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Kan. High Court: State can’t limit lawsuit payouts for pain and suffering

The Kansas Supreme Court held that the cap on noneconomic damages violates the state constitution’s right to a trial by jury.
BIGSTOCK

A Kansas law that caps jury awards for noneconomic damages — things like pain and suffering — violates the right to a trial by jury, the Kansas Supreme Court ruled on Friday.

“This is huge,” said attorney Thomas M. Warner Jr., who represented Diana K. Hilburn, the plaintiff in the case. “We’ve had these caps on the books since 1986 in Kansas. Basically, the politicians decided that they would be in a better position to determine the amount of damages for noneconomic damages than juries. And so this decision allows juries to make that decision again.”

Kansas is one of many states that have limited noneconomic damages, particularly in medical malpractice cases, out of concern that runaway jury awards cause skyrocketing insurance premiums and hurts the economy.

The cap has been revised upward over the years and now stands at $325,000. It was scheduled to increase to $350,000 in 2022.

Hilburn was injured in 2010 when the car she was riding in was rear-ended by a semi-trailer truck. Hilburn sued the truck’s owner, Enerpipe Ltd., for negligence. A jury awarded her $335,000, including $301,509.14 for noneconomic losses.

Because Kansas at the time capped noneconomic damages at $250,000, the total award was reduced to $283,490.86. Hilburn appealed and the Kansas Court of Appeals rejected her argument that the cap was unconstitutional.

In reversing that decision, the Kansas Supreme Court held that the cap violates the Kansas Constitution’s Bill of Rights, which states that the “right of trial by jury shall be inviolate.”

The court rejected its own reasoning in a 2012 medical malpractice case that the right to a jury trial could be modified if certain conditions were met.

The Kansas Court of Appeals found those conditions were met in Hilburn’s case, but the Supreme Court said it should never have applied that test to a fundamental constitutional right.

“ … we simply cannot square a right specially designated by the people as ‘inviolate’ with the practical effect of the damages cap: substituting juries’ factual determinations of actual damages with an across-the-board legislative determination of the maximum conceivable amount of actual damages,” Justice Carol Beier wrote for the court.

Justice Marla Luckert dissented, saying she would have followed the 2012 malpractice case and upheld the cap.

The case drew widespread interest. The Kansas Chamber of Commerce and Industry and the Kansas Association of Defense Counsel filed friend-of-the-court briefs urging the court to uphold the damage cap. The Kansas Trial Lawyers Association filed a friend-of-the-court brief urging it to find the cap unconstitutional.

“This is a game-changer,” said David Morantz, who wrote the trial lawyers’ brief. “It’s a very big ruling.”

“This has been an issue that has troubled and really hurt personal injury victims for years,” he said. “It’s been an issue of the Legislature trying to substitute its judgment for that of Kansas juries and preventing Kansas juries from deciding the full measure of personal injury victims’ damages.”

Judges will still retain the ability to rein in runaway jury verdicts, under a legal doctrine known as remittitur.

“But today’s opinion does a good job of putting these issues and questions back in juries’ hands and keeping the legislature out of it,” Morantz said.

Dan Margolies is a senior reporter and editor in conjunction with the Kansas News Service. You can reach him on Twitter @DanMargolies.

FIRST FIVE: Propaganda on the ballot

By Kirsti Kenneth and Pierce McManus
Freedom Forum Institute

The 2020 presidential election is still more than 500 days away. But with more than two dozen notable candidates already in the running, campaign season is in full swing and each day brings a new wave of information about the crowd of contenders. However, not everything you hear, see or read should influence what you do in the voting booth. Alongside the policy statements and campaign promises, today’s political landscape is littered with disinformation and deceptive content intended to spread falsehoods and mislead the public. Think you’re equipped to sort out the fact-backed claims from the public relations stunts and propaganda? Well, you might just want to think again.

We all know that political campaigns utilize methods intended to persuade and provoke the public. The time-tested strategies of tightly scripted stump speeches and staged photo ops designed to stir our emotions and garner our support date back to the dawn of modern campaigning. Most of us know to think twice about the slick promises and heart-tugging moments campaigns trot out to win votes, but today’s candidates and other political players are experimenting with new methods to influence the online electorate.

