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It's a reach but are there any other passports/residencies that you might be eligible for? The UK has some ancestral homeland recovery options and your religion or ethnicity may also entitle you to some options.
If the US goes as tits up as it's looking it'll be fucking impossible to have a disability and support yourself - Elon has his eyes locked on Medicaid and non-age-based Medicare recipients... and the Dual-eligibles are likely the first on the chopping block.
So pretty much my brother is fucked and I will have to go back to my home state and help him.?
Sorry - but that's pretty likely.
If social services are cut those on the margins of society (the poor and disabled) always suffer first.
It's also unlikely that your brother could pursue permanent residency abroad through normal means - countries tend to only allow elective immigration if you're bringing more value than cost.
When you say "the Dual-eligibles are likely the first on the chopping block", do you keep people with dual nationalities, or people who are eligible for both Medicare and Medicaid?
I'm talking about the Medicare-Medicaid Dual-eligibles - that class of folks are people who have a low enough income to qualify for Medicaid while also either having a life impacting disability or being old enough to qualify for Medicare.