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Saturday, January 20, 2024

Year of the Migrant: 3.2 Million Reasons 2023 Will Be Remembered With Infamy

 On the Chinese Zodiac, 2023 was the Year of the Rabbit; however, here in the United States, it should have been labeled the year of the undocumented migrant.

According to NBC News, in December, more than 300,000 undocumented migrants crossed the United States border with Mexico. That number, roughly equal to the population of a mid-sized city like Pittsburgh, Newark, or St. Paul, breaks all existing records for immigration in a single month. And it caps off a year in which the Department of Homeland Security has encountered a record 3.2 million undocumented immigrants in the United States.

An astute observer may be asking, “How do we have any idea how many people have snuck into the United States, if they succeeded in not being caught?” That’s a valid question, and the answer demonstrates that the current border crisis is one deliberately manufactured by the Biden administration. We have a good idea of how many migrants have recently entered the U.S. because, rather than attempting to capture and deport them, Team Biden has welcomed them in with open arms.

In the past, migration across the southern border followed an established pattern. Migrants made their way from their home country to Mexico, then slipped over the border surreptitiously. Most attempted to avoid capture. The few who voluntarily turned themselves in to the Border Patrol were either injured and in need of assistance or believed themselves to be eligible to apply for some kind of lawful status in the United States.

As a result, the Department of Homeland Security was traditionally forced to make an educated guess as to how many migrants had sneaked into the United States. The Border Patrol would prepare annual approximations of unlawful entries by combining the actual number of individuals arrested for border violations with an estimated number of “gotaways” – foreigners who entered the United States unlawfully and then disappeared into the shadows.

The gotaway figure, in turn, included “known gotaways,” aliens who were observed entering the U.S. but successfully evaded arrest. But, it also included an educated guess as to the number of migrants who successfully evaded law enforcement detection altogether, referred to as “unknown gotaways.” As a result, the actual number of “gotaway” migrants was — and is — unknown.

However, the typical migration script has now been flipped because the Biden administration has decided it doesn’t like our immigration laws. The Immigration and Nationality Act requires any foreign national attempting to enter the United States to appear at an official port of entry and present a valid passport and visa. And crossing the border without the permission of the United States government is actually a misdemeanor crime known as “Improper Entry by Alien.” Despite these rules, the Biden administration has repeatedly and publicly signaled that any foreign national who shows up anywhere in the U.S. and says the magic word – “asylum” – will be allowed to stay.

The gotaway numbers have now become less significant because immigration violators are currently popping out of the woodwork and looking for a “stay in America free” pass. Immigration enforcement under Biden has become an à la carte affair, with only the most egregious migrant rapists and murderers being ordered deported. Virtually every other immigration violator is being hailed as an honored guest and being treated to a hotel room at taxpayer expense. 

And migrants are enthusiastically responding to Biden’s open invitation. Virtually every intending migrant has now come to believe that the president of the United States, and the government he oversees, have signed off on the complete abandonment of any meaningful immigration enforcement. They are crossing the border without authorization, en masse.

But instead of attempting to avoid capture, migrants are actually seeking out Border Patrol agents and surrendering to them. This may be a boon for more accurate record-keeping, but it is an immigration policy nightmare in the making.

In essence, the U.S. government has become the world’s leading facilitator of migrant smuggling by encouraging migrants to unlawfully enter the U.S. in the hope that they will either be granted asylum (no matter how baseless the underlying claim) or benefit from another misguided program like the Obama administration’s illegal Deferred Action for Childhood Arrivals (DACA).

Between 7 million and 9 million migrants – including at least 169 who are on the FBI’s terrorist watchlist – have illegally crossed the U.S.-Mexico border since Joe Biden took office.

We have no idea who most of these individuals are, and very few have been subjected to any kind of meaningful background checks. It is an absolute certainty that a certain percentage of these new arrivals will be criminals, terrorists and foreign spies.

The Immigration and Nationality Act is not a scheme to exclude people from the developing world, as the anti-borders contingent regularly argues. Rather, it is a set of safeguards intended to ensure that migrants do not pose a threat to the public safety and national security of the United States. Ignoring those safeguards may be the undoing of this great nation.

Undoubtedly, as we march forward into 2024, the migrant caravans will continue, anti-borders politicians will persist in advocating for amnesty, and the demographic shift being caused by unchecked mass migration will continue unabated. However, because it was the year when America completely abandoned any policing of its borders, 2023 should be remembered as “The Year of the Undocumented Migrant.”