Last month, right-wing internet provocateurs Jacob Wohl and Jack Burkman published a fabricated sexual assault allegation against Democratic candidate Pete Buttigieg on the blogging platform Medium. The accusation appeared under the name of a man who soon disavowed the claim. There’s also been an increase in apparent “local news” sites that are actually created by party activists. They run articles promoting certain candidates over others without disclosing the authors’ political connections to certain political action committees. And false quotes by President Donald Trump and Democratic presidential candidates continue to circulate on social media.

Many of these tactics cross the line to become propaganda: emotionally manipulative claims and disinformation designed to hijack voters’ thoughts and actions. And as you can see, it’s not just Russian bots that are to blame. Government and big business are scrambling to find solutions. Twitter is rolling out a new tool for reporting Tweets that are “misleading about voting.” The FBI and Department of Homeland Security have made permanent their task forces focusing on defending against foreign interference in elections, including propaganda and influence campaigns on social media.

But we continue to believe the most direct path to outsmarting propaganda’s manipulative messages lies in educating and empowering the public to spot problematic content and stop its destructive spread. As we voters begin to navigate a seemingly never-ending maze of campaign media and related online information, there are red flags we can all look for to sort politics from propaganda.

Propaganda simplifies the situation. Does the content cite only convenient or helpful facts while glossing over counter-arguments? Red flag. Propaganda exaggerates. Does the content present its candidate as perfect or nearly so? Red flag. Propaganda also uses our emotions against us, exploiting our weaknesses and deepest desires. Does the content you’re looking at make you feel afraid, and then conveniently promise a cure for that fear? Another red flag.

Most corrosively, propaganda seeks to divide us, setting up an “us” versus “them” scenario that broadens divisions between different people, groups and ideas.

Last month, a video of House Speaker Nancy Pelosi, a Democrat, slurring her words garnered millions of views and shares online. The video, which was later proven to be a manipulated fake, was the perfect propaganda for a polarized age. It was shared by conservative politicians and party loyalists in effort to raise speculation about Pelosi’s fitness for leadership and to rally their base. Perhaps those who shared it were unaware at the time that the video was fraudulent. Perhaps they didn’t care. Or perhaps they expected their social networks of choice to police the content distributed via those platforms. (YouTube did eventually take the video down; copies are still available via Twitter and Facebook.) But as the presidential election fans the flames of disinformation, fakery and deception, pleading ignorance or waiting for algorithmic salvation isn’t going to cut it. If you think the country is divided now, imagine how fractured we may be in a year’s time if we don’t become a more media-literate electorate, primed to weed out destructive propaganda.

To paraphrase Thomas Jefferson, an informed citizenry is vital for a free society to thrive. As we prepare for the 2020 presidential election, let’s all do our part to ensure that the information we consume and share is factually accurate. And then let’s put that knowledge into action at the voting booth.

Contributing to this column were Katharine Kosin, NewseumED museum educator and Barbara McCormack, vice president of education at the Freedom Forum Institute. Pierce McManus, NewseumED’s digital communications and outreach director, and Kirsti Kenneth, NewseumED’s curriculum developer, can be reached for media inquiries at [email protected].

Sunny, warm Sunday

Today
Mostly sunny, with a high near 84. North wind 6 to 9 mph becoming east in the afternoon.
Tonight
Partly cloudy, with a low around 60. East wind 5 to 10 mph.
Monday
Mostly sunny, with a high near 83. Southeast wind 6 to 9 mph.
Monday Night
Showers and thunderstorms likely, mainly after 1am. Increasing clouds, with a low around 62. Southeast wind 5 to 10 mph becoming light after midnight. Chance of precipitation is 70%. New rainfall amounts between a quarter and half of an inch possible.
Tuesday
Showers and thunderstorms likely, mainly before 1pm. Mostly cloudy, with a high near 80. South wind 5 to 7 mph becoming north in the afternoon. Chance of precipitation is 70%. New rainfall amounts between a quarter and half of an inch possible.
Tuesday Night
A 40 percent chance of showers and thunderstorms, mainly before 1am. Mostly cloudy, with a low around 59.
Wednesday
Partly sunny, with a high near 80.
Wednesday Night
Partly cloudy, with a low around 59.
Thursday
Sunny, with a high near 88.

