H-4 holders (spouses of H-1B, for the uninitiated) should be allowed to work. That they don't is inhuman and de facto hurts women, since the overwhelming majority of H-1B holders (at least in the Valley) are men. It's forcing women into a stay-at-home role as if it were the 50s. It's especially hard for H-4s because they are newcomers to the USA who may not have local friends or family. My wife went through it for a while and it's incredibly isolating.