
Trump fast-tracked processing of White South African refugees. But not everyone wants to leave
On Wednesday, South Africa's President Cyril Ramaphosa is set to meet his US counterpart Donald Trump in Washington, seeking a reset in relations with the United States. Ties between both nations have been fraught since Trump froze aid to South Africa in February over claims it was mistreating its minority White population.
The South African government said 'reframing bilateral, economic and commercial relations' was the specific focus of Ramaphosa's US visit. Ramaphosa said that the White South Africans arriving in the US 'do not fit the bill' for having refugee status as someone who is leaving their country out of fear of persecution.
But as thousands more Afrikaners hope for admission to the US, others insist they have no need of refugee status but want America's help instead to tackle a wave of violent crime in South Africa, or even to establish an autonomous state within a state.
Joost Strydom leads the group of White South Africans who have dismissed the US' offer of asylum, and heads Orania, a separatist 'Afrikaner-only' settlement in the country's Northern Cape.
'Help us here,' he said his message was to Trump, whom he hopes will recognize Orania's quest for self-determination.
'We don't want to leave here,' he told CNN. 'We don't want to be refugees in the US.'
Home to some 3,000 Afrikaners, the 8,000-hectare (19,800-acre) Orania town is partially self-governing. The exclusively White enclave produces half of its own electricity needs, takes local taxes, and prints its own currency that's pegged to the South African rand. But the settlement's residents want more: its recognition as an independent state.
Strydom was part of Orania's delegation to the US in late March to push for this goal.
'We met with government officials,' he said. 'The conversation is ongoing, and it is something that we've decided to keep a low profile on.'
Orania is backed by a 1994 post-apartheid accord that allowed for Afrikaner self-determination, including the concept of an Afrikaner state, referred to as Volkstaat.
Strydom anticipates that the settlement could develop into a 'national home for the Afrikaner people.'
Afrikaners are the descendants of predominantly Dutch settlers in South Africa, with White South Africans making up roughly 7% of the country's population as of 2022 – a share that had declined from 11% in 1996, census data shows. A discriminatory apartheid government led by Afrikaners lost power in the mid-1990s, replaced by a multi-party democracy dominated by the African National Congress.
At least 67,000 South Africans have shown interest in seeking refugee status in the US, according to the South African Chamber of Commerce in the USA (SACCUSA).
In comments justifying his decision to resettle Afrikaners in the US, Trump cited claims that 'a genocide is taking place' in South Africa, adding that 'White farmers are being brutally killed and their land confiscated.'
South African authorities have strongly denied such claims. In a statement in February, the South African Police Service said 'only one farmer, who happens to be white,' had been killed between October 1 and December 31, and urged the public 'to desist from assumptions that belong to the past, where farm murders are the same as murders of white farmers.'
Police minister Senzo Mchunu stressed in a recent statement that there was no evidence of a 'White genocide' in the country.
The police crime figure for the last quarter of 2024 had been disputed by an Afrikaner advocacy group, AfriForum, which argued that five farm owners were murdered during those months and that police had underreported the actual figures.
AfriForum has been documenting farm murders in South Africa for years. In its report for 2023, it said there were at least 77 farm attacks and nine murders in the first quarter of that year, almost equaling the 80 attacks and 11 murders it recorded within the same period in 2022. CNN could not independently verify those figures - the government says around 20,000 people are murdered each year.
Most of the attacks happened in Gauteng province, the group stated. Gauteng is home to the largest concentration of South Africa's White population, according to the country's last census in 2022, with about 1.5 million Whites living there.
Afrikaner farmer Adriaan Vos is a recent victim of Gauteng's farm attacks. The 55-year-old said he was left fighting for his life just two months ago after being shot on his farm in Glenharvie, a township in Westonaria, West of Gauteng.
'I was shot twice in the knee and once at my back,' Vos said about the attack on his farm in the early hours of March 16.
'Luckily, that bullet stuck next to my lung,' he said, adding that his farmhouse was pillaged and set on fire the same night.
Vos could not identify his attackers and is unsure whether the attack was racially motivated. But the raid appears to be part of a pattern of farm attacks that has persisted for years in South Africa, a country grappling with one of the world's highest murder rates. South African authorities rarely publish crime figures by race but local media report that most murder victims are Black.
Westonaria police told CNN there are 'no known suspects' in the attack on Vos' farm and 'no clues of who the attackers were.'
