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Maine Compass: Maine’s long-term care crisis isn’t imminent — it has arrived

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Maine Compass: Maine’s long-term care crisis isn’t imminent — it has arrived


As a former member of the Maine Legislature’s Health and Human Services Committee, I am deeply troubled by the escalating rate of closures and conversions of long-term care facilities in our state. Over the past decade, approximately 50 facilities, including 23 nursing homes, have shuttered their doors or downsized their services. Although this problem is worsening, it’s been a long time coming; when I served in the legislature from 1998 to 2006, we worked to address this concern. Urgent action by Gov. Mills and Maine’s Legislature is needed now.

Maine, as the oldest state in the nation, isn’t just on the brink of a crisis; the crisis is here. With nearly 70% of older adults likely to require long-term care services at some point in their lives, the declining access to these services is deeply concerning. Counties like Washington and Hancock are now left without a single nursing home, leaving some residents and families distressed and forcing others to travel long distances for care.

The root cause of these closures is clear: inadequate reimbursement rates, soaring inflation levels, and rising costs. Maine’s long-term care facilities are struggling to stay afloat financially, unable to cover the costs of providing quality care to our loved ones and fair wages to the skilled workers who support them.

The ripple effects of these closures extend far and wide into every part of the state. Mainers are left languishing in hospitals for months, awaiting increasingly scarce long-term care placements. This strains our healthcare system and undermines the well-being of individuals needing specialized care.

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While the legislature has allocated one-time supplemental funding, the persistent rate of closures indicates that this approach needs to be revised. Maine’s long-term care sector faces a staggering shortfall of over $120 million, a deficit that cannot be ignored. Chronic underfunding and staffing shortages are crippling our ability to provide essential care to our aging population.

L.D. 451, aimed at collecting data on temporary nurse agency staffing costs, is a step in the right direction.

However, it is merely a band-aid solution to a much larger problem. The solution to this crisis is clear: we must increase MaineCare reimbursement rates to reflect the cost of providing quality long-term care. With federal matching funds available, the state can leverage additional resources to address the funding shortfall and ensure the sustainability of our long-term care system.

Moreover, we must invest in strategies to recruit and retain qualified direct care workers. By offering competitive wages and benefits, we can attract skilled professionals to the field and mitigate the reliance on costly agency labor.

Inaction is not an option. The time to act is now before more long-term care facilities close their doors and more Mainers are left without access to essential services.

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As a former policymaker, I implore our legislators and Gov. Mills to prioritize long-term care funding and enact meaningful reforms to safeguard the health and dignity of our aging population. Our loved ones deserve nothing less.


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“I’m Ashamed of My Country”: Biddeford, Maine Locals Grieve Neighbor Killed by ICE

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“I’m Ashamed of My Country”: Biddeford, Maine Locals Grieve Neighbor Killed by ICE


A poster of Joan Sebastián Durán Guerrero, the man killed by US Immigration and Customs Enforcement, is displayed at a memorial in Biddeford, Maine.Robert F. Bukaty/AP

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The day after hundreds of locals poured into the streets of Biddeford, Maine in protest of ICE’s killing of 26-year-old Joan Sebastián Durán Guerrero on Monday, I drove through the former mill town. It seemed eerily still, as if in shock. When the horrors of Minneapolis and Houston come to your small corner of New England, what can you do?

In Mechanics Park in Biddeford, a small but diligent group presented one answer: you keep showing up.

“When I woke up this morning, I knew that this was the place I should go right to,” said Wayne Miller, 71, a retired pilot of 35 years and resident of Beverly, Massachusetts. “This is my backyard. This is my neighborhood.”

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He paused, then started to cry. “I’m ashamed of my country. I love the country. I’m ashamed.”

Miller was standing with a sign that read “Dissent while you still can” at the corner of Mechanics Park in Biddeford, where the protest and vigil for Guerrero had been held the day before. A nearby chain-link fence served as a memorial, lined with flowers, signs, and letters of grief and apology for Guerrero and his family. One read, “3-year-olds should be watching Bluey, not their fathers being executed.” Above a “No Trespassing” sign, someone had placed another: “Biddeford was built by immigrants.”

I spoke with Miller and others who had come out on Tuesday to continue expressing their grief for their neighbor, the second person killed by federal agents in less than a week.

“It’s one thing to see a news story from a distance,” said Tessa, 28, a waitress and resident of Biddeford. “But watching it happen close to home, it really recontextualizes the safety that you feel walking around in your neighborhood.”

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For Linda Henry, 27, a retired firefighter and Gloucester, Massachusetts resident, it was only a matter of time. “I know that it doesn’t matter where you live. It’s going to happen, you know. ICE is going to come.”

“I’m ashamed of my country. I love the country. I’m ashamed.”

Guerrero was a Colombian citizen who lived in Biddeford, Maine with his partner and 3-year-old daughter. He is one of at least nine people killed by federal immigration agents since the start of Donald Trump’s second term. Homeland Security Secretary Markwayne Mullin claims Guerrero “weaponized” his vehicle during a traffic stop. But similar claims by DHS have quickly fallen apart after video footage of shootings has come to light.

Reports say that not only was Guerrero authorized to legally work in the US, but he wasn’t the target of ICE’s operations that day. 

