America is just completely broken

[Anonymous]

Many of the residency directors trained abroad in Pakistan and elsewhere. So they are happy to hire residents from their home country.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Here’s an internal medicine residency program in Texas where all 13 residents are foreigners. Six of the thirteen are from Pakistan.

and thousands for US citizens were not matched and rejected

Have you asked yourself why this is happening? You may not like the answer.

Because they are cheaper


Over 6,000 American-trained doctors — including U.S. MDs, DOs, and U.S. citizens who studied abroad — did not match.

Meanwhile, nearly 6,000 non-U.S. citizen foreign-trained physicians (FTP) were placed in U.S. residency positions — many of which are funded by Medicare, using taxpayer dollars.

Things have only gotten worse since we began studying and reporting on this crisis. For instance, in 2021, 4,356 FTPs were matched to residencies at US teaching hospitals, and in 2025, that number increased to 5,864.

US needs universal healthcare.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The issue is that residency programs are largely funded by Medicaid dollars. This is US taxpayer money. Hence the fact that one American med school grad goes unmatched while have hundreds of thousands of dollars in student loans is a travesty. Further, these foreign educated doctors typically do not have the same degree of school loans.

It a completing hosing of American citizen med school students

We are broken. We do not have enough doctors and yet Our own children get replaced

Our culture is broken.

This is not capitalism it’s a monopoly

Maybe our own children don't have as good an education or work ethic.

maybe pigs fly, about as likely

[Anonymous]

Anonymous wrote:

Anonymous wrote:Totally understand that but the unmatched US doctors should not have gone to medical school. They just are not smart enough. The foreign born ones that make it are the crème de la crème. This is a capitalistic society.

The only way to correct this is to offer merit-based scholarships to med school.

Are the foreign ones truly smarter or just more willing to work like slaves?

Overall foreign H1-Bworkers aren't necessarily any smarter or better than American workers. What’s really happening is selection bias: the people who manage to get H‑1Bs are usually the most ambitious, best‑credentialed, and most mobile workers from their home countries. They’re not representative of the average worker abroad; they’re the ones willing to uproot their lives, compete in a global talent pool, and navigate a visa system with far more applicants than slots.

In terms of skills, H‑1B workers and U.S. workers are generally comparable in training to American workers, especially in STEM fields where education standards are globally aligned. The difference is often economic rather than intellectual: employers value H‑1Bs because they’re tied to a visa, less likely to job‑hop, and sometimes willing to accept lower compensation or fewer options for advancement. That dynamic can make them more attractive to employers, but not any reflection of innate ability.

So no, they aren't smarter or better, nor are they actually really filling skills gaps in the U.S. In reality, employers are just exploiting a structural loophole: H‑1Bs give companies a supply of skilled workers who are tied to their visa and therefore have less bargaining power. That dynamic lets employers undercut U.S. wages without admitting that’s what they’re doing.

[Anonymous]

I'm just amazed how when we went to Singapore last year it took 3 minutes to get through customs and 3 minutes for pre-board screening. Meanwhile in the US, we are still doing things like it is 1982 and there is a 4 hour screen time in Houston because the US govt is absolutely incapable of basic functions.

US is just collapsing from within. Just like thr British. Just like the ancient Chinese. Just like the Romans.

Nothing works in the US. The US is so far behind the rest of the developed world. Seriously, Americans need to travel more to see how many years ahead many parts of the world are.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Totally understand that but the unmatched US doctors should not have gone to medical school. They just are not smart enough. The foreign born ones that make it are the crème de la crème. This is a capitalistic society.

The only way to correct this is to offer merit-based scholarships to med school.

Are the foreign ones truly smarter or just more willing to work like slaves?

Overall foreign H1-Bworkers aren't necessarily any smarter or better than American workers. What’s really happening is selection bias: the people who manage to get H‑1Bs are usually the most ambitious, best‑credentialed, and most mobile workers from their home countries. They’re not representative of the average worker abroad; they’re the ones willing to uproot their lives, compete in a global talent pool, and navigate a visa system with far more applicants than slots.

In terms of skills, H‑1B workers and U.S. workers are generally comparable in training to American workers, especially in STEM fields where education standards are globally aligned. The difference is often economic rather than intellectual: employers value H‑1Bs because they’re tied to a visa, less likely to job‑hop, and sometimes willing to accept lower compensation or fewer options for advancement. That dynamic can make them more attractive to employers, but not any reflection of innate ability.

