[ViktorRay]

This is going to worsen healthcare in the United States.

Many critical roles are filled with doctors who are here on visas because there simply aren’t American graduates who want those jobs. I’m talking about jobs being doctors in hospitals and towns and cities that are not the most desirable.

Many of those doctors filling these positions today are immigrants who are on visas. They want to get green cards and stay here. They end up living long term in those communities caring for patients in them over the years.

If this policy goes into effect it will hurt all of that. And actually many of these hospitals and less desirable areas are placed with lots of Trump voters too.

In general if someone has spent years working hard with a visa and is law abiding and contributes to the community I don’t understand the purpose of making immigration harder. And I especially don’t understand why you would make it harder for doctors and engineers and other educated people who are here on visas to get a green card.

Can someone explain the rationale?

[querulous]

the number of doctors on j1 extensions the us is going to lose over this is going to seriously impact us healthcare. it's also not uncommon for doctors to practice on an o1 and they'll be impacted also

[nceqs3]

> because there simply aren’t American graduates who want those jobs.

Facts are just invented in these debates. Here is an actual fact: in the 2026 residency match cycle, about 6.5% of U.S. MD seniors went unmatched, resulting in approximately 1,300 to 1,400 U.S. MD students failing to secure a position initially.

[ViktorRay]

No need to say “ Facts are just invented in these debates.” Especially when what you are talking about is different from what I’m talking about.

I’m not talking about residency. I’m talking about jobs post residency. There are hospitalist jobs in areas that are in desperate need of doctors. And these jobs are staffed with doctors who are on visas. Outpatient jobs too. These jobs are in locations or hospital systems that are important and that American graduates do not want to go to.