Trump's war on immigration definitely hurt these groups massively followed by the green card backlog for Indians. Thousands of Indian doctors and nurses left their jobs and went back to India creating a major stress on the healthcare sector and especially the rural areas. H1B visa is oversubscribed by 8x these days and Doctors and Nurses get pushed out by tech companies. No one wants to hire a doctor with only 1/8 probability of joining due to visa issues.
As more people age and we have young people moving out of smaller towns, this problem is going to become even bigger.