0,0:08:12.71,0:08:14.29,Default,,0000,0000,0000,,who had medical evaluations. Dialogue: 0,0:08:15.71,0:08:18.25,Default,,0000,0000,0000,,And this is what the evidence told us. Dialogue: 0,0:08:19.54,0:08:22.31,Default,,0000,0000,0000,,80 percent of these children had evidence Dialogue: 0,0:08:22.33,0:08:24.64,Default,,0000,0000,0000,,of exposure to repeated physical violence: Dialogue: 0,0:08:24.67,0:08:25.96,Default,,0000,0000,0000,,assault and torture. Dialogue: 0,0:08:27.33,0:08:30.43,Default,,0000,0000,0000,,60 percent of the girls\Nand at least 10 percent of the boys Dialogue: 0,0:08:30.46,0:08:33.85,Default,,0000,0000,0000,,had evidence of repeated\Nexposure to sexual violence. Dialogue: 0,0:08:33.88,0:08:35.81,Default,,0000,0000,0000,,One young girl, telling a story Dialogue: 0,0:08:35.83,0:08:37.48,Default,,0000,0000,0000,,and having corroborating evidence Dialogue: 0,0:08:37.50,0:08:40.81,Default,,0000,0000,0000,,of being detained, beaten and raped\Nover the course of three years, Dialogue: 0,0:08:40.83,0:08:42.64,Default,,0000,0000,0000,,trafficked to other men Dialogue: 0,0:08:42.67,0:08:46.14,Default,,0000,0000,0000,,and even having the threats\Nof the murder of her entire family Dialogue: 0,0:08:46.17,0:08:48.54,Default,,0000,0000,0000,,if she should ever escape\Nor try to seek help. Dialogue: 0,0:08:50.83,0:08:54.85,Default,,0000,0000,0000,,90 percent of these children\Nhad evidence of psychological harm Dialogue: 0,0:08:54.88,0:08:56.14,Default,,0000,0000,0000,,from indirect violence, Dialogue: 0,0:08:56.17,0:08:57.64,Default,,0000,0000,0000,,including such severe threats, Dialogue: 0,0:08:57.67,0:09:02.42,Default,,0000,0000,0000,,but also witnessing untold\Natrocities with their very eyes. Dialogue: 0,0:09:04.38,0:09:09.75,Default,,0000,0000,0000,,One young boy described\Nthe terror and the grief Dialogue: 0,0:09:10.75,0:09:12.06,Default,,0000,0000,0000,,and the utter fear Dialogue: 0,0:09:12.08,0:09:16.06,Default,,0000,0000,0000,,of seeing the mutilated bodies\Nand faces of his younger brother, Dialogue: 0,0:09:16.08,0:09:17.35,Default,,0000,0000,0000,,his aunt, Dialogue: 0,0:09:17.38,0:09:19.64,Default,,0000,0000,0000,,his uncle, his cousin, Dialogue: 0,0:09:19.67,0:09:24.54,Default,,0000,0000,0000,,all killed in a single gang attack\Nmeant to send the community a message. Dialogue: 0,0:09:28.04,0:09:31.35,Default,,0000,0000,0000,,And of course the psychological\Ntoll is immense. Dialogue: 0,0:09:31.38,0:09:34.93,Default,,0000,0000,0000,,19 percent of these children\Nhad signs of anxiety disorder; Dialogue: 0,0:09:34.96,0:09:36.73,Default,,0000,0000,0000,,41 percent, depression Dialogue: 0,0:09:36.75,0:09:39.12,Default,,0000,0000,0000,,and 64 percent, PTSD. Dialogue: 0,0:09:40.25,0:09:43.88,Default,,0000,0000,0000,,21 percent also had signs\Nof suicidality as children. Dialogue: 0,0:09:45.75,0:09:48.68,Default,,0000,0000,0000,,To put this into some perspective,\Nreturning combat veterans, Dialogue: 0,0:09:48.71,0:09:51.29,Default,,0000,0000,0000,,they have PTSD on the order\Nof 10 to 20 percent. Dialogue: 0,0:09:52.17,0:09:55.35,Default,,0000,0000,0000,,These children at three to six times\Nmore likely to have PTSD Dialogue: 0,0:09:55.38,0:09:57.62,Default,,0000,0000,0000,,than a soldier returning from war. Dialogue: 0,0:10:01.38,0:10:04.52,Default,,0000,0000,0000,,Now