[j-bos]

At least in the US, there's a fair amount of immigrant medical professionals who have the training, often the experience, but not the licensing.

[dijonman2]

What’s getting in the way of their american licensing ?

[j-bos]

If they didn't finish their school their studies are often regulatorily worthless in the US, if they did there's still massive hurdles to jump without existing relationships/wealth to aid the transition.

[labcomputer]

The AMA.