Last month, The Washington Post reported on a whistleblower disclosure from senior Social Security Administration executive Jeremiah Schofield, filed with Sens. Elizabeth Warren, D-Mass. and Richard Blumenthal, D-Conn. It describes a plan, devised by Elon Musk’s DOGE and the Department of Homeland Security, to enter nearly 2.7 million living immigrants into the Social Security Administration’s Death Master File, the database used by banks, employers and agencies to confirm who has died. To be marked dead is to be severed from wages, banking and all social benefits.

That was the point: make immigrants miserable enough to self-deport. Two memos reportedly from then-Homeland Security Secretary Kristi Noem to the acting Social Security Commissioner, Leland Dudek, waved off the legal warnings, the disclosure says, stating “death is a state of ineligibility.” It didn’t matter that the people were alive.

The agency says the plan wasn’t carried out. But roughly 6,000 immigrants were marked dead last year, some of whom had to walk into a government office and prove they were still breathing. And when they did, Immigration and Custom Enforcement was there waiting to arrest them.

Even without the fear that this stunt evoked, aides and the night nurses are already leaving — their protections revoked, status in question — but the need for them isn’t shrinking. Over the next decade, the U.S. will have 10 million openings in direct care. We’ll squeeze this need into the margins.