despite this burden\Nand despite this trauma, Dialogue: 0,0:10:04.54,0:10:06.60,Default,,0000,0000,0000,,there are many others, still. Dialogue: 0,0:10:06.62,0:10:10.81,Default,,0000,0000,0000,,Children who come to seek safety\Nand enter into our immigration system Dialogue: 0,0:10:10.83,0:10:12.35,Default,,0000,0000,0000,,only to find further abuse Dialogue: 0,0:10:12.38,0:10:15.12,Default,,0000,0000,0000,,and even torture reminiscent\Nof the places that they fled. Dialogue: 0,0:10:16.88,0:10:18.93,Default,,0000,0000,0000,,You might remember\Nsome of those headlines, Dialogue: 0,0:10:18.96,0:10:20.75,Default,,0000,0000,0000,,some of those images this past year. Dialogue: 0,0:10:21.92,0:10:25.31,Default,,0000,0000,0000,,Children being ripped\Nfrom the arms of their parents. Dialogue: 0,0:10:25.33,0:10:29.27,Default,,0000,0000,0000,,Toddlers, infants\Nin cold and unsanitary cages. Dialogue: 0,0:10:29.29,0:10:32.38,Default,,0000,0000,0000,,The absence of food, water\Nclothing and even soap. Dialogue: 0,0:10:34.08,0:10:36.89,Default,,0000,0000,0000,,There's also increasing reports\Nof medical negligence, Dialogue: 0,0:10:36.92,0:10:38.93,Default,,0000,0000,0000,,preventable complications, Dialogue: 0,0:10:38.96,0:10:40.31,Default,,0000,0000,0000,,child abuse, Dialogue: 0,0:10:40.33,0:10:41.60,Default,,0000,0000,0000,,sexual abuse Dialogue: 0,0:10:41.62,0:10:44.67,Default,,0000,0000,0000,,and even child deaths in US custody. Dialogue: 0,0:10:47.17,0:10:49.68,Default,,0000,0000,0000,,Sadly, many of these abuses\Nand crimes aren't new. Dialogue: 0,0:10:49.71,0:10:52.98,Default,,0000,0000,0000,,Some date back many years\Nand even across administrations. Dialogue: 0,0:10:53.00,0:10:54.29,Default,,0000,0000,0000,,But something's changed. Dialogue: 0,0:10:55.38,0:10:57.92,Default,,0000,0000,0000,,The scope and scale\Nof these abuses and crimes, Dialogue: 0,0:10:59.71,0:11:04.64,Default,,0000,0000,0000,,the systematic and seemingly purposeful\Nendangerment of asylum seekers Dialogue: 0,0:11:04.67,0:11:08.39,Default,,0000,0000,0000,,and also the impunity\Nwith which it's being done Dialogue: 0,0:11:08.42,0:11:10.67,Default,,0000,0000,0000,,has raised the harm\Nto an entirely new level. Dialogue: 0,0:11:13.50,0:11:15.75,Default,,0000,0000,0000,,It reminds me of one\Nof the girls in the study Dialogue: 0,0:11:16.92,0:11:19.98,Default,,0000,0000,0000,,who told us how she pleaded\Nwith one of her attackers, Dialogue: 0,0:11:20.00,0:11:21.27,Default,,0000,0000,0000,,asking him to stop, Dialogue: 0,0:11:21.29,0:11:22.71,Default,,0000,0000,0000,,asking why she was targeted. Dialogue: 0,0:11:23.88,0:11:25.96,Default,,0000,0000,0000,,And do you what his response was? Dialogue: 0,0:11:27.04,0:11:30.79,Default,,0000,0000,0000,,He says, "We can do this, because\Nthere's no one here to protect you." Dialogue: 0,0:11:36.00,0:11:37.77,Default,,0000,0000,0000,,We can't let this be true Dialogue: 0,0:11:37.79,0:11:41.29,Default,,0000,0000,0000,,of children and other asylum seekers\Ntrying to find help at our borders. Dialogue: 0,0:11:43.04,0:11:44.33,Default,,0000,0000,0000,,But what do we do? Dialogue: 0,0:11:46.04,0:11:47.31,Default,,0000,0000,0000,,As a physician, Dialogue: 0,0:11:47.33,0:11:49.39,Default,,0000,0000,0000,,I'm often dealing with difficult decisions Dialogue: 