how to detain a pregnant woman, requesting that pregnant women not be held in custody except in extraordinary circumstances after reports "that ICE has failed to provide critical medical care to pregnant women in immigration detention—resulting in miscarriages and other negative health outcomes". In July 2018, Durbin said Homeland Security Secretary Kirstjen Nielsen should resign over the Trump administration family separation policy. He argued it "is and was a cruel policy inconsistent with the bedrock values of the nation," adding someone "in this administration has to accept responsibility." Tyler Houlton, a DHS spokesman, replied on Twitter that "obstructionists in Congress should get to work". In July 2019, after reports that the Trump administration intended to end protections of spouses, parents and children of active-duty service members from deportation, Durbin was one of 22 senators to sign a letter led by Tammy Duckworth arguing that the program allowed service members the ability "to fight for the United States overseas and not worry that their spouse, children, or parents will be deported while they are away" and that the program's termination would cause personal hardship for service members in combat. In October 2019, Durbin blocked the passage of S.386, the Fairness for High-Skilled Immigrants Act, which aims to eliminate the per-country numerical limitation for all employment-based immigrants and to increase the per-country limitation for all family-sponsored immigrants from 7% to 15%. He was one of the original co-sponsors of a similar bill, in the 112th Congress (2011–2012). The only difference between the two versions is that S.1983 had the language "includes nationals of Ireland coming to the United States under a treaty of commerce to perform specialty occupation services" in the nonimmigrant E-3 visa category. The Cato Institute, a libertarian think tank, argued, "The per country limits caused the backlog to develop unevenly. They result in an inequity between the proportion of applicants from certain countries and the proportion of green cards that nationals of those countries receive. The Indian backlog means that they carry almost the entire burden of the green card shortage. While they wait in line, nationals of other countries get to cut to the front of the line. Going forward, new EB2/EB3 applicants from India in 2019 will face astronomical wait times. At the current pace, it will take 49 years to process the Indian backlog—if people stick it out that long—and nearly 50,000 Indians would die before