Is this the end of foreign medical graduates?

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Dr. Anonymouss

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New executive order fundamentally changes the H-1B visa program requiring employers to now pay 100,000 dollars annually to the government in order to allow the business to sponsor an individuals H-1B visa. I can't fathom how any hospital would be willing to eat this cost. Thoughts on the future for foreign medical graduates who want to pursue residency in the united states?
 
Every IMG I know is on J1, not H1B. They’ll probably be fine.
 
Until someone in the administration who might be on this website whispers to someone who has his ears...
 
Why would anyone mess with J1 visa holders? They are going back.
 
Existing H1b a "winner"- although there was erroneous announcements that the fee would be annual, it is not and hence those with H1b's are "fine", for now. But it will apply to renewals. The main value in an H1b is the ability to transition to a job. H1b renewals for fellowships and jobs will incur the fee. So it will now be impossible for any H1b resident to get any fellowship, and jobs may or may not be willing to pay the fee (and then potentially pay it again 3 years later).

Top Applicant IMG's -- I don't think his summary of this topic is accurate. In general, top IMG applicants can get squeezed between a "better" program that only offers J visas, and a "less competitive" program that offers an H. They would then need to decide how important the visa is. If H visas go away, everyone will be on J visas and applicants can just rank programs based on where they really want to go.

The EO has a specific out -- Homeland security can declare any employee, employer, or sector exempt if it's in the national interest. I expect we will see that for physicians -- certainly for the J1 waiver program, probably for H1b's in general. Like most of the policies from the current admit, they didn't think this through completely. Or, they plan to "break it, and then fix it later".
 
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