Matt O’Brien is the Director of Investigations at the Immigration Reform Law Institute and the co-host of IRLI’s podcast “No Border, No Country.” Immediately prior to working for IRLI he served as an immigration judge. He has nearly 30 years of experience in immigration law and policy, having held numerous positions within the Department of Homeland Security.

https://themessenger.com/opinion/southern-border-crisis-biden-policy-welcomes-record-3-million-illegal-immigrants

After row with Hungary and Poland, Pfizer sues Romania over missed COVID vaccine payments

 Following public spats with Hungary and Poland, Pfizer and its German mRNA partner BioNTech have kicked off legal proceedings against Romania. The lawsuit marks the latest move in Pfizer’s campaign to press countries to honor COVID-19 vaccine contracts inked by the European Commission in May 2021.

Citing a “prolonged contractual breach,” plus continued discussions in “good faith” between the companies and the country, Pfizer confirmed Friday that it’s made the “difficult decision” to sue Romania.

Pfizer and BioNTech want to hold Romania to its commitments for COVID-19 vaccine orders placed by the country’s government, a Pfizer spokesperson confirmed via email.

“Pfizer and BioNTech believe it is important that all parties respect their contractual obligations under the agreement that has facilitated the successful European pandemic response,” the spokesperson said, adding that Pfizer and BioNTech are continuing to support that response by delivering vaccine doses in line with previously struck contractual agreements.

Specifically, Romania has backed out of orders for some 28 million Comirnaty doses worth around €550 million, local news outlet Romania-Insider reports.

Pfizer and BioNTech did not explicitly confirm the size of the order or the value of the deal.

Romania’s health minister, meanwhile, has argued there’s no legal ground for penalties claimed in the case since the country refused to sign an amendment to its original deal with Pfizer-BioNTech, according to Romania-Insider.

Romania will try to coordinate a defense with Poland, which has also found itself in Pfizer’s crosshairs.

Late last year, Pfizer took both Poland and Hungary to court over similar contract breach allegations.

With Poland, Pfizer asserts the country failed to pay for some 60 million doses of the company’s BioNTech-partnered vaccine, seeking roughly €1.38 billion in compensation, the Central European Times reported at the time.

Pfizer and BioNTech confirmed the initiation of a similar lawsuit against Hungary in December.

Pfizer and BioNTech sealed their large European Union supply deal in May 2021, pledging an initial 900 million doses to be delivered in 2022 and 2023. Europe also had an option to order 900 million more doses in the future. In December 2021, European officials exercised part of the option and agreed to lock down another 200 million doses.

In May of last year, Pfizer and BioNTech tweaked their delivery contract with the EU to account for slipping shot demand, ultimately reducing purchases of their vaccine Comirnaty by around 35%.

Pfizer is none too pleased with the current European shot imbroglio.

“We realized that one big overhang over stock performance is the COVID uncertainty,” Pfizer’s CEO Albert Bourla said last week at the 42nd annual J.P. Morgan Healthcare Conference in San Francisco.

“We had multi-billion-dollar contracts with multiple governments in the world, but suddenly, although they were signed, they had second thoughts if they want to [honor] them or not because they are governments,” he said, adding that “one of the most famous of that was in EU.”

https://www.fiercepharma.com/pharma/after-row-hungary-and-poland-pfizer-sues-romania-over-missed-covid-vaccine-payments

Decode Your Hospital Bill To Catch Overcharges

 by George Citroner via The Epoch Times (emphasis ours),

Millions of Americans are trapped in a maze of inflated hospital fees and opaque billing codes. Yet they either pay these crushing bills or watch their credit score plummet.

But what if patients could decode hospital charges and gain the upper hand? Armed with such knowledge, they may reveal errors, negotiate costs, access aid programs, and protect themselves from crippling medical debt.

Patients Pay the Price as Hospitals Fail Billing Standards

Recently published research in the Journal of the American Medical Association analyzed data from a 2022 survey by The Leapfrog Group. This nonprofit issues an annual review assessing the quality of care and billing accountability standards across U.S. hospitals.

The analysis focused on responses from 2,270 hospitals. It found that 754 facilities (33.2 percent) had taken legal action against patients who could not pay bills in full or on time. Additionally, over 1,000 hospitals failed to provide itemized bills within 30 days, possibly violating legal billing requirements.