0,0:11:49.42,0:11:52.52,Default,,0000,0000,0000,,with some of my sickest\Nand most complex patients. Dialogue: 0,0:11:52.54,0:11:55.02,Default,,0000,0000,0000,,Of course we want to keep\Nour focus on their health, Dialogue: 0,0:11:55.04,0:11:57.02,Default,,0000,0000,0000,,their well-being, their quality of life, Dialogue: 0,0:11:57.04,0:12:00.50,Default,,0000,0000,0000,,but sometimes it requires\Na deeper exploration of their values Dialogue: 0,0:12:01.58,0:12:03.92,Default,,0000,0000,0000,,to really understand how to move forward. Dialogue: 0,0:12:05.12,0:12:06.39,Default,,0000,0000,0000,,In a similar way, Dialogue: 0,0:12:06.42,0:12:08.56,Default,,0000,0000,0000,,our nation is facing a crisis Dialogue: 0,0:12:08.58,0:12:11.43,Default,,0000,0000,0000,,with the increasing number\Nof asylum seekers at our borders Dialogue: 0,0:12:11.46,0:12:12.81,Default,,0000,0000,0000,,and in our communities, Dialogue: 0,0:12:12.83,0:12:17.12,Default,,0000,0000,0000,,and it compels us to re-examine\Nsome of our own fundamental values. Dialogue: 0,0:12:18.50,0:12:22.06,Default,,0000,0000,0000,,What does it mean\Nwhen we value health and safety? Dialogue: 0,0:12:22.08,0:12:24.04,Default,,0000,0000,0000,,What does it mean when we value security, Dialogue: 0,0:12:25.96,0:12:28.10,Default,,0000,0000,0000,,life, liberty, Dialogue: 0,0:12:28.12,0:12:29.81,Default,,0000,0000,0000,,the life of children? Dialogue: 0,0:12:29.83,0:12:31.14,Default,,0000,0000,0000,,What about this one -- Dialogue: 0,0:12:31.17,0:12:33.96,Default,,0000,0000,0000,,what does it mean when we say\Nwe value law and order? Dialogue: 0,0:12:34.58,0:12:38.42,Default,,0000,0000,0000,,Does that also include respecting\Ndue process rights for an asylum seeker? Dialogue: 0,0:12:40.00,0:12:41.98,Default,,0000,0000,0000,,Now for some, when they hear these terms Dialogue: 0,0:12:42.00,0:12:45.02,Default,,0000,0000,0000,,they immediately gravitate\Ntowards wanting to build more walls, Dialogue: 0,0:12:45.04,0:12:46.48,Default,,0000,0000,0000,,deploying more border patrol, Dialogue: 0,0:12:46.50,0:12:47.98,Default,,0000,0000,0000,,deporting more people Dialogue: 0,0:12:48.00,0:12:51.02,Default,,0000,0000,0000,,even if it means separating\Nchildren from their families, Dialogue: 0,0:12:51.04,0:12:53.48,Default,,0000,0000,0000,,subjecting them to psychological torture Dialogue: 0,0:12:53.50,0:12:56.12,Default,,0000,0000,0000,,or deporting them to places\Nwhere they might die. Dialogue: 0,0:12:57.33,0:12:59.60,Default,,0000,0000,0000,,All in the name of security. Dialogue: 0,0:12:59.62,0:13:00.92,Default,,0000,0000,0000,,All in our name. Dialogue: 0,0:13:01.67,0:13:03.29,Default,,0000,0000,0000,,But for me and for many others, Dialogue: 0,0:13:05.00,0:13:06.48,Default,,0000,0000,0000,,when I think of these values, Dialogue: 0,0:13:06.50,0:13:08.60,Default,,0000,0000,0000,,that pushes me\Nin an entirely new direction Dialogue: 0,0:13:08.62,0:13:12.52,Default,,0000,0000,0000,,and renews my commitment to try\Nto meet the needs of these asylum seekers Dialogue: 0,0:13:12.54,0:13:15.68,Default,,0000,0000,0000,,with every tool I have at my disposal. Dialogue: 0,0:13:15.71,0:13:18.81,Default,,0000,0000,0000,,So that when we say\Nthat we value life and liberty, Dialogue: 0,0:13:18.83,0:13:22.18,Default,,0000,0000,0000,,we'll see these people\Nwho have taken unimaginable risks