I was surprised to hear in this thread that there is a physician shortage in the US, because my understanding was that most Americans go to university and that doctors are paid well. Why aren't more graduates pursuing careers in medicine?
It turns out that they are, but (if I do not misread the situation) there is a regulatory bottleneck:
>The United States is grappling with a physician shortage, but the solution does not lie in simply opening more medical schools. As a physician-scientist and former founding dean of a medical school, I argue that the true bottleneck is not the number of medical school graduates but the insufficient number of residency training positions. Since the Balanced Budget Act of 1997, which froze the number of Medicare-funded residency slots, the United States has seen a steady increase in medical graduates, yet the availability of residency spots has stagnated. This mismatch between undergraduate medical education (UME) expansion and the lack of corresponding growth in graduate medical education (GME) is the key issue.
https://pmc.ncbi.nlm.nih.gov/articles/PMC12256077/
As this has been the arrangement since 1997, by now a graduated American child of an immigrant H1B specialist trained in a foreign country may be unable to secure a 'residency training position' and therefore unable to practice medicine in his or her own country? It sounds absurd.