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EB-5 is already over for Indians and Chinese, with wait times of over 5 years. At the current rate and as a doctor, you are probably better grinding for EB-1 or going for a nonimmigrant visa and hope you get lucky and figure something out. The fact is that the number of Indians with the means and desire to immigrate is absurdly, overwhelmingly large. Any system that doesn't just unleash total replacement of the native population (see Canada) will inevitably the majority of well-meaning fine people who want in. It's like the admissions system to Harvard, where there's no illusion that they're selecting the "best" or even any idea what the "best" might be, but irregardless they have to keep 97% of applicants out.
Anyways, don't blame Trump for changing EB-5 because you weren't going to get it anyways, and either way the number of spots on EB-5 is so small that it was destined to be overrun irregardless.
Specifically the EB-5 number is so small that the actual immigrants themselves are unlikely to have any substantial impact in the long run. The entire program isn't for the benefit of the immigrants, but just a slightly roundabout stimulus program that is hopefully slightly less wasteful than direct helicopter money. Anyways with such a small number of spots, any impact that could be made is going to be through an even smaller number of exceptional people, and idk if changing the cutoff will make it more or less likely to admit unicorns, but I also don't think it's obviously worse.
Then you definitely won't be getting it if they implemented an auction.
I would be happy to have you, but not 10 million of you.
Letting in all Indians at or above self_made_human's intelligence / merit would not lead to total replacement of the native population, though? They aren't all doctors or FAANG engineers
Google lied to me and said there were 10 million+ doctors in India but actually there are 10 lakh+ doctors in India.
Nevertheless if you had a system that made it easy for Indian doctors to get a visa, you would find that thousands of diploma mills would spring up overnight churning out millions and millions of degrees. And somehow all of them will have the full Indian government licensing, accreditation, and whatnot to seem as legit as anything can be without actually existing.
We already have the flood of fraudulent paperwork with Indian companies filing dozens and dozens of H1-B applications per person, just to abuse the lottery, and trying to catch even a fraction of them is a losing battle.
As far as I can tell, there's no way an Indian doctor can practise in the States without clearing the USMLE.
That is a protracted process, and there is identity verification involved. If a licensing exam can't rule out fraudulent or unqualified candidates, it's not worth the name.
Just being a doctor is of little value, they want you to prove equivalency.
The fact that doctors and lawyers aren't allowed to sit for their exam without taking years of schooling and training suggests otherwise. Of course the training requirements are likely more of a cartel thing, but at least ostensibly the exam only tests a fraction of what's necessary to practice.
@Throwaway05 has been scaring me with claims of how difficult the USMLE is. He's better positioned to answer this than I am, but I'm personally quite confident that almost nobody who did not actually have the skills and knowledge of an American doctor could make it through the gauntlet. The only way to get those, at present, is med school.
The USMLE is necessary but not sufficient, other stuff is required to be a competent doctor (and NPs/PAs certainly become doctors without passing the USMLE, and while not actually good enough certainly make some people comfortable).
Preparation side of things gets weird, these days most applicants use uniformly the same few "best in class" test prep resources like Sketchy and First Aid, hypothetically someone could pass the USMLE without the structure and context of course work but it would be nearly impossible because of the sheer amount of crap you need to know.
As you know but the other poster likely doesn't, a lot of what is involved in being a good doctor involves practical experience doing shit in the hospital (sometimes physical skills and the like) with training wheels for awhile before you do it on your own.
You don't want your first time doing X to be doing it by yourself with no supervision, it's a terrifying thought.
Incidentally some states in the U.S. do allow lawyers to became barred without law school but I don't know the details of that.
Can't really do that in the same way for medicine.
Lastly it's entirely possible to pass USMLE and be ass as a physician for a variety of reasons including skills atrophying and laziness.
I believe you. It's not like the PLAB doesn't occasionally let absolute lemons through, and I wish I could say that every doctor with the same nominal degree I have was someone I'd entrust my medical care to.
God knows that I've sometimes felt scared and befuddled by how much autonomy the UK saw fit to grant me, back in India it was far too easy to hide behind a consultant's skirt, but that's not really a possibility when the senior psychiatrist hasn't had to interpret a CXR longer than I've been alive. I personally think it's nigh miraculous how doctors once managed without ready access to the internet.
They used to have less shit they could do so it was easy to have everything memorized aka we used to do jack shit, especially overnight (and reference textbooks are a thing!).
Also like 50 medications total lol.
Reminder that the treatment for a heart attack used to be ETOH and that was the better option than the alternative (bedrest).
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