Dialogue: 0,0:13:22.21,0:13:24.52,Default,,0000,0000,0000,,to flee imminent danger and harm Dialogue: 0,0:13:24.54,0:13:26.35,Default,,0000,0000,0000,,to try to find safety. Dialogue: 0,0:13:26.38,0:13:27.89,Default,,0000,0000,0000,,We'll meet them where they are Dialogue: 0,0:13:27.92,0:13:30.52,Default,,0000,0000,0000,,and provide food, water,\Nshelter, clothing. Dialogue: 0,0:13:30.54,0:13:32.81,Default,,0000,0000,0000,,And we'll certainly\Nmeet them with medical care Dialogue: 0,0:13:32.83,0:13:35.46,Default,,0000,0000,0000,,and mental health care\Nthat they so desperately need. Dialogue: 0,0:13:36.00,0:13:38.43,Default,,0000,0000,0000,,When we say that we value the rule of law, Dialogue: 0,0:13:38.46,0:13:42.06,Default,,0000,0000,0000,,and not just the privileges\Nit provides a few Dialogue: 0,0:13:42.08,0:13:44.64,Default,,0000,0000,0000,,but the responsibilities\Nit requires of all of us, Dialogue: 0,0:13:44.67,0:13:47.64,Default,,0000,0000,0000,,we'll make sure that we have\Na functioning immigration system. Dialogue: 0,0:13:47.67,0:13:49.81,Default,,0000,0000,0000,,We'll make sure that we have\Ntrained judges. Dialogue: 0,0:13:49.83,0:13:54.27,Default,,0000,0000,0000,,We'll make sure that we're not\Nsettling for the illusion of law and order Dialogue: 0,0:13:54.29,0:13:58.10,Default,,0000,0000,0000,,that maybe a tall wall\Nor a militarized border might provide us. Dialogue: 0,0:13:58.12,0:14:00.02,Default,,0000,0000,0000,,We want the real thing. Dialogue: 0,0:14:00.04,0:14:02.52,Default,,0000,0000,0000,,We want judges to be able\Nto evaluate the evidence, Dialogue: 0,0:14:02.54,0:14:04.10,Default,,0000,0000,0000,,including the medical evidence, Dialogue: 0,0:14:04.12,0:14:07.39,Default,,0000,0000,0000,,and we want them to administer justice ... Dialogue: 0,0:14:07.42,0:14:08.71,Default,,0000,0000,0000,,fairly. Dialogue: 0,0:14:10.71,0:14:13.23,Default,,0000,0000,0000,,When we say that we value\Nhealth and well-being, Dialogue: 0,0:14:13.25,0:14:15.42,Default,,0000,0000,0000,,that we don't want to perpetuate harm, Dialogue: 0,0:14:17.33,0:14:19.93,Default,,0000,0000,0000,,then we'll deploy\Ntrauma-informed strategies Dialogue: 0,0:14:19.96,0:14:21.93,Default,,0000,0000,0000,,at all levels of the immigration system. Dialogue: 0,0:14:21.96,0:14:24.43,Default,,0000,0000,0000,,It might start with retraining\Nborder patrol agents Dialogue: 0,0:14:24.46,0:14:26.06,Default,,0000,0000,0000,,or immigration officials, Dialogue: 0,0:14:26.08,0:14:29.68,Default,,0000,0000,0000,,but it needs more medical,\Nmental health and child welfare experts Dialogue: 0,0:14:29.71,0:14:31.21,Default,,0000,0000,0000,,across the whole system. Dialogue: 0,0:14:33.62,0:14:37.12,Default,,0000,0000,0000,,And when we say that we value justice, Dialogue: 0,0:14:38.62,0:14:41.89,Default,,0000,0000,0000,,we won't let ourselves\Nbe turned into the torturers Dialogue: 0,0:14:41.92,0:14:45.52,Default,,0000,0000,0000,,that many of these children\Nand other people fled. Dialogue: 0,0:14:45.54,0:14:48.39,Default,,0000,0000,0000,,We'll open up our detention\Ncenters and our courts Dialogue: 0,0:14:48.42,0:14:49.68,Default,,0000,0000,0000,,to experts and advocates Dialogue: 0,0:14:49.71,0:14:51.54,Default,,0000,0000,0000,,to hold ourselves accountable. Dialogue: 0,0:14:52.42,0:14:55.77,Default,,0000,0000,0000,,And we may