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(The Guardian)How Trump’s immigration crackdown puts Americans’ healthcare at risk

Release Date
2026-06-17
Media
The Guardian
Summary
The article examines how the Trump administration’s stricter immigration policies are affecting foreign-born physicians who play a critical role in addressing doctor shortages across the United States, particularly in rural and underserved communities.

At the center of the story is “Ali,” an Afghan-born internal medicine physician working in rural West Virginia. Since arriving in the United States in 2020, he has treated more than 1,600 patients annually, most of them elderly, low-income, or living in medically underserved areas. Like many international medical graduates, he works in a region where recruiting American physicians has been extremely difficult.

His future, however, has become uncertain after the Trump administration expanded travel restrictions on nationals from 39 countries, including Afghanistan, and paused the processing of green card and other immigration applications for people from those countries already living legally in the United States. As a result, Ali and many other physicians face the possibility of losing their legal work authorization despite years of service in American hospitals.

The issue extends far beyond one doctor. Nearly one-quarter of U.S. physicians received their medical education abroad, and rural hospitals rely heavily on foreign-trained doctors to fill chronic staffing shortages. In many communities, international physicians are the only specialists or even the only full-time doctors available. Hospital leaders and medical organizations warn that losing these physicians would significantly reduce access to healthcare for vulnerable populations.

Several foreign-born doctors interviewed in the article report being unable to renew work permits, continue fellowships, or pursue permanent residency because of immigration processing delays. Some have already stopped practicing, leaving patients without replacement providers. Hospitals also face additional burdens from immigration-related restrictions and increased visa costs, further complicating recruitment efforts.

Medical associations, including the American College of Physicians and the American Medical Association, have urged the government to exempt physicians from the restrictions. Although federal courts have recently ruled against parts of the administration’s policy, ongoing appeals have left many doctors in legal limbo.

The article argues that immigration policies aimed at strengthening border security and limiting migration are also affecting highly skilled legal immigrants who provide essential public services. In healthcare systems already facing severe workforce shortages, especially in rural America, the loss of foreign-born physicians could have serious consequences for patient care and community health.
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United States of America

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