Kansas man hospitalized after hit running across highway

RENO COUNTY — One person was injured in an accident just after 10:30p.m. Saturday in Reno County.

The Kansas Highway Patrol reported a 2018 Toyota Rav4 driven by Wade A. Phillips, 46, Lewis,  was  eastbound in the right lane of U.S. 50 just east of Whiteside Road.

The Toyota struck a pedestrian identified as Christopher Marshall, 25, Hutchinson, who ran across the highway.

EMS transported Marshall to Hutchinson Regional Medical Center. Phillips was properly restrained at the time of the accident and not injured, according to the KHP.

STUDY: Adults with disabilities have challenges insurance, despite ACA improvements

(Photo credit: Pexels.com)

LAWRENCE — Expansion of the Affordable Care Act in 2014 improved access to insurance and represented gains in health care for adults with disabilities. But while those gains were documented, what wasn’t known was what challenges still existed in accessing care for that population. A new study from the University of Kansas documents the challenges adults with disabilities still face in accessing health care and offers recommendations to improve care and accessibility.

Researchers in KU’s Institute for Health & Disability Policy Studies conducted interviews with 22 adults with a variety of disabilities and health insurance types about barriers they faced in accessing health care after the expansion of ACA coverage. They found challenges exist in five major areas:

  • Information and understanding of coverage
  • Out-of-pocket expenses
  • Prescription medications
  • Provider networks
  • Transportation

“We want to make it clear this is not an indictment of the Affordable Care Act. The ACA has expanded coverage for many, but that said, we want to look at what barriers still exist and what can still be improved,” said Jean Hall, institute director and one of the article’s authors.

Co-written by Noelle Kurth and Sarah Smith of KU and Gilbert Gimm of George Mason University, the study is forthcoming in the Disability and Health Journal.

The individuals interviewed provided a sample of American adults from across the U.S. with different types of disabilities and coverage provided by Medicaid, private insurers, the ACA marketplace and other sources.

Nearly all reported trouble accessing information and understanding their coverage. A longstanding problem, the Affordable Care Act didn’t change that for many respondents. Some reported confusion when switching from Medicare or Medicaid to private insurance about which doctors were in their networks or what services were covered. Information could be hard to find, and it was often incorrect. Studies have previously found more than half of private insurers have incorrect or out-of-date information regarding providers on their websites.

Other individuals reported being referred to see specialists, even if they were not part of their plan’s network. That was part of the also longstanding problem of out-of-pocket expenses. Problems existed even when specialists or other services were covered.

“People with disabilities have to see specialists more often, which adds up in out-of-pocket expenses,” Hall said. “That’s an extra burden for people who tend to be in lower-income brackets to begin with.”

In terms of medications, numerous respondents reported not having all of their medications covered, having co-occurring conditions that require different prescribed medications or being prescribed medicines that contraindicate each other. The result of some being covered and not others, or confusion on which were needed, often led to people being forced to choose which medicine to go without or having to pay for needed prescriptions on their own. Appeals processes do exist, but they can take a long time to resolve, which is compounded by going without a medication, Hall said.

Transportation was one of the most frequently reported issues. Numerous respondents reported having to travel long distances to see their doctor. One respondent in Alaska was forced to travel out of the state to find an in-network provider. Others had to take time from work to travel several hours, and others were unable to drive because of their disability, requiring a second person to come with them, all of which added to the time required and financial strain resulting from travel.

“There was one woman who reported she not only had to travel to her doctor but had to pay for parking each time she had an appointment. That may not seem like much, but it adds up and made it hard for her to be able to afford the travel,” Hall said. “And if you need another person to travel with you, either to drive or to provide assistance, that adds to the difficulty.”

