You know, now a days, alot of things like media coverage, the internet, forums are freely available and our generation has exposure to so many things our parents couldn't ever think of. I believe "adapting" to the system would be marginally easier for the younger generation. If you talk in terms of assimilating into the US work culture, yes, it will be a challenge for an FMG. Professional etiquettes, one learns with time. In terms of adapting to the social fabric, that depends on the FMG i think. If one refuses to change and continue to live in a bubble, he/she will have a mighty hard time.The choices are apt i think, maybe add a "no, not in ultra competitve specialities" and "yes, patients don't care where MD doctor went to medical school...a licensed physician is a licensed physician is a licensed physician"