The bill most patients get in the mail is usually a consolidated summary, “making it impossible to assess whether you’re charged correctly or not,” Patrick Haig, CEO and co-founder of Goodbill, a startup dedicated to making hospital bills transparent and affordable for patients, told The Epoch Times.

Furthermore, 125 hospitals (5.5 percent) lacked billing representatives who could investigate errors, offer price adjustments, or discuss payment plan options. In total, 1,415, or over 60 percent, of the facilities surveyed did not satisfy all three critical billing quality standards.

Over 50 percent of hospital bills reviewed by Goodbill contain inaccuracies, according to Mr. Haig. These range from coding mistakes to charges for unnecessary medical procedures.

That’s kind of crazy when you think about it,” Mr. Haig said, “because so many people feel like they have no choice but to just pay their bills, or they go into debt because they can’t afford to pay their bills.”

Vague Hospital Invoices Hide Behind Fake ‘Itemization’

If you have concerns regarding hospital charges, request an itemized bill within 30 days. This line-item invoice details all services and supplies involved in your care.

An accurate itemized bill includes standardized diagnosis, procedure, and billing codes that determine costs, Mr. Haig said—specifically, Current Procedural Terminology (CPT) codes, Healthcare Common Procedure Coding System (HCPCS) codes, and others. These codes clearly convey how insurance companies reimburse hospitals, enabling “apples-to-apples” charge comparisons with other providers, he added.

“For example, a charge for an acute emergency room visit might go by different names, depending on the hospital—like ‘Level 5 ED visit,’ or ‘ER visit Lvl 5,’ but universally has only one CPT code: 99285,” he said.

If the itemized bill lacks sufficient coding detail, request the UB-04 claim form submitted to insurers for payment. It contains the clearest procedure coding available, according to Mr. Haig. Simply requesting the hospital’s proprietary “itemized bill” could yield useless internal classifications rather than standardized descriptors.

“We’ve seen that hospitals sometimes have their own version of an ‘itemized bill’ with internal codes that aren’t helpful at all,” he said. “Requesting your UB-04 claim form is a much more specific ask that is difficult to misconstrue.”

Emergency Care Springboards People Into Debt

According to a nationwide poll by KFF, formerly known as the Kaiser Family Foundation, a nonprofit organization focusing on health care and health policy research and analysis, the medical debt crisis extends far beyond hospital bills alone. Factors like credit cards, personal loans, and borrowing from friends used to pay outstanding health care fees were also considered.

Key findings reveal that about 25 percent of adults with medical debt owe over $5,000. About 20 percent said they believe they’ll never pay it off. For many, the initial debt stems from one-time or short-term emergency care.

Additionally, nearly 50 percent of adults couldn’t afford an unexpected $500 medical bill without taking on debt. Over a third currently owe less than $1,000—an amount with serious financial consequences.

Up to 40 Percent Qualify for Hospital Aid, but It Goes Unused

However, up to 40 percent of the medical debt seen by Goodbill qualifies for hospital financial assistance, Mr. Haig said.

“Nonprofit hospitals, which comprise the majority of hospitals in the United States, are required by law to offer financial assistance to patients who fall below certain household income thresholds,” he added. “At some hospitals, that threshold can be well over $100,000.”

However, qualifications go widely unadvertised, and many patients don’t know to ask. “Patients can save up to 100 percent off their portion of the bill,” Mr. Haig said. “It’s one of the most underutilized benefits in health care.”

Other ways to protect yourself against inflated medical bills include the following:

  • Seeking pre-approvals for covered care.
  • Negotiating costs even if correctly billed.
  • Understanding new surprise billing guardrails.

The No Surprises Act shields insured patients from many unexpected medical bills. This includes bills sent by out-of-network providers that were beyond the patient’s control.

The new rules enable uninsured and cash-pay patients to access good-faith cost estimates before receiving care.

Finally, if you have a problem with debt collection due to surprise medical billing, you can submit a complaint online to the Consumer Finance Protection Bureau (CFPB) or call (855) 411-CFPB (2372).

https://www.zerohedge.com/medical/decode-your-hospital-bill-catch-overcharges

US Mulls More Aggressive, Stepped-Up Measures Against Houthis

 On Saturday the Pentagon conducted yet another round of airstrikes on Houthi positions in Yemen, which marks likely the seventh round of such Western coalition attacks. It follows a round of strikes the day prior. 

