As federal activity increases, legal and health advocates have warned that the effects of these policies are also extending beyond the immigration system. Karina Albistegui Adler of New York Lawyers for the Public Interest, who works with immigrants navigating healthcare and immigration systems, said that these policies have created chilling effects among immigrant communities. This can lead to missed appointments, lapses in medication and untreated conditions, particularly for U.S. citizens and lawful residents in mixed-status families. She also noted that confusion within healthcare systems has increased, with some providers questioning patients' eligibility or denying services based on incorrect assumptions about their status.