The authors make several recommendations for policy to address the issues individuals with disabilities face. While Medicaid is required to cover transportation for people with disabilities for non-emergency visits, several problems still exist. Encouraging insurers to provide travel vouchers could help address the problem, the researchers argue. Requiring insurers to have up-to-date information and either penalizing those who don’t or providing incentives for those who do could help address confusion in coverage, while moving to coverage of medications known to be cost-effective and lowering co-pays and out-of-pocket costs to ensure they are available when needed would help as well, they write.

All of the barriers not only had negative effects on the individuals’ health, access or finances, they also influenced whether they were able to continue working. Being unable to work, earn income and keep insurance can all negatively affect health and well-being as well.

“We need to be cognizant of the fact that having health insurance doesn’t necessarily mean you have access to health care and work to ensure that access is available,” Hall said.

Larks rally past Park City for 11th straight win

HAYS – The Hays Larks had their streak of scoring double-digit runs come to an end Saturday but the winning streak did not. The Larks scored single runs in the fifth, sixth, seventh and eighth innings as they rallied from a 3-1 deficit to beat the Park City Rangers 5-4 at Larks Park.

Matt Cavanagh’s sacrifice fly scored Max McGiure with the go ahead run with one out in the eighth to give the Larks (12-1) the lead for good. Brook Brannon’s RBI double scored Jarrod Belbin to tie the game 3-3 in the sixth. Justin Lee’s double drove in Wyatt Divis and inning later to give the Larks a 4-3 lead.

The Rangers (4-9) used a leadoff double and single to toe the game in the eighth.

Tommy Garcia picked up the win in relief and Wyatt Divis the save after starter Rustin Hays struck out seven and walked two while allowing three runs on seven hits over the first six innings.

Twins rally past Royals after Mauer honor

MINNEAPOLIS (AP) — Jake Odorizzi and the Minnesota Twins faced an immediate deficit and trailed by three runs more than halfway through the game.

The way this team has been hitting, though, the rally sure seemed inevitable.

C.J. Cron drove in the go-ahead run with a sixth-inning double , making Odorizzi the second 10-game winner in the majors this season and capping a 5-4 comeback victory by the Twins over the Kansas City Royals on Saturday night.

“Keep us within striking distance, and we’ll be able to, hopefully, come back more times than not,” said Odorizzi (10-2), who fell behind when Jorge Soler smashed a first-pitch fastball 462 feet into the second deck for a two-run homer in the first . Then, Whit Merrifield’s solo shot started a two-run fifth inning that ended with a 4-1 lead for the Royals.

With the Twins (47-22), who have the best record in the majors, such winning offensive performances have become a belief, not a hope. They have the most homers in baseball, on pace to break the all-time season record, not to mention the lead in several other batting categories.

With a solo drive by Max Kepler in the fourth and a two-run smash from Marwin Gonzalez in the fifth, they surged back against Royals starter Glenn Sparkman (1-3). Five batters later, Jorge Polanco tied the game with a double that finished a rally fueled by a fielding error on third baseman Cheslor Cuthbert.

Eddie Rosario drew a leadoff walk in the sixth, bringing reliever Scott Barlow into the game. Gonzalez singled, Cron doubled and the Twins were on their way to their 22nd win in their last 29 games.

“We deal with whatever comes our way pretty well,” manager Rocco Baldelli said.

With four runs allowed, Odorizzi, who is one of a half-dozen or so strong Twins candidates for the All-Star game next month, surrendered as many in this start as he had in his previous eight turns.

Merrifield, his teammate in 2011 with the Class A Wilmington Blue Rocks, had three of his four hits against his old friend. The 29-year-old right-hander, who made his major league debut with the Royals in 2012, saw his ERA rise from 1.92 to 2.24. Still, Odorizzi finished six innings for the third straight start and kept the Twins close enough when the game could’ve gotten out of hand.

The Twins played in front of their fifth sellout crowd of the season, thanks to the pregame ceremony for Joe Mauer’s uniform retirement . Despite the off night for Odorizzi and three errors in the field, they had enough to ensure the fans went home happy on a memorable evening.