So no, they aren't smarter or better, nor are they actually really filling skills gaps in the U.S. In reality, employers are just exploiting a structural loophole: H‑1Bs give companies a supply of skilled workers who are tied to their visa and therefore have less bargaining power. That dynamic lets employers undercut U.S. wages without admitting that’s what they’re doing.

I was employed as a senior research scientist at NASA for many years. It was very difficult to find native-born Americans who were interested in scientific research careers, and who also had the necessary technical skills. Most of our postdocs were foreign born, even though onboarding them was extremely difficult. The situation may be different for "tech" careers like programming or AI, but in the physical sciences US born students lag far behind both in interest and skills.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Totally understand that but the unmatched US doctors should not have gone to medical school. They just are not smart enough. The foreign born ones that make it are the crème de la crème. This is a capitalistic society.

The only way to correct this is to offer merit-based scholarships to med school.

Are the foreign ones truly smarter or just more willing to work like slaves?

Overall foreign H1-Bworkers aren't necessarily any smarter or better than American workers. What’s really happening is selection bias: the people who manage to get H‑1Bs are usually the most ambitious, best‑credentialed, and most mobile workers from their home countries. They’re not representative of the average worker abroad; they’re the ones willing to uproot their lives, compete in a global talent pool, and navigate a visa system with far more applicants than slots.

In terms of skills, H‑1B workers and U.S. workers are generally comparable in training to American workers, especially in STEM fields where education standards are globally aligned. The difference is often economic rather than intellectual: employers value H‑1Bs because they’re tied to a visa, less likely to job‑hop, and sometimes willing to accept lower compensation or fewer options for advancement. That dynamic can make them more attractive to employers, but not any reflection of innate ability.

So no, they aren't smarter or better, nor are they actually really filling skills gaps in the U.S. In reality, employers are just exploiting a structural loophole: H‑1Bs give companies a supply of skilled workers who are tied to their visa and therefore have less bargaining power. That dynamic lets employers undercut U.S. wages without admitting that’s what they’re doing.

I was employed as a senior research scientist at NASA for many years. It was very difficult to find native-born Americans who were interested in scientific research careers, and who also had the necessary technical skills. Most of our postdocs were foreign born, even though onboarding them was extremely difficult. The situation may be different for "tech" careers like programming or AI, but in the physical sciences US born students lag far behind both in interest and skills.

I think there's also a cultural aspect to it - There are unfortunately far too many Trumpy types, the Biff Tannens in America - bullies who pick on the smart and nerdy kids, to break their confidence and their interests in science. We over-emphasize the bread-and-circus part of life and beat down the curiosity and intellectualism.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Totally understand that but the unmatched US doctors should not have gone to medical school. They just are not smart enough. The foreign born ones that make it are the crème de la crème. This is a capitalistic society.

The only way to correct this is to offer merit-based scholarships to med school.

Are the foreign ones truly smarter or just more willing to work like slaves?

Overall foreign H1-Bworkers aren't necessarily any smarter or better than American workers. What’s really happening is selection bias: the people who manage to get H‑1Bs are usually the most ambitious, best‑credentialed, and most mobile workers from their home countries. They’re not representative of the average worker abroad; they’re the ones willing to uproot their lives, compete in a global talent pool, and navigate a visa system with far more applicants than slots.

In terms of skills, H‑1B workers and U.S. workers are generally comparable in training to American workers, especially in STEM fields where education standards are globally aligned. The difference is often economic rather than intellectual: employers value H‑1Bs because they’re tied to a visa, less likely to job‑hop, and sometimes willing to accept lower compensation or fewer options for advancement. That dynamic can make them more attractive to employers, but not any reflection of innate ability.

So no, they aren't smarter or better, nor are they actually really filling skills gaps in the U.S. In reality, employers are just exploiting a structural loophole: H‑1Bs give companies a supply of skilled workers who are tied to their visa and therefore have less bargaining power. That dynamic lets employers undercut U.S. wages without admitting that’s what they’re doing.

I was employed as a senior research scientist at NASA for many years. It was very difficult to find native-born Americans who were interested in scientific research careers, and who also had the necessary technical skills. Most of our postdocs were foreign born, even though onboarding them was extremely difficult. The situation may be different for "tech" careers like programming or AI, but in the physical sciences US born students lag far behind both in interest and skills.

