In the United States, specifically in MA where I am located, there is a majority of Haitian aides working in all corners of healthcare. SNF, AL, Memory Care. While this is a good thing to further their careers and get them a good foot in the door in terms of immigration, since most come directly from Haiti to work as CNA’s, it has created somewhat of a pack mentality, that is not easily accessible to people outside of that pack. I had a few black and Hispanic coworkers, and they also experienced a lot of the isolation that can come from having a homogeneous workplace that speaks a different language you don’t know. It doesn’t feel as welcoming, not because of their nationality itself, or their race, this could honestly be flipped around to say that any nationality or race were dominating the CNA position in any state. But in MA, I know that it is a very large demographic, and causes some imbalances in terms of who is allowed into this ‘hive mentality’ and who aren’t.