PhysiciansOnPause

1.6K posts

PhysiciansOnPause

PhysiciansOnPause

@MD_pause

Advocacy focused on continuity of care, GME investment protection, and patient access. Not medical or legal advice.

Virginia, USA Katılım Ocak 2026
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PhysiciansOnPause
PhysiciansOnPause@MD_pause·
Encouraging comments from Secretary Mullin. His remarks about the difficulty rural and underserved communities face in recruiting specialists showed a strong understanding of the issue. This problem extends far beyond one H-1B story. Thousands of physicians from 39 affected countries are already inside the United States and remain subject to USCIS holds that are preventing hospitals from completing hiring, onboarding, or continuation of service. These are physicians whom hospitals recruited, vetted, and signed months, often a year, in advance. Although a medical physician exemption has been announced, implementation has been slow and inconsistent. With July 1 approaching, many hospitals may face serious staffing disruptions if these cases are not addressed promptly. This is an urgent healthcare access issue, especially for rural and underserved communities that already struggle to recruit specialists. It needs immediate attention.
David J. Bier@David_J_Bier

Secretary Mullin claims that over 200,000 H-1B workers have paid the illegal $100,000 tax on H-1B petitions. That'd be a staggering $20 BILLION in revenue in 6 months! But there's no way it's true. DOJ has said in court filings that H-1B fee revenue is way, way down!

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PhysiciansOnPause
PhysiciansOnPause@MD_pause·
Thousands of physicians trained in the United States through residency and fellowship programs, including primary care physicians, pediatricians, cardiologists, oncologists, and surgeons, could be forced to leave the country around July 1 unless USCIS prioritizes physician cases and begins issuing approvals at a pace sufficient to prevent widespread disruptions to patient care and hospital staffing. #MedTwitter #IMG #LiftTheHold #UscisPause White House Wants More Doctors But Its Immigration Policies Block Them via @forbes forbes.com/sites/stuartan…
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PhysiciansOnPause
PhysiciansOnPause@MD_pause·
There were approximately 29,000 U.S. MD graduates and 44,000 residency positions in 2025, according to official NRMP data. Internal medicine is generally less attractive to many U.S. graduates because compensation is substantially lower than in highly competitive specialties. As a result, only about half of internal medicine residency positions are filled by U.S. MD graduates, whereas specialties such as orthopedic surgery fill nearly all positions with U.S. MDs. In addition, U.S. graduates who choose internal medicine often preferentially rank highly prestigious programs at institutions such as Harvard, Johns Hopkins, Yale, or Stanford. Many community-based or geographically remote programs receive relatively little interest from U.S. graduates. A review of ERAS application and ranking patterns would likely show that many U.S. MD applicants either did not apply to these programs or ranked them very low on their preference lists. When these realities are considered together, the picture becomes clear: international medical graduates are often filling residency positions that would otherwise remain vacant. This is not typically a case of programs choosing foreign physicians over qualified Americans. More often, it is the opposite—many of these positions are left unfilled by U.S. graduates, and international medical graduates help meet a workforce need that would otherwise go unmet.
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Jonathan McPike
Jonathan McPike@JonathanMcPike·
.@AAGDhillon, an entering medical residency class being 87.5% foreign born in country where 14.8% is foreign born, and 50% Pakistani in country where 0.50% is Pakistani would seem worthy of investigation, no?
Andrew Ireland@AndrewIrelandIN

🚨 Wow. Seven of the eight new internal medicine residents at taxpayer-funded Indiana University are foreigners. Half are from Pakistan. Does anyone believe no American medical students are qualified? IU has our country’s largest medical school. We need to end the H-1B visa scam

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PhysiciansOnPause
PhysiciansOnPause@MD_pause·
Let’s entertain your premise. Someone manages to pass four USMLE exams, each lasting