South African leader Ramaphosa does not believe that Afrikaners are being persecuted – as claimed by Trump and his ally Elon Musk, who was born and raised in the country – and has described those fleeing to the US as 'cowards' who are opposed to his government's efforts to undo the legacy of apartheid, especially inequality.
One of those efforts was the controversial enactment in January of an Expropriation Act, which empowers South Africa's government to take land and redistribute it – with no obligation to pay compensation in some instances – if the seizure is found to be 'just and equitable and in the public interest.'
Under apartheid, Black South Africans were forcibly dispossessed of their lands for the benefit of Whites. Today, some three decades after racial segregation officially ended in the country, Blacks, who comprise over 80% of the country's population of 63 million, own around 4% of private land while 72% is held by Whites.
For some Afrikaners in Orania, there is more to lose than gain if they choose to be refugees in the US.
Built from scratch on arid land described by Strydom as 'an abandoned ghost town' with extreme weather, Orania has witnessed infrastructural growth and is the most realistic place to preserve Afrikaner culture and heritage, according to Cara Tomlinson who coordinates an Afrikaner cultural association.
'If I were to go to America, I would have to give up my language and culture for the American language and culture. I would be abandoning my God-given identity as an Afrikaner for something foreign,' Tomlinson, 24, told CNN.
Leaving Orania for the US is not on the cards either for 70-year-old retired church minister Sarel Roets, who moved to the town in 2019. Orania provides him 'a quiet, solitary life,' he told CNN.
'When we travel outside Orania in South Africa, it is very common to be looked at with hate,' he added.
Both Roets and Tomlinson desire Trump's recognition for Orania, but the legitimacy of the separatist town has been questioned by other South Africans, including members of the radical left-wing party, the Economic Freedom Fighters (EFF) who say that its 'Afrikaner-only' policy 'institutionalizes exclusion.'
South Africa's foreign ministry said Orania had no status as a nation within a nation and remained bound by South African laws.
Beyond Orania, other Afrikaners, such as Vos, who's still nursing his injuries, do not plan to leave despite the pressures felt by farmers.
'I'm lucky to be alive,' he said, adding: 'I must look after this place (his farmland), whatever is left. We were born and bred here. South Africa is all we know.'
But help must come fast, Vos warned, as he outlined what he hoped Ramaphosa will tell his US opposite number during his visit to the White House.
'We need help in South Africa because you don't know if you're going to wake up tomorrow. It's a mess here,' he said.
'Hopefully, he (Ramaphosa) can be open about everything (with Trump) … and say, 'I'm going to fix it, and I'm going to look after the farmers and the people that are putting food in my mouth.' He must come and do it, implement it, and let's start over again.'
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The following is the transcript of an interview with Dr. Mehmet Oz, Centers for Medicare & Medicaid Services administrator, that aired on "Face the Nation with Margaret Brennan" on Aug. 3, 2025. MARGARET BRENNAN: Change is coming for the country's Medicaid system as part of the enactment of the Big, Beautiful Bill. To help us understand what's ahead, we turn now to the Administrator of the Centers for Medicare and Medicaid Services, Dr. Mehmet Oz. Good morning. Welcome to Face The Nation. DR. MEHMET OZ: Thank you. MARGARET BRENNAN: You've got a lot of work ahead. I want to start on drug costs. The president put this 25% tariff on India, big drug producer. The President's trade deal with the EU puts a 15 percent tariff on imported medicines from Europe. How do you stop the drug makers from passing along those costs to people on Medicare and Medicaid? DR. MEHMET OZ: Well, the president's letter on Thursday for most favored nation pricing is a good example of that, and he's been working on this tirelessly since the first administration. And just to put this in context for many of the viewers, about two thirds of bankruptcies in America are caused by health care expenses. About a third of people when they go to the pharmacy, they leave empty handed. They can't afford the medication. So the President has said, Enough global freeloading. We've been covering much of the development costs for new drugs to cure cancer, deal with lots of other illnesses that are life threatening. It is in time for the American public to understand that we should not be paying three times more for the exact same medication in the same box, made in the same factories. The president's saying, equalize it out. Let's use a model that's worked, for example, for external threats, that's what NATO did. Everyone has to pay a little more. We'll pay extra too, but we won't pay a lot more than everybody else, so they actually have to raise their contributions, in this case, to an internal threat, which is illness. We'll pay a little less than America that way more Americans can afford these medications, and it's a fair system for the entire globe. MARGARET BRENNAN: So this was declared in these letters that were sent out to 17 pharmaceutical companies this past week, and it calls for extending that to Medicaid drug prices. Is that intended to offset what will