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Immigration and the physician shortage: Residency bottlenecks and visa limits

Release Date
2025-07-27
Media
Medical Economics
Summary
Dr. Tom Price highlights two major but often overlooked causes of the U.S. health care workforce shortage: restrictions on immigration and limits on residency training slots. In an article from Staffing Stream, he explains that tens of thousands of qualified foreign physicians and nurses who have passed U.S. licensure exams and met immigration criteria are unable to practice.

One key reason is that most graduate medical education (GME) slots are funded by Medicare, and Congress has capped the number of new residency positions to control Medicare costs. The second issue is the immigration system, which limits the number of healthcare professionals allowed in through merit-based or workforce-need visas.

Price suggests that shifting to a merit-based visa system could quickly ease the healthcare workforce shortage by allowing entry to professionals with skills that are critically needed in the U.S.
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