“I don’t think we were meant to lose on Joe Mauer day,” said Odorizzi, who recorded the Mauer ceremony so he could watch and appreciate it later. “So I think that win was for Joe.”

The Royals, who left nine men on and went 0 for 7 with runners in scoring position, had the bases loaded with one out in the third but didn’t score. The leadoff man took second base to start the eighth inning but was stranded. Then in the ninth, the Royals had runners at first and second, but Soler flied out to shallow center field to end the game and give Taylor Rogers his eighth save in 10 attempts.

“Just didn’t quite get to their bullpen like we would’ve liked to,” Merrifield said.

GOING GONZO

Gonzalez made the defensive play of the game in right field with a diving grab of speedster Billy Hamilton’s line drive to start the ninth, aggressively pursuing the catch with the risk of a triple or inside-the-park home run if the ball were to elude him.

“He had him played perfectly and made a great play,” Royals manager Ned Yost said. “Billy just smoked that ball.”

Said Rogers: “I was thinking that whoever put Marwin in that position was a genius. Because he was obviously playing in and kind of over.”

TRAINER’S ROOM

Royals: 1B Lucas Duda remained hitless in two games since returning from a back injury that sidelined him for nearly two months, but his sacrifice fly in the fifth was his first RBI since April 16.

Twins: CF Byron Buxton was held out of the lineup with a bruised right wrist after being hit by a pitch the night before. Baldelli said Buxton was available to pinch run or play defense, but he was unsure yet when he could swing a bat at full strength.

UP NEXT

Royals: RHP Jakob Junis (4-6, 5.35 ERA) takes the mound for the series finale.

Twins: LHP Martín Pérez (7-2, 3.97 ERA) pitches on Sunday afternoon.

Eagles Senior Legion wins twice in Topeka

TOPEKA – The Hays Eagles Senior American Legion baseball team had two big innings on Saturday which carried them to two wins. The Eagles beat Rossville 12-3 then knocked off Pittsburg 10-2 and have now won seven of their last eight to move to 11-3 on the season.

Trey Riggs grand slam highlighted the Eagles nine run fourth inning which broke a 1-1 tie in their first game against Rossville. Dominic Bainter had a two-run triple to round out the inning. Brady Kreutzer allowed one earned run on four hits with nine strikeouts and four walks over five innings for the win.

They scored eight in the bottom of the sixth to break a 2-2 tie against Pittsburg. Willie Sennett drove in what proved to be the game-winning run with a bases loaded walk. Cody Petersen, Trey Riggs, Brock Lummus and Tate Garcia also drew bases loaded walks. Jamison Martin was hit by a pitch with the bases full. Dominic Bainter was the only Eagle to drive in a run with a hit in the inning.
Colby Dreiling picked up the six inning complete game victory. He allowed two unearned runs on six hits with one strikeout and one walk.

Hays Junior Legion goes 1-2 in Great Bend

GREAT BEND – The Hays Eagles Junior American Legion baseball team went 1-2 Saturday at the Great Bend American Legion Post #180 Braves Baseball Classic. The Eagles opened the day with a 15-0, three inning run-rule win over Hutchinson before losing 18-6 to Hoisington and 5-2 to Great Bend.

Remington Cox was a single shy of hitting for the cycle in the first game against Hutchinson. His three-run inside-the-park in the bottom of the first was all the Eagles needed for the win. Cox went 3-for-3 with five RBIs and three runs scored. Dalton Dale also had three hits with three RBIs and three runs scored. Garrett Wellbrock added two hits and knocked in three.

Andrew Moore allowed only two hits with six strikeouts and one walk over three innings for the win.

Hoisington scored five in the fourth and four in the fifth to break open a four-run game. Remington Cox and Dawson VonFeldt both had two hits with Cox driving in two runs but it wasn’t enough to overcome seven Eagles errors.

In the final game of the night, Great Bend scored two in the first and one in the second. The Eagles would answer with three in the first but Dawson VonFeldt’s two-run double scored Andrew Moore and Noah Wiemer to close the gap top 3-2. It would stay that way until the fifth when the Braves took advantage of two Hays errors to score two unearned runs.