be, you know, cuts to Medicaid? And do you know, you know, if the companies are actually going to follow through on this, like, how do you actually strong arm them into doing it? DR. OZ: Well just get the numbers correct. We're putting 200 billion more dollars into Medicaid. So we're actually investing— MARGARET BRENNAN: —by the time when costs are going up, so. DR. OZ: Costs are going up, but there's been a 50 percent increase in the cost of Medicaid over the last five years. So I'm trying to save this beautiful program, this noble effort, to help folks giving them a hand up. And as you probably gather, if Medicaid isn't able to take care of the people for whom it was designed, the young children, the dawn of their life, those are the twilight of their life, the seniors and those who are disabled living in the shadows, as Hubert Humphrey said, then we're not satisfying the fundamental obligation of a moral government. And this President has said over and over that he believes that it is the wise thing and the noble thing to help those who are vulnerable and every great society does that, we're going to as well. So we're going to invest in Medicaid as is required, but we want an appropriate return on that investment. One thing that Medicaid patients should not face are drug prices they can't afford. MARGARET BRENNAN: Right, how do you enforce this? Pharmaceutical companies— DR. OZ: Well, the pharmaceutical companies, if you sit them down quietly, Margaret, and we've done that, and say you went into this business at some point, because you cared about people. I know there's many out there shaking their heads, but that is actually the truth. People go into health care, whether they're pharmaceutical companies or insurance companies or the PBMs or anybody in the space. Even at the CMS, the most impressive thing to me in my new task, and the President has appointed me to, is the remarkable quality of people within the organization, just unbelievably talented. They went into this job because they care about health care and about people. Somewhere along the lines, people forget. They put numbers ahead of patients. And when that happens, then you start running into problems. We went to the pharmaceutical companies and we said, you appreciate this is not a fair system. We should not be paying more in America, three times more, for your products than you charge in Europe. They get the joke. They understand the reality of this problem. They are engaging with us. We're in the middle of those negotiations. The President has a unique power to convene. We've done it with dealing with prior authorization, this heinous process where patients feel like they're trying to get care from a doctor. Everything's being done except all of a sudden the arm of insurance comes in and stops the whole process for unknown reasons for weeks, sometimes months. The insurance companies, representing 80 percent of the American public, got together and they said, because we pushed them, we're going to deal with this. We can do the same, I believe, with the pharmaceutical industry, with most favored nation pricing. MARGARET BRENNAN: Let me ask you about the changes that are coming because of this new law to Medicaid, which is jointly administered between the feds and the states. There are major reduction- reductions to federal health care spending here, one of the changes are these work requirements. It's about 20 hours a week, volunteer or work to qualify for health care. What is the guidance you are giving to states on how to implement this? Because in this economy, things are more complicated. Uber driver, independent contractor, how do they show they work their 20 hours a week? DR. OZ: Last weekend, I was at the National Governors Association with Secretary Kennedy, who has been a big advocate of work as well. Every Democratic president and Republican president has said that the foundation of a healthy welfare system of a social system of support is work. MARGARET BRENNAN: Right, but I'm asking how you actually implement that and register it so that people who are working do qualify, and they don't get caught up in paperwork because they didn't file something on time. DR. OZ: As long as we're okay that people should work and would want to work, and it's not just work, it's community engagement. They can go get educated, right? They can take care of family members. They can contribute in other ways, but work is a great way of doing and get you out of poverty if you can find jobs and elevate yourself. There have been efforts to do this in the past, but they haven't been able to achieve what we can achieve, because we have technologies now. And we've invested already, as soon as the bill was signed, began pilots to try to demonstrate that we can actually do this correctly. We have pilots now in Louisiana and in Arizona, in both cases, within seven minutes, you can click on where you're working. You mentioned Uber, you're an Uber driver. You click that button on your phone. It just takes you to your payroll provider. Let's say it's ADP. We then ask your permission, can we connect with this payroll provider to demonstrate what you've actually been able to work and earn over the past month? This also, by the way, confirms your eligibility. But there's a bigger benefit here. Once you do that, you're in, you're done. However, what if we take one step further, Margaret? What if we go beyond just proving that you tried the work to actually say, You know what, you didn't work enough, but we can actually help