Even after this steady progression of escalation, which comes in response to near daily Houthi attacks on commercial ships transiting the Red Sea, the Pentagon still says the US government does not believe it is at war in Yemen. It was only on Thursday that President Biden issued a surprise admission, saying that the bombing is not working, yet it will continue anyway. The comments to the media included Biden responding when asked whether the strikes are deterring Houthi aggression: "Well, when you say ‘working’ — are they stopping the Houthis? No. Are they going to continue? Yes," the president said. 

And now the US administration is mulling bigger escalation, though it remains anything but clear whether the Houthis will actually halt their war on Red Sea shipping, given also Israel is persisting in its Gaza operation. 

According to fresh reporting in Bloomberg, "The US and the UK are exploring ways to step up their campaign against Houthi militants in Yemen without provoking a broader war, with a focus on targeting Iranian resupplies and launching more aggressive pre-emptive strikes, people familiar with the matter said."

But the fear is that it would put Washington on a collision course with Iran. Already there are widespread allegations that Iran has elite IRGC operatives on the ground advising the Houthis. The US has also accused Tehran of giving the Yemeni rebels intelligence information to help with targeting. The White House says it doesn't want a wider war in the Middle East.

Bloomberg, based on administration sources, said that an internal debate is raging over the course of action:

The people familiar with the matter, who asked not to be identified discussing private deliberations, said the US and UK are examining ways to better disrupt Iranian efforts to resupply the Houthis at sea, especially given that it will be harder to sever land routes. A British official echoed that argument, saying officials are weighing various types of military operations to disrupt Iranian weapons flows to the Houthis.

Advocates for more aggressive action also argue that the time is ripe because of what they see as an emerging Iranian weakness. People familiar with the US stance say that the leadership in Iran may have overextended itself with its support for the Houthis along with launching attacks in Pakistan and Iraq, and may not respond to further escalation.

The US Navy last week intercepted a dhow in the Arabian Sea, off Somalia, that looked "suspicious". It was found to have been transporting Iranian-made missile components, and was believed bound for Houthi territory. 

Tragically, the operation wasn't without a cost, as two Navy Seals were lost at sea, and are presumed dead, as search and rescue efforts have persisted for many days.

Iran's allies in the Middle East are seeking to pressure US troops out of the region....

Israel itself appears to be stepping up its anti-Iran intervention in Syria, on Saturday striking a Damascus suburb. Iran later confirmed that several high-ranking IRGC officers were killed. Tehran is vowing revenge, and things are set to get even more chaotic in the region in the coming days. 

https://www.zerohedge.com/geopolitical/us-mulls-more-aggressive-stepped-measures-against-houthis

National Security Experts Raise Alarm Over Biden’s EV Push

 by Tom Ozimek via The Epoch Times (emphasis ours),

A coalition of 17 retired military officials led by retired U.S. Army Maj. Gen. James Marks have warned that President Joe Biden’s push for mass electric vehicle (EV) adoption is a threat to national security.

In a Jan. 17 letter to President Biden and Environmental Protection Agency (EPA) Administrator Michael Regan, the group of national security experts said they oppose the Biden administration’s aggressive EV push because Chinese dominance of EV supply chains poses national security risks for the United States.

In particular, regulatory initiatives meant to incentivize EV adoption “intensify America’s vulnerability to political interference by the Chinese Communist Party,” the experts wrote.

Since taking office, President Biden has signed a number of executive orders to boost the sales of EVs, while outlining a plan that seeks to have 50 percent of new vehicles be either plug-in hybrids or fully electric by 2030.

Further, the EPA in April 2023 proposed tough new vehicle standards that seek to reduce the number of cars that produce emissions by 2032.

The White House said at the time that the EPA’s strict emission standards are part of a “clear pathway for a continued rise in EV sales and protecting future generations from the impacts of climate change.”

This reflects the Biden administration’s often-repeated messaging that rapid electrification of transportation would lower greenhouse gases quickly and so reduce global warming, though this is a view that has been challenged, including by climate strategists who generally back climate action but warn that the dash to go electric could lead to unsustainable costs and needless damage to the environment.

EPA Rule In Focus

The retired military officials singled out EPA’s tailpipe emissions proposal for particular criticism because they say it would force up to two-thirds of new vehicles sold in America to be electric by 2032.

“At a nearly tenfold increase over current electric vehicle sales, this proposed rule is a clear example of tone-deaf policymaking that favors the geopolitical advantages currently held by China in this market,” the retired military officers wrote.

While the experts said that they believe EVs will play a significant role in diversifying America’s transportation systems, they believe the Biden administration’s various quick-adoption initiatives “will rush our transition to EVs before the infrastructure necessary to support it is in place.”