I know of a lot of US STEM grads who are having a hard time finding work, because the job market is oversaturated with H1-B visa holders. That in turn will discourage other American kids from wanting to go into STEM, knowing it's a dead-end. We really need to fix this.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Totally understand that but the unmatched US doctors should not have gone to medical school. They just are not smart enough. The foreign born ones that make it are the crème de la crème. This is a capitalistic society.

The only way to correct this is to offer merit-based scholarships to med school.

Are the foreign ones truly smarter or just more willing to work like slaves?

Overall foreign H1-Bworkers aren't necessarily any smarter or better than American workers. What’s really happening is selection bias: the people who manage to get H‑1Bs are usually the most ambitious, best‑credentialed, and most mobile workers from their home countries. They’re not representative of the average worker abroad; they’re the ones willing to uproot their lives, compete in a global talent pool, and navigate a visa system with far more applicants than slots.

In terms of skills, H‑1B workers and U.S. workers are generally comparable in training to American workers, especially in STEM fields where education standards are globally aligned. The difference is often economic rather than intellectual: employers value H‑1Bs because they’re tied to a visa, less likely to job‑hop, and sometimes willing to accept lower compensation or fewer options for advancement. That dynamic can make them more attractive to employers, but not any reflection of innate ability.

So no, they aren't smarter or better, nor are they actually really filling skills gaps in the U.S. In reality, employers are just exploiting a structural loophole: H‑1Bs give companies a supply of skilled workers who are tied to their visa and therefore have less bargaining power. That dynamic lets employers undercut U.S. wages without admitting that’s what they’re doing.

I was employed as a senior research scientist at NASA for many years. It was very difficult to find native-born Americans who were interested in scientific research careers, and who also had the necessary technical skills. Most of our postdocs were foreign born, even though onboarding them was extremely difficult. The situation may be different for "tech" careers like programming or AI, but in the physical sciences US born students lag far behind both in interest and skills.

there were less postdocs because that was the goal of government policy to keep salaries low. you are a scientist , deal in facts.

Reduce PH.D Salaries - https://users.nber.org/~sewp/references/archive/weinsteinhowandwhygovernment.pdf

"Upcoming labor market shortages will devastate Science and Engineering."

This was a mantra heard through much of the 1980s. And yet, the predicted “seller’s market” for talent never materialized as unemployment rates actually spiked for newly minted PhDs in technical fields. In fact, most US economists seemed to think that the very idea of labor market shortages hardly made sense in a market economy since wages could simply rise to attract more entrants. Yet we have had workers visas for over 34 years to alleviate mythical worker shortages.

In the late nineties, in the course of research into immigration, I became convinced that our US high skilled immigration policy simply did not add up intellectually. As I studied the situation, it became increasingly clear that the groups purporting to speak for US scientists in Washington DC (e.g. NSF, NAS, AAU, GUIRR) actually viewed themselves as advocates for employers in a labor dispute with working scientists and were focused on undermining scientists’ economic bargaining power through labor market intervention and manipulation.

Increasingly the research seemed to show that interventions by government, universities and industry in the US labor market for scientists, especially after the University system stopped growing organically in the early 1970s were exceedingly problematic. By 1998, it was becoming obvious that the real problems of high skilled immigration were actually rather well understood by an entire class of policy actors who were not forthcoming about the levers of policy they were using to influence policy. The NSF/NAS/GUIRR complex appeared to be feigning incompetence by issuing labor market studies that blatantly ignored wages and market dynamics and instead focused on demographics alone.

During the late 1990s I became convinced that in order to orchestrate lower wages for scientists, there would have to have been a competent economic study done to guide the curious policy choices that had resulted in the flooded market for STEM PhDs. For this theory to be correct, the private economic study would have had to have been done studying both supply and demand so that the demand piece could later be removed, resulting in the bizarre ‘supply only’ demographic studies released to the public. Through a bit of economic detective work, I began a painstaking search of the literature and discovered just such a study immediately preceded the release of the foolish demography studies that provided the public justification for the Immigration Act of 1990. This needle was located in the haystack of documents the NSF was forced to turn over when the House investigated the NSF for faking alarms about a shortfall.

The title of this study was “The Pipeline For Scientific and Technical Personnel: Past Lessons Applied to Future Changes of Interest to Policy-Makers and Human Resource Specialists.” The study was undated and carried no author’s name. Eventually I gathered my courage to call up the National Science Foundation and demand to speak to the study’s author. After some hemming and hawing, I was put through to a voice belonging to a man I had never heard of named Myles Boylan. In our conversation, it became clear that it was produced in 1986, as predicted, immediately before the infamous and now disgraced demographic shortfall studies.

