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Indian doctors in US worry higher H-1B fee may destroy rural healthcare

October 24, 2025

Dr. Mahesh Anantha exemplifies the critical role that immigrant doctors play in rural America's healthcare system, where one in four practicing physicians in the US are foreign-trained. The recent announcement of a significant H-1B visa fee increase to $100,000 caused widespread concern among the approximately 50,000 India-trained doctors in America, many of whom serve in underserved areas where American medical graduates are reluctant to work. While the US government has since clarified that the fee "does not apply to previously issued and currently valid H-1B visas" and suggested potential exemptions for physicians, medical organizations remain concerned about the impact on future doctor recruitment, especially in rural communities already facing physician shortages.

Who is affected

  • Foreign-trained doctors, particularly the approximately 50,000 India-trained physicians working in the US
  • Rural and underserved communities that rely heavily on immigrant doctors
  • Patients in areas where American medical graduates are reluctant to work
  • Hospitals and healthcare facilities in remote towns that already face financial challenges
  • States like Michigan, New Jersey, Florida, New York, and California where immigrant physicians comprise more than 30% of doctors

What action is being taken

  • Medical organizations led by the American Medical Association are advocating against the fee hike by writing to the Secretary of Homeland Security
  • The White House has clarified that "the proclamation allows for potential exemptions, which can include physicians and medical residents"
  • US officials have announced that the fee "does not apply to any previously issued and currently valid H-1B visas"
  • The AMA is continuing to push for quick action on exemptions for medical professionals

Why it matters

  • One in four doctors providing care in the US are foreign-trained, with many practicing in underserved rural areas
  • The US faces a projected shortfall of 124,000 doctors by 2034
  • Higher visa fees could discourage hospitals from hiring H-1B doctors, limiting patient access to care
  • Immigrant physicians fill critical gaps rather than taking jobs from US doctors
  • Foreign medical workers contribute significantly to the US economy, as exemplified by Dr. Anantha who bolstered his hospital's financial stability by over $40 million annually

What's next

  • The AMA reports feeling "encouraged by the administration's openness to an exemption" but warns that action needs to happen quickly
  • International medical graduates are currently determining their next steps, and the possibility of the fee hike could deter qualified physicians from working in the US

Read full article from source: BBC