Garrett Wellbrock gave up all five runs (three earned) on six hits over 5 2/3 innings for the loss. Wellbrock struck out three and walked three.

The Eagles return to Great Bend Tuesday to face the Braves in a doubleheader at the Great Bend Sports Complex.

Woman sentenced to prison for Kan. crash that killed 4 returning from state football

Maria De Jesus Perez-Marquez photo Jackson County

HOLTON, Kan. (AP) — A Nebraska woman has been sentenced to more than four years in prison for a November 2017 head-on crash in northeastern Kansas that killed four members of a Sabetha family who were returning home from a state championship football game.

49-year-old Maria Perez Marquez, of Omaha, Nebraska, was sentenced Friday to four years and one month in prison. She pleaded no contest to aggravated battery and three misdemeanor counts of vehicular homicide for the crash that killed 42-year-old Carmen Ukele, her 11-year-old daughter, Marlee Ukele, and her brother-in-law, 62-year-old Stephen Ukele. Carmen Ukele’s husband, 60-year-old Lee Ukele, initially survived the crash but died last month of his injuries.

Investigators say the family was returning home from watching the Sabetha High School football team win the state championship when Perez Marquez crashed into their minivan while trying to pass another vehicle. At the time, two of Lee Ukele’s sons played on the team.

Regents mull boosting homegrown enrollment at Kansas schools

LAWRENCE, Kan. (AP) — The percentage of Kansas high school graduates who attend state universities has fallen in recent years, and the schools are considering how to stop that decline and make up lost revenue.

In 2010, 55% of Kansas high school graduates enrolled at a state higher education institution, but by 2017 — the most recent year for which data is available — that figure had dropped to 50.3%, according to a May report by the Kansas Board of Regents.

“It’s certainly a concern,” Dennis Mullin, chair of the Regents, told The Lawrence Journal-World . “We better figure out ways to bring people into higher education.”

A healthy economy could be behind the fall. Economic growth leads to more jobs available for people with only a high school diploma, according to Elaine Frisbie, the Regents’ vice president for finance and administration.

Mullin suggested the cost of attending university also acts as a deterrent.

“The stronger economy has really taken away people who were in higher education,” he said. “They say, ‘Hey, I spend $25,000 on education or I can get a job for $45,000 a year.’ And they couldn’t do that a couple years ago.”

Shifting demographics could also play a part. The Hispanic population has grown significantly in southwestern Kansas, but Mullin said higher education is not always popular in that community due to cost, a need to support the family, and the desire to maintain a traditional family unit in one place.

The University of Kansas has taken steps to balance the loss of revenue from homegrown students by targeting out-of-state enrollment. Those students pay higher tuition and their numbers help keep the university enrollment level steady.

“KU took the strategic tack to make the university known nationally, recruit academically successful students and help them succeed to graduation once they are here,” university spokeswoman Erinn Barcomb-Peterson said.

Regents took it a step further, suggesting the higher tuition paid by out-of-state students could allow schools to decrease costs for students from Kansas pursuing higher education in their home state, thus boosting homegrown enrollment.

“We have to reach out beyond our borders,” Mullin said. “We’re going to have to draw people into the state in hopes that they are going to stay. … They are helping subsidize Kansas students.”

Officer in critical condition after shot while transporting prisoner

Jamie Griffin photo Missouri Dept. of Corrections

DAVIESS COUNTY,  Mo. —The Daviess County prosecuting attorney has charged 38-year-old James Aaron Griffin in Friday’s shooting of a NW Missouri police officer with Assault First Degree; Armed Criminal Action and Unlawful Use Of A Weapon, according to Daviess County Emergency Management and the Missouri State Highway Patrol.

As of 3 p.m. Saturday, Daviess County Emergency Management reported the Trenton Police Officer was still in critical but stable condition.

————–

By BRENT MARTIN

St. Joseph Post

A female Trenton police officer has been shot and gravely wounded while transporting a prisoner to St. Joseph for a mental evaluation.

The prisoner was also wounded.

The Missouri State Highway Patrol is declining to identify the officer, but reports she is in critical condition after being shot in the stomach.

The patrol says the Trenton officer was taking 38-year-old Jamey Griffin to St. Joseph Friday afternoon on U.S. Highway 69 for a mental evaluation at Mosaic Life Care. A struggle occurred in route inside the vehicle. The officer suffered a gunshot wound to the abdomen. Griffin was shot in the hand. He was restrained.

Migrants complain of poor conditions at US holding centers

EL PASO, Texas (AP) — The Trump administration is facing growing complaints from migrants about severe overcrowding, meager food and other hardships at border holding centers, with some people at an encampment in El Paso being forced to sleep on the bare ground during dust storms.

Border Patrol continues to apprehend large groups of 100 or more migrants arriving at the U.S. Mexican border. This photos show USBP and BORSTAR agents processing individuals in March at El Paso, TX – image courtesy Department of Homeland Security, U.S. Border Patrol

The Border Network for Human Rights issued a report Friday based on dozens of testimonials of immigrants over the past month and a half, providing a snapshot of cramped conditions and prolonged stays in detention amid a record surge of migrant families coming into the U.S. from Central America.

The report comes a day after an advocate described finding a teenage mother cradling a premature baby inside a Border Patrol processing center in Texas. The advocate said the baby should have been in a hospital, not a facility where adults are kept in large fenced-in sections that critics describe as cages.

“The state of human rights in the U.S.-Mexico borderlands is grave and is only getting worse,” the immigrant rights group said in its report. “People are dying because of what is happening.”

Five immigrant children have died since late last year after being detained by the Border Patrol, including a flu-stricken teenager who was found dead in a facility migrants refer to as the “icebox” because of the temperatures inside.

Customs and Border Protection responded to the complaints by saying: “Allegations are not facts. If there is an issue it is best to contact CBP directly. In many cases the matter can be resolved immediately.”

The agency also cited its response to a critical inspector general’s report last month, in which it said the government is devoted to treating migrants in its custody “with the utmost dignity and respect.”

The Trump administration has blamed the worsening crisis on inaction by Congress.

Many of the complaints center on El Paso, where the inspector general found severe overcrowding inside a processing center. A cell designed for a dozen people was crammed with 76, and migrants had to stand on the toilets.

With indoor facilities overcrowded, the Border Patrol has kept some immigrants outside and in tents near a bridge in El Paso with nothing but a Mylar foil blanket. Others have been kept in an empty parking lot, where migrants huddled underneath tarps and foil blankets repurposed as shade covers against the sweltering heat.

A professor who visited two weeks ago said it resembled a “human dog pound.” The Border Patrol responded by adding additional shade structures, but migrants are still kept outside in temperatures approaching 100 degrees.

Migrants in El Paso and elsewhere also complained of inadequate food such as a single burrito and a cup of water per day. Women said they were denied feminine hygiene products.

Another complaint is that migrants are kept in detention beyond the 72-hour limit set by Customs and Border Protection. Some reported being held for 30 days or more, and one told The Associated Press she had been in detention for around 45 days.

The teenage mother with the premature baby, for example, spent nine days in Border Patrol custody after crossing the Rio Grande with her newborn, according to a legal advocate who visited the girl in a McAllen, Texas, processing center.

An exodus of people fleeing poverty, drought and violence in Guatemala, Honduras and El Salvador has led to a record number of migrant families being apprehended at the U.S.-Mexico border in recent months. Agents made 132,887 apprehensions in May, including a record 84,542 adults and children traveling together. Those apprehended also included 11,507 children traveling alone.

President Donald Trump’s $4.5 billion border request for things such as an expansion of detention, medical care, food and shelter has languished on Capitol Hill since he sent it over six weeks ago, with House Democrats at odds with the White House. Congress is set to go on a break in two weeks.

Lawmakers are becoming increasingly agitated.

“In the first five months of this year, the number of apprehensions at the border has already exceeded the population of Atlanta, Georgia,” said Republican Rep. Kay Granger of Texas.

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