Katie, a 48-year-old educator from New Hampshire, shared her anger. “A gun is not a license to kill. These agents have no business drawing their guns,” she said. “They aren’t judge, jury, and executioner, and they don’t have the right to be killing people the way that they are.”

“We were taught from the time we were little, ‘liberty and justice for all.’ We were taught that the United States was a place for everyone, and the current regime has changed that,” Katie continued.

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A chain-link fence with a metal
A sign at a makeshift memorial for Guerrero at Mechanics Park in Biddeford, Maine.

Most of the protesters were standing with signs on the sidewalk along the adjacent intersection, shouting “ICE OUT” while passing cars honked. Near the memorial, a man on a bike caught my eye. He was off to the side, alone, quietly reading the letters addressed to Guerrero.

He introduced himself as Diego, 30, a restaurant worker and Biddeford resident. “I knew the guy. He was always around,” he said. “I was working and I was about to cry, to be honest. Because it’s injustice, you know? I’m an immigrant, and this country was built for immigrants.”

“We work, we pay taxes. We also need rights, as everybody does,” he said. “It’s not about left or right. It’s not about a political party. It’s about human rights.”

He told me that while he’s never felt disrespected by his neighbors and the people of Biddeford are good, the government is not the same. He said he feels unsafe and his community of immigrants feels like it’s hiding. 

“How many need to die for us to understand?” Diego said. “He’d got a kid, a little daughter. And that’s the most devastating. Because, you know, if I do something wrong, I can say ‘I’m sorry, I apologize.’ But he’s dead. There’s no apology that can bring him back, you know? He’s dead. I can’t even believe it, I can’t even believe this is happening.” 

A makeshift memorial featuring flowers, letters, and signs for Joan Sebastián Durán Guerrero, a Biddeford Maine resident shot and killed by ICE.
Letters, flowers, and signs lined the fence at Mechanics Park.

When I asked Diego why he had stopped on his bike, he said out of solidarity—for Guerrero, for his partner and daughter. And when I asked what he would say to his community, he said, “Thank you for all the solidarity of people. Thank you for all the understanding. And I hope we can stop the violence.”

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How a tragedy changed the timeline — and the politics — of Maine’s Senate race – The Boston Globe

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How a tragedy changed the timeline — and the politics — of Maine’s Senate race – The Boston Globe


And while this is the role that many Democratic leaders would be expected to play in this situation, this crop of candidates has an added challenge.

Because this also means there are no meaningful distinctions among the candidates to help guide the eventual 601 delegates who will decide who should run in one of the most closely watched Senate contests in the country.

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Indeed, the practical political impact of the tragic situation in Biddeford on the Maine Senate contest is this: What was expected to be an intense two-week primary campaign has effectively been reduced to one week. And the week currently being overtaken by the shock and anger is likely the most crucial.

That’s because 5 p.m. Wednesday is the deadline for supporters to sign up to become delegate candidates for the July 25 statewide convention in Bangor.

Those delegate candidates will then be elected at caucuses held in each of the state’s 16 counties over this coming weekend. From that process will come the 601 delegates who will decide which Democrat will challenge five-term Republican incumbent Susan Collins this fall.

In fact, the best organized campaigns will likely know by Sunday who has already won the contest because they can simply add up how many of their own supporters became delegates.

In other words, the contest could be effectively over before most Mainers even begin to really pay attention.

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Further, unlike some major news developments that provide a moment of political clarity, this tragic situation in Biddeford resolves nothing. Instead, it raises the stakes for Democrats to make the right choice.

What that means in the context of choosing between a more progressive populist candidate in the mold of Platner or a more traditional Democrat in the mold of this year’s Democratic nominee for governor, Hannah Pingree, remains an open question.

There is simply less time now to discuss it.

Now, none of the above is meant to take away from the discussion about a husband and father who was killed by the government and whatever circumstances led to that tragedy.

To be sure, the moment a Democratic nominee is selected, the role of ICE will immediately become the first real dividing-line issue in the Senate race. After all, Collins oversees ICE’s budget as chair of the Senate Appropriations Committee and has been actively involved in conversations with the administration about enforcement in Maine.

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But as to who should face her, the clarity and contrasts that campaigns tend to reveal are not currently there among Democrats at a time when they would be most helpful. As it stands, all of the candidates oppose the Trump administration’s overall agenda, oppose the Iran war, promote some version of an affordability message, and, above all, oppose Collins.

Nor is there an obvious choice if Maine Democratic delegates decide electability should be their highest priority.

Campaigns rarely unfold on the timetable candidates expect. Outside events intervene, reshaping what voters hear, what campaigns can talk about, and, ultimately, what party insiders have to evaluate.

In this case, Democrats face the unusual challenge of selecting a Senate nominee while the issue dominating the public conversation is one on which nearly all of the candidates already agree. That may produce unity after a bruising week, but it also leaves delegates with fewer opportunities to distinguish between the people asking for their votes before making one of the biggest political decisions in Maine this year.


James Pindell is a Globe political reporter who reports and analyzes American politics, especially in New England.

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Communities in Maine demand justice after ICE officer shoots, kills 25-year-old

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Communities in Maine demand justice after ICE officer shoots, kills 25-year-old


An ICE agent in Maine fatally shot into the car of Johan Sebastián Durán Guerrero, a 25-year-old Colombian national. CBS News reports that Independent Sen. Angus King of Maine said that “the person that was killed was not the person that they were seeking,”



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