Source? But also what difference does that make? Just pay American workers more.
> Just pay American workers more.
If we set aside software engineering - 40% of rural doctors in the US are here on H1B visas. There's not a "pay them more" button we can hit that generates more domestic doctors, especially not in under 10 years. All you'd do is compete amongst a limited supply.
That's literally how the button works. An undersupply in the market, increases prices.. kids and students deciding what they want to do with their life, see the wages and decide 10 years of school is worth it... and after 10 years you get more doctors.
If there's an undersupply, that's a clear indication that young people are looking at the field and deciding the wages don't justify the investment.
By short-circuiting the process of the free market, you're guaranteeing the shortage will continue.
Immigrant doctors may also hate working at these facilities, but the prospect of raising their family somewhere in the USA is a huge value add for them.
Eh I think this is sort of BS. First yes literally you could be paid enough. Everyone has a price, including you, and you’re not fooling anyone. Second you can find arrangements that perhaps enable you to spend a few years doing what amounts to public service in exchange for maybe no debt or higher pay and then move on - this is a very common thing in the labor market.
Also, what does that say about you that you hate being around your fellow countrymen more than someone from outside of your country?
The problem is that the relationship is non-linear. The data shows that at a certain amount of comfort and income, most people really aren't willing to make drastically uncomfortable lifestyle choices for any amount of money. I'm not suddenly going to become a lineman even if it pays double what I make now.
How many kids in our culture are actually looking at earning potential as the #1 factor when they choose a career?
This administration could address that, but if anything, they seem to be moving in the opposite direction.
At the same time, the doctor with just 4-5 years of school and hundreds of thousands less debt can not only treat patients more cheaply, but will have more years of practice too.
That leaves the only real difference (other than degree inflation) as being 3 years of residency, but most of the older generation of doctors effectively did the same thing entering into an existing practice or working in a hospital under an experienced physician.
If you climbed the ladder (like a lot of nurse practitioners do), the ADN+BSN took 5 years with 3-4 more years for the MSN or 4-5 years for the DNP.
Put another way, that nurse practitioner has MORE applicable years of schooling than a doctor who got some random degree with the handful of med prereqs then went to med school, internship, and residency. Lots of nurse practitioners also work in the field all the while they are in school which further increases their actual experience.
The real takeaway is that all these extra years, loans, and interest combined with fewer years to practice medicine translate into more expensive care without improving outcome.
No for a couple of reasons which you’re aware of. Plus liberals say DEI is good so they can’t be against it.
> Not to mention, discrimination based on nationality is illegal.
Sort of - but you’re taking a narrow view here. We discriminate (nothing wrong with that, all countries do it) who we let in to the US for example. Many universities had or have de facto race quotas, and by being an American you can’t be discriminated against as a nationality outside of being an American. Let’s say you are Chinese American. You’re American, not Chinese. There isn’t anything to discriminate against. Welcome to team USA. All the way baby. But if you aren’t an American then we just decide what we want to do with you and whether it fits our needs or we send you back home or whatever.
> Employers must attest to the Department of Labor that they will pay wages to the H-1B nonimmigrant workers that are at least equal to the actual wage paid by the employer to other workers with similar experience and qualifications for the job in question, or the prevailing wage for the occupation in the area of intended employment – whichever is greater.
There are also tertiary effects in that bringing in young working families into the US is overwhelmingly good for the economy.
If bringing in workers shrinks an economy, then how does one go from a country of 40 million to 400 million without 360 million people being unemployed? Because wage earners actually contribute more to the economy than they crowd out.
No one in their right mind would argue that having kids is going to put downward pressure on the job market, and yet we have the idea that grown, educated adults will. (Not to mention these grown, educated adults cost us nothing in taxes in education or retirement, so overwhelmingly less of a burden on our economy)
I have not met a single one who was not over qualified for the job they were doing.
I have only met a couple who were (to some extent) getting screwed because of an agency in the middle. However I would not have found the wage unreasonable and the markup was well within the industry standard.
H1B is a path to import talent that mostly wants to stay here... We need to fix the portion of the process where it is onerous to go from H1B to green card and citizenship.
There is truth to this, certainly. In software engineering or related positions? I don’t think so, generally. If this was the case we wouldn’t also outsource positions.
Invert your argument: If outsourcing was so great, we wouldn't have any software jobs in the US.
The reason to outsource, to offshore are far more nuanced than "cost".
Burying job listings is part of the kabuki theater, but it's being misrepresented here. Usually companies already have a candidate in mind when they do this. It makes no sense to run a complete hiring process in the US, and then turn around and run a second one for international candidates. You may as well do a complete candidate search and then post the canned jobs again if you need to get Visa sponsorship.