No one seems to care in this admin. Absolutely wild.
We have to integrate millions of immigrants and their children from Latin America who have come to the US over the last decade. They’re going to want to have upward mobility for their children. The kids of the fruit pickers are going to want to become doctors and professionals just as with prior waves of low skill immigration. It makes no sense to import new skilled workers, especially as many of those jobs are going to be automated away.
The US med school system with residencies and med school slots needs a total overhaul. I'm not arguing that. I would rather have higher skilled immigrants than lower skilled if possible, and I would even prefer that to promoting less meritorious US workers if they are unqualified.
Edit: typo
If they cared about actual crack downs, of course they'd go after the businesses employing people.
I'm simply trying to clarify that the only time this admin installs regulations, it's because they want kickbacks in some manner.
This is by design: https://www.newsweek.com/there-are-limited-spots-doctors-med...
(And 20% is barely above the overall US foreign born population, which is at 15%: https://www.statista.com/chart/8083/immigrants-foreign-born-...)
The better solution (for me) is to open up the slots since there is such a huge shortage of doctors. NPs and RNs are not going to make up that expertise gap.