The author turned out, again as predicted, not to be a demographer, but a highly competent Ph.D. in economics who was fully aware of the functioning of the wage mechanism. But, as the study makes clear, the problem being solved was not a problem of talent but one of price: scientific employers had become alarmed that they would have to pay competitive market wages to US Ph.D.s with other options.

The study’s aim was not to locate talent but to weaken its ability to bargain with employers by using foreign labor to undermine the ability to negotiate for new Ph.D.s

That study was a key link in a chain of evidence leading to an entirely different view of the real origins of the Immigration Act of 1990s and the H1-B visa classification. In this alternative account, American industry and Big Science convinced official Washington to put in place a series of policies that had little to do with any demographic concerns. Their aims instead were to keep American scientific employers from having to pay the full US market price of high skilled labor. They hoped to keep the US research system staffed with employees classified as “trainees,” “students,” and “post-docs” for the benefit of employers. The result would be to render the US scientific workforce more docile and pliable to authority and senior researchers by attempting to ensure this labor market sector is always flooded largely by employer-friendly visa holders who lack full rights to respond to wage signals in the US labor market.

The correlate of these objectives were shifts in orientation toward building bridges to Asia and especially China, so that senior scientists, technologists, and educators could capitalize on technological, employment, and business opportunities from Asian (and particularly Chinese) expansion. This, in turn, would give US scientific employers and researchers access to the products of Asian educational systems which stress drill, rote learning, obedience, and test driven competition while giving them relief from US models which comparatively stress greater creativity, questioning, independence, and irreverence for authority.

I wrote this up in a study that the National Bureau of Economic Research published. Until a few weeks ago, it was available on their website. With other studies now appearing that are consonant with my conclusions and the Trump administration studying a possible revision of legislation on visas, I am grateful for INET’s encouragement and willingness to republish my study.

https://users.nber.org/~sewp/references/archive/weinsteinhowandwhygovernment.pdf

[Anonymous]

America broken? Just look at the cheers for Ken Paxton at CPAC. Your next US Senator from Texas? Along with that great intellect, Tommy Tubberville from Alabama.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Totally understand that but the unmatched US doctors should not have gone to medical school. They just are not smart enough. The foreign born ones that make it are the crème de la crème. This is a capitalistic society.

The only way to correct this is to offer merit-based scholarships to med school.

Are the foreign ones truly smarter or just more willing to work like slaves?

Overall foreign H1-Bworkers aren't necessarily any smarter or better than American workers. What’s really happening is selection bias: the people who manage to get H‑1Bs are usually the most ambitious, best‑credentialed, and most mobile workers from their home countries. They’re not representative of the average worker abroad; they’re the ones willing to uproot their lives, compete in a global talent pool, and navigate a visa system with far more applicants than slots.

In terms of skills, H‑1B workers and U.S. workers are generally comparable in training to American workers, especially in STEM fields where education standards are globally aligned. The difference is often economic rather than intellectual: employers value H‑1Bs because they’re tied to a visa, less likely to job‑hop, and sometimes willing to accept lower compensation or fewer options for advancement. That dynamic can make them more attractive to employers, but not any reflection of innate ability.

So no, they aren't smarter or better, nor are they actually really filling skills gaps in the U.S. In reality, employers are just exploiting a structural loophole: H‑1Bs give companies a supply of skilled workers who are tied to their visa and therefore have less bargaining power. That dynamic lets employers undercut U.S. wages without admitting that’s what they’re doing.

I was employed as a senior research scientist at NASA for many years. It was very difficult to find native-born Americans who were interested in scientific research careers, and who also had the necessary technical skills. Most of our postdocs were foreign born, even though onboarding them was extremely difficult. The situation may be different for "tech" careers like programming or AI, but in the physical sciences US born students lag far behind both in interest and skills.

I know of a lot of US STEM grads who are having a hard time finding work, because the job market is oversaturated with H1-B visa holders. That in turn will discourage other American kids from wanting to go into STEM, knowing it's a dead-end. We really need to fix this.

As a tech recruiter hiring for F50 firms, let me just say that I cannot find enough Americans to hire who have the tech backgrounds needed.

This is a reality. All you idiots do not know what you are talking about, suggesting that foreigners either are as qualified as Americans or shouldn't be hired for tech jobs over Americans. There simply aren't American candidates to hire for tech jobs because 1. They are just uneducated 2. They study law 3. They go into sales 4. They work retail.