find that we need\Nto shut down most of them Dialogue: 0,0:14:55.79,0:14:57.33,Default,,0000,0000,0000,,and close these camps. Dialogue: 0,0:15:01.50,0:15:04.02,Default,,0000,0000,0000,,I believe that by working\Nin effective partnerships Dialogue: 0,0:15:04.04,0:15:07.10,Default,,0000,0000,0000,,with lawyers, doctors,\Nhuman rights advocates Dialogue: 0,0:15:07.12,0:15:08.39,Default,,0000,0000,0000,,and many others, Dialogue: 0,0:15:08.42,0:15:11.39,Default,,0000,0000,0000,,that we can work together\Nto meet these asylum seekers' needs, Dialogue: 0,0:15:11.42,0:15:13.39,Default,,0000,0000,0000,,that we can meet our historical, Dialogue: 0,0:15:13.42,0:15:14.68,Default,,0000,0000,0000,,humanitarian Dialogue: 0,0:15:14.71,0:15:16.58,Default,,0000,0000,0000,,and legal obligations to them. Dialogue: 0,0:15:17.42,0:15:18.68,Default,,0000,0000,0000,,And when we do, Dialogue: 0,0:15:18.71,0:15:20.93,Default,,0000,0000,0000,,I think something powerful will unfold. Dialogue: 0,0:15:20.96,0:15:22.81,Default,,0000,0000,0000,,Not only will these asylum seekers -- Dialogue: 0,0:15:22.83,0:15:25.73,Default,,0000,0000,0000,,like the man who came to my clinic\Nand won his asylum case, Dialogue: 0,0:15:25.75,0:15:27.27,Default,,0000,0000,0000,,like the children in the study Dialogue: 0,0:15:27.29,0:15:30.73,Default,,0000,0000,0000,,or the many thousands of others\Nseeking a new life, Dialogue: 0,0:15:30.75,0:15:33.64,Default,,0000,0000,0000,,they'll be able to find\Nthat safety and security. Dialogue: 0,0:15:33.67,0:15:35.93,Default,,0000,0000,0000,,We'll recognize the abuses\Nthat have occurred, Dialogue: 0,0:15:35.96,0:15:39.04,Default,,0000,0000,0000,,and we'll restore the rights\Nand protections that were lost. Dialogue: 0,0:15:40.42,0:15:42.60,Default,,0000,0000,0000,,And I think that we'll be in wonder Dialogue: 0,0:15:42.62,0:15:45.08,Default,,0000,0000,0000,,when we see them in the fullness\Nof their humanity. Dialogue: 0,0:15:45.96,0:15:48.68,Default,,0000,0000,0000,,Not just their strengths and weaknesses, Dialogue: 0,0:15:48.71,0:15:50.39,Default,,0000,0000,0000,,their hopes and joys, Dialogue: 0,0:15:50.42,0:15:53.43,Default,,0000,0000,0000,,not just the trauma that we acknowledge, Dialogue: 0,0:15:53.46,0:15:55.43,Default,,0000,0000,0000,,but we'll also stand with them Dialogue: 0,0:15:55.46,0:15:57.89,Default,,0000,0000,0000,,and we'll be inspired by their resilience. Dialogue: 0,0:15:57.92,0:15:59.27,Default,,0000,0000,0000,,They'll blossom, Dialogue: 0,0:15:59.29,0:16:01.50,Default,,0000,0000,0000,,and they'll add\Nto the richness of this nation. Dialogue: 0,0:16:02.54,0:16:05.14,Default,,0000,0000,0000,,I think by staying true\Nto our fundamental values Dialogue: 0,0:16:05.17,0:16:07.06,Default,,0000,0000,0000,,in the way that I've described, Dialogue: 0,0:16:07.08,0:16:10.81,Default,,0000,0000,0000,,that's how we build a sane\Nand humane immigration system. Dialogue: 0,0:16:10.83,0:16:15.02,Default,,0000,0000,0000,,That's how we remain the golden door. Dialogue: 0,0:16:15.04,0:16:16.35,Default,,0000,0000,0000,,And that's how it happens Dialogue: 0,0:16:16.38,0:16:18.67,Default,,0000,0000,0000,,that we remain the shining\Nlight of the world. Dialogue: 0,0:16:19.54,0:16:20.81,Default,,0000,0000,0000,,Thank you. Dialogue: 0,0:16:20.83,0:16:23.12,Default,,0000,0000,0000,,(Applause)