“This trajectory will only position the U.S. to become more reliant on China for critical minerals and manufacturing that are necessary for the rapid expansion of EV markets this administration envisions.”

“And even more concerning is the fact that this reliance hinges upon China’s goodwill to export those minerals and manufactured goods to the U.S. This will undoubtedly open the U.S. up to economic manipulations by China,” which poses a “major threat to our national security.”

“We do not believe now is the time to make ourselves vulnerable to such easy political pressures,” they added.

The EPA did not immediately respond to a request for comment on the letter.

Car Dealers Oppose Biden’s EV Push

There has been other notable opposition to the Biden administration’s EV push in general and the EPA’s strict new tailpipe emissions standard proposal.

Several thousand car dealership owners around the country in November signed an open letter to the Biden administration, saying they oppose its aggressive EV push.

More than 3,800 auto dealers wrote in the letter that EV demand isn’t sufficient, even though they said they believe that EVs “are ideal for many people” and that “their appeal will grow over time.”

“The reality, however, is that electric vehicle demand today is not keeping up with the large influx of BEVs [battery electric vehicles] arriving at our dealerships prompted by the current regulations,” the dealers said. “BEVs are stacking up on our lots.”

The dealers noted that enthusiasm for EVs “has stalled” and their supply is building “even with deep price cuts, manufacturer incentives, and generous government incentives.”

They said the EPA’s emissions goals are “unrealistic” and that EVs in general have major hurdles to overcome before adoption can ramp up widely, including a lack of EV charging infrastructure.

Range Anxiety

A major worry among Americans considering the wisdom of switching to an EV is range anxiety, which is the fear of driving an EV and running out of power without being able to find a charging port—and ending up stranded on the side of the road.

A recent study by the American Automobile Association (AAA) found that EV range can fall by up to a quarter when the vehicle is carrying heavy loads.

Range anxiety remains a top reason consumers are hesitant to switch from gasoline-powered vehicles to EVs,” Adrienne Woodland, spokesperson for AAA, said in a statement.

Another recent study by consultancy Ernst & Young—in collaboration with European energy industry body Eurelectric—found that range anxiety is the second-most cited concern about switching to an EV, with a lack of public charging stations in the top spot.

The study points to an estimated need for 68.9 million chargers across the United States and Canada by 2035 to support the pace of the EV transition.

Persistent complement dysregulation with signs of thromboinflammation in active Long Covid

 CARLO CERVIA-HASLER HTTPS://ORCID.ORG/0000-0001-7120-8739SARAH C. BRÜNINGK HTTPS://ORCID.ORG/0000-0003-3176-1032TOBIAS HOCH HTTPS://ORCID.ORG/0000-0003-0319-6064BOWEN FANGIULIA MUZIO HTTPS://ORCID.ORG/0000-0001-5999-2030RYAN C. THOMPSON HTTPS://ORCID.ORG/0000-0002-0450-8181LAURA CEGLAREK HTTPS://ORCID.ORG/0009-0005-7117-0335ROMAN MELEDIN HTTPS://ORCID.ORG/0000-0001-6921-825XPATRICK WESTERMANN HTTPS://ORCID.ORG/0000-0003-2894-6140, AND ONUR BOYMAN HTTPS://ORCID.ORG/0000-0001-8279-5545 et al.

DOI: 10.1126/science.adg7942

Editor’s summary

Some individuals can endure persistent, debilitating symptoms for many months after an initial severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. However, the factors underpinning these health issues, called Long Covid, are poorly understood. Comparing the blood of patients with confirmed SARS-CoV-2 infection with that of uninfected controls, Cervia-Hasler et al. found that patients experiencing Long COVID exhibited changes to blood serum proteins indicating activation of the immune system’s complement cascade, altered coagulation, and tissue injury (see the Perspective by Ruf). At the cellular level, Long Covid was linked to aggregates comprising monocytes and platelets. These findings provide a resource of potential biomarkers for diagnosis and may inform directions for treatments. —Sarah H. Ross

Structured Abstract

INTRODUCTION

Acute infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes various clinical phenotypes, ranging from asymptomatic to life-threatening COVID-19. About 5% of all infected individuals do not recover from acute disease but develop long-term complications, called Long Covid. Current hypotheses on factors contributing to Long Covid include tissue damage, viral reservoirs, autoimmunity, and persistent inflammation. There are currently no diagnostic tests or therapeutic solutions for affected patients.

