The Trump administration is pursuing agreements with third countries to accept deportees as part of its expanded immigration enforcement efforts, according to sources familiar with the discussions. The Democratic Republic of Congo is among the countries in talks with the United States about accepting deportations, though details of the negotiations remain limited.

The administration has elevated deportation operations from a domestic immigration matter to a central component of foreign policy. Officials are working to establish arrangements that would allow the U.S. to send migrants to countries other than their nations of origin, expanding the scope of removal operations beyond traditional bilateral deportation agreements.

Meanwhile, the administration's immigration policies are creating disruptions in the U.S. healthcare system. Physicians from 39 countries are being forced to leave American hospitals due to policy changes that block their ability to continue working in the United States. The affected doctors had been practicing under various visa and work authorization programs that have faced new restrictions.

The policy changes are also affecting global health initiatives. Despite Congressional appropriations for international HIV/AIDS programs, the Trump administration has been slow to distribute the funding, creating uncertainty for organizations working on global health projects. The delays have disrupted planning and implementation of programs that have historically saved millions of lives worldwide through U.S.-supported HIV prevention and treatment efforts.

The various policy shifts reflect the administration's broader approach to immigration and international engagement, though the full scope and implementation timeline of these initiatives remains unclear.