you by connecting you through an employment office? MARGARET BRENNAN: So you're still figuring out the technology, but isn't there an end-of-December deadline for a lot of these things to be figured out? And how do you make sure that people don't get kicked off? Because in the state of Georgia, which already had work requirements, they have really struggled to make this work. DR. OZ: Well, a couple of things. It's not the end of December, it's end of December a year from now, and Georgia is apples and oranges. Georgia had a program only for people under the poverty level, and for those people, if they wanted, they could elect to come into a system to help them get jobs. There have been 50,000 reduction in head count of uninsured people in the overall program in the last five years. Overall, Georgia, 2 million less uninsured people. So Georgia is using a lot of tactics, and they're going in the right direction. I would argue that if you have confidence in the American people and their desire to take to offer to try to get a job, if we challenge you to that. And remember, if you're an able-bodied person on Medicaid, you're spending 6.1 hours watching television or leisure time, so you don't want that— MARGARET BRENNAN: —Well, KFF Health Policy found 92 percent of adult Medicaid recipients already are working. Or they have the carve out because they have to have caregivers, or they have to do other things. DR. OZ: They're fine. All they have to do is there'll be a simple app. If you've already carved out, that's super simple. If you're supposed to be if you're able-bodied and supposed to be working, we want to help connect you to the job market and get you into work. We have twice as many jobs available in America as people who seem to want them. The foundation of work is not just about fulfilling eligibility. The goal of health care insurance is to catalyze action in the right direction, to get you healthier, to give you agency over your future, so you recognize you matter, and you should have a job, therefore to go out and change the world. MARGARET BRENNAN: So there's a drug addiction problem in this country. How are those changes going to impact people who are on Medicaid in states like Kentucky, in states like West Virginia? DR. OZ: In many instances, there are carve outs for folks who have substance use disorder problems. There are programs-- MARGARET BRENNAN: —How do they prove that? ADMINISTRATOR OZ: Well, they can— MARGARET BRENNAN: Is this in the app? DR. OZ: Yes, it will be in the app. The app, again, this is being developed by the United States Digital Service, led by Amy Gleason, who is a wonderful technologist. She and I were with the President and Secretary Kennedy and the head of the czar for AI in this country on Wednesday, talking about overall how we're going to change the use of health technology in America. We've got to get into 2025 with health technology, as is true in every other sector. If you're watching the show right now, you could also be streaming media. You could take an Uber somewhere, the rideshare. You could do an Airbnb. Technology should make the system more efficient. We should have confidence that it will also allow us to do what we all agree is possible. If the whole challenge to a work requirement is that you don't have confidence in our ability to accomplish it, that's a separate question, because I do have confidence in the American people, and we have confidence we can pull this off. Look at the passport system, Margaret. Right now, you can go and get a passport in two weeks without having to go to the post office, send pictures, and all that's gone. It's fixable. Let's use technology. MARGARET BRENNAN: I'm still confused on how someone who is in the throes of substance abuse is going to use an app to say, I'm in the throes of substance abuse every week, to file on online— DR. OZ: —When they go in to get their help for their substance abuse treatment, assuming they're going for help on that, they can also get enrolled in, in those requirements, can be fulfilled. We want to talk to them in as many ways as possible. It's not going to happen just because we put an app out there, you, you have social workers and other folk elements who care a lot about this population, who are coming together, but they have to have some mechanism to report back. That just has not been done well. MARGARET BRENNAN: Well, and this is incredibly detailed, and that's why we wanted to have you on. I have so many more questions for you on rural hospitals and some of the other criticisms. I have to leave it there for now. But thank you, Dr. Oz-- DR. OZ: Can I give you 30 seconds on rural hospitals, because this is important. You have 7 percent of Medicaid money going to rural hospitals. We're putting 50 billion dollars the president wants us to, Congress wants to— MARGARET BRENNAN: There are a lot questions on how you're going to duel that out, and whether you have already made promises. Do you have any specifics for us? DR. OZ: Yes. Wait, wait, it's going to be, they'll get the applications in early September. The money is designed to help you with workforce development, right sizing the system and using technology to provide things like telehealth that can change the world. Imagine if we can change the way we think about the delivery of health and make it more about getting people healthy so they can thrive and flourish and be fully present in their own lives and as Americans. MARGARET BRENNAN: Dr Oz, we'll leave it there. We'll be back in a moment.