RATIONALE

We followed 39 healthy controls and 113 COVID-19 patients for up to 1 year after initial confirmation of acute SARS-CoV-2 infection to identify biomarkers associated with Long Covid. At 6-month follow-up, 40 patients had Long Covid symptoms. Repeated clinical assessments were paired with blood draws, resulting in a total of 268 longitudinal blood samples. We measured >6500 proteins in serum by proteomics. Top candidate biomarkers were identified using computational tools and further evaluated experimentally.

RESULTS

Long Covid patients exhibited increased complement activation during acute disease, which also persisted at 6-month follow-up. The complement system is part of the innate immune system and contributes to immunity and homeostasis by targeting pathogens and damaged cells, among other functions. Interestingly, blood complement levels normalized in Long Covid patients recovering before their 6-month follow-up. The complement system can be activated by various triggers, resulting in formation of the terminal complement complex (TCC), made of the complement components C5b-9. These complexes can integrate into cell membranes and induce cell activation or lysis. Long Covid patients showed imbalanced TCC formation, marked by increased soluble C5bC6 complexes and decreased levels of C7-containing TCC formations that can incorporate into cell membranes. This suggested increased membrane insertion of TCCs in Long Covid patients, contributing to tissue damage. Accordingly, Long Covid patients showed elevated tissue injury markers in blood and a thromboinflammatory signature, characterized by markers of endothelial activation, such as von Willebrand factor (vWF), and red blood cell lysis. Low antithrombin III levels in Long Covid patients were accompanied by signs of increased cleavage by thrombin, a driver of TCC formation. Furthermore, Long Covid patients had elevated platelet activation markers and monocyte–platelet aggregates at 6-month follow-up, particularly in cases where Long Covid persisted for 12 months or more. These patients also showed signs of antibody-mediated activation of the classical complement pathway, which was associated with increased anti-CMV (cytomegalovirus, also known as human herpesvirus 5) and anti-EBV (Epstein-Barr virus) immunoglobulin G (IgG) antibody levels.

CONCLUSION

Our data suggest that active Long Covid is accompanied by a blood protein signature marked by increased complement activation and thromboinflammation, including activated platelets and markers of red blood cell lysis. Tissue injury may also be complement-mediated and, in turn, activate the complement system. Moreover, complement activation may be driven by antigen–antibody complexes, involving autoantibodies and antibodies against herpesviruses, as well as cross-talk with a dysregulated coagulation system. In addition to offering a basis for new diagnostic solutions, our work provides support for clinical research on complement modulators for patients suffering from Long Covid.

Growing soft robot with climbing plant-inspired adaptive behavior to navigate unstructured environs

 EMANUELA DEL DOTTORE HTTPS://ORCID.ORG/0000-0001-6874-1970 ALESSIO MONDINI HTTPS://ORCID.ORG/0000-0002-2303-2844NICK ROWE HTTPS://ORCID.ORG/0000-0002-7849-7227, AND BARBARA MAZZOLAI 


DOI: 10.1126/scirobotics.adi5908


Abstract

Self-growing robots are an emerging solution in soft robotics for navigating, exploring, and colonizing unstructured environments. However, their ability to grow and move in heterogeneous three-dimensional (3D) spaces, comparable with real-world conditions, is still developing. We present an autonomous growing robot that draws inspiration from the behavioral adaptive strategies of climbing plants to navigate unstructured environments. The robot mimics climbing plants’ apical shoot to sense and coordinate additive adaptive growth via an embedded additive manufacturing mechanism and a sensorized tip. Growth orientation, comparable with tropisms in real plants, is dictated by external stimuli, including gravity, light, and shade. These are incorporated within a vector field method to implement the preferred adaptive behavior for a given environment and task, such as growth toward light and/or against gravity. We demonstrate the robot’s ability to navigate through growth in relation to voids, potential supports, and thoroughfares in otherwise complex habitats. Adaptive twining around vertical supports can provide an escape from mechanical stress due to self-support, reduce energy expenditure for construction costs, and develop an anchorage point to support further growth and crossing gaps. The robot adapts its material printing parameters to develop a light body and fast growth to twine on supports or a tougher body to enable self-support and cross gaps. These features, typical of climbing plants, highlight a potential for adaptive robots and their on-demand manufacturing. They are especially promising for applications in exploring, monitoring, and interacting with unstructured environments or in the autonomous construction of complex infrastructures.