Not enough Americans go into STEM. They go into law and sales. They simply do not have the backgrounds to pursue math based careers like engineering. They can do IT development and network admin but the complexity of software engineering and cyber (tech v policy) is where complexity is. I see it even in my kids' HS - everyone in AP even American are second gen immigrant families in the math and science classes.

Americans go into sales and they are rock stars in selling - there's no cultural ramp into doing the work. It's about marketing and making money off that work.

[Anonymous]

Anonymous wrote:14 of 15 residents in this Indiana internal medicine program are from foreign countries.

12 of the 15 are from Pakistan.

Is there some reason DCUM needs to see Mary's daily stupidity?

You know if the MAGA broligharchs truly wanted no H1B, why are they not making free college and tech schools?

hy are they not telling their followers it's patriotic to learn math and science?

Why is Trump not funding more medical residencies and expanding rural healthcare?

Why is Trump not creating a jobs program?

Why did he eliminate green energy, which would be fantastic jobs for MAGA white men?

Why hasn't Trump given a single speech about what he plans for the US workforce once the H1B jobs are eliminated?



...I'll wait.

[Anonymous]

Anonymous wrote:I'm just amazed how when we went to Singapore last year it took 3 minutes to get through customs and 3 minutes for pre-board screening. Meanwhile in the US, we are still doing things like it is 1982 and there is a 4 hour screen time in Houston because the US govt is absolutely incapable of basic functions.

US is just collapsing from within. Just like thr British. Just like the ancient Chinese. Just like the Romans.

Nothing works in the US. The US is so far behind the rest of the developed world. Seriously, Americans need to travel more to see how many years ahead many parts of the world are.

In truth, it has been collapsing for a long time.

Our downfall will be our pension systems with outsized returns for a small segment of our population whilst the rest of the population is forced to pay for them. It's not a random "feature" that municipalities, states and fed.gov are all grappling and cutting services. Retirement funds have been strategically overpromised and underfunded for several decades. The fraud is so widespread, no one bats an eye anymore. Then you have the big squeeze from health care.

Americans are being enslaved. You can't only blame the rich. Many who are financially illiterate believed the lies served to them by politicians and voted for this years ago.

BTW, the yearly payout on interest on the national debt is more than the DOD budget and many local communities are reassessing their local property valuations to squeeze their tax base for out-of-control pensions.

Buckle up and offshore some of your assets out of the US. Do not denominate everything you own in US dollars. This is a sinking ship, whether you believe in D or R.

[Anonymous]

Anonymous wrote:

Anonymous wrote:14 of 15 residents in this Indiana internal medicine program are from foreign countries.

12 of the 15 are from Pakistan.

Is there some reason DCUM needs to see Mary's daily stupidity?

You know if the MAGA broligharchs truly wanted no H1B, why are they not making free college and tech schools?

hy are they not telling their followers it's patriotic to learn math and science?

Why is Trump not funding more medical residencies and expanding rural healthcare?

Why is Trump not creating a jobs program?

Why did he eliminate green energy, which would be fantastic jobs for MAGA white men?

Why hasn't Trump given a single speech about what he plans for the US workforce once the H1B jobs are eliminated?



...I'll wait.

Keep gaslighting, keep denying what we see in front of us. That there is a pathway that is not being afforded to Americans (born here) that want it.

I love employing Americans and immigrants. Great. I’d love to see it appear to be somewhat equally handed out. Or that opportunities seem fair and attainable across all cultures, sexes, everything.

But you go ahead, keep pretending it’s not happening.

In the meantime, you’re also conflating anti-immigrant sentiment (which I don’t possess) with the real questions about purposeful immigration, employment for people already living here, and who know they want to remain here.

Imagine an extreme (thought experiment) that we have 12 million employed in a location. All are brought in as employable, intelligent people from other countries. 12 million born and raised for 15+ years of school here in our local communities are without jobs.

In this thought experiment, does that make sense?? It’s not right.

[Anonymous]

^and I loathe Trump. I never saw him as an answer to h1b. lol at “why is Trump not doing..” I didn’t vote for this.

Question is: why does this conversation get lost? Then day after day tens of thousands more h1bs start jobs. And American Layla, Liv, Rider, Sam, Elijah, and Taylor desperately want an office job when they graduate—learning specific industry skills as entry level workers—and they’re not able to find it.