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Transcript: New Mexico Gov. Michelle Lujan Grisham on "Face the Nation with Margaret Brennan," Aug. 3, 2025
The following is the transcript of an interview with Democratic New Mexico Gov. Michelle Lujan Grisham that aired on "Face the Nation with Margaret Brennan" on Aug. 3, 2025. _______________________________________________________________________________________________________________________ MARGARET BRENNAN: We turn now to New Mexico's Democratic Governor Michelle Lujan Grisham. She joins us from Santa Fe. Governor, two out of five New Mexicans are on Medicaid. You've got a lot of rural hospitals. Have you figured out how to implement everything Dr. Oz just laid out? GOV. LUJAN GRISHAM: Absolutely not. There is no real way to implement this. It's more paperwork for everyone. It's more paperwork for federal government, for state governments, for county governments, for local hospitals, for independent providers. And you know what Americans really hate, Margaret? When you go to your primary care physician and you spend 20 minutes sitting at a chair, not even on the exam table, while they are inputting data into a computer. So this doesn't make any sense. We should be a society and a country that is connecting people to healthcare providers. I think the one thing that Dr. Oz represents that's a fair representation, is we should be healthier as Americans. All right. We need to be moving out of poverty. We need drug prices- we should talk about that, to come down. So go after insurance companies. Do manufacturing here. Make sure we can negotiate fair prices. Let states do that, because I guarantee you, we'll do a better job than the federal government. And lastly, get people early, easy access today, more than half, or about half, our small businesses don't even offer health care coverage. So you can get a job. but now what? MARGARET BRENNAN: Yeah, well, you said, though- in your state, because as a governor, you're going to have to figure this out. You have reserve cash from some oil and gas revenues, as I understand it, that have been put aside. Doesn't that show it is possible for the federal government to shift more responsibility back to the states? That's the argument conservatives are making. GOV. LUJAN GRISHAM: They are and it's temporary. There is no way any state, including this one—which, frankly, I am really proud of, we are in really good financial shape that takes planning and effort. You know, our job projections continue to be met and exceed, unlike the federal jobs report, which is going in the opposite direction. So I don't know where all these jobs are going to be in this anemic economy. I mean, it's so bad. The last time it was this bad, I was in college, and let me tell you, that was a very long time ago. And so yes, temporarily we can do that. But you can't do it over the long haul. The lost minimally to New Mexico over less than a decade is between 12 and $13 billion dollars and when, not if, rural hospitals and local providers close their doors. I can do this better than any other state. The last governor completely canceled behavioral health. Six years later, we are still reeling from trying to rebuild. We put a billion dollars into behavioral health just this last legislative session. It is not so easy to rebuild something out of nothing. MARGARET BRENNAN: Well, the $50 billion Rural Health Care Fund under this Republican law is supposed to give people the— your—states like yours, the ability to come and say, we need this extra cash. Are you going to have to ask for that? GOV. LUJAN GRISHAM: I'm going to ask for every dollar the federal government has put aside anywhere that benefits a New Mexican. So you got 50 billion. That's $1 billion for each state, if it was even. Do you know how much money it would take to shore up rural hospitals? More than a billion. And to put that in perspective—let me do this, it's a billion just for behavioral health, it's a billion plus just to keep people's coverage, it's another billion for prescription drugs, it's a billion dollars for rural provider delivery investments, and that's only 50 hospitals. You have hundreds of hospitals. Hundreds. 400 rural hospitals across America that will shutter. So that's the number at it is. We are- how do we pick these rural hospitals? And if you pick a Southeastern rural hospital in New Mexico, what about the rural hospital in western New Mexico. Economies fail. People have to move away. You don't have any OBGYN care. That whole area collapses, and they are reducing rural health care delivery by about 134 billion. So the 50 billion is just to make someone somewhere feel like they recognize that this is a disaster. $900 billion out of Medicaid is catastrophic, straight up. MARGARET BRENNAN: Governor, we ran through a lot of material here. I have more questions for you, but very quickly—can you tell me—you deployed the National Guard to counter unrest in New Mexico. How is that different from what the president did in California? GOV. LUJAN GRISHAM: Well, they're not policing. They're doing the back end work so that trained community policing, and members of that training, right—those local police officers, they're on the streets. What we have in this country is a shortage of police officers. What I have in New Mexico is a partnership. So they're doing all of the—they answer all of the emergency calls. They handle all the traffic clearance when we've got a crash. And it is working, we're beginning to see more productive fentanyl drug dealing high end arrests than we did without the guard. And I'm really proud of that work. This is about partnering and leveraging, not about indiscriminately going after individuals who have not committed serious crimes. MARGARET BRENNAN: Thank you for your time today. 'Face the Nation' will be right back.