The US allows this to happen because they don't offer pregnant women the opportunity to cross the borders into the US for the sole purpose of having their kids free of charge at the Hospitals.
The humanitarian work of the Church and several Jesuits in the DR contributes to the permanent out of status of those children, since most of the mothers brought into the country don't return after child birth as promised.
BTW: The program was started at the cueing of the medical teaching institutions because Dominicans don't keep the same high levels of pregnancy as Haitians do. The more patients they attend, the more they could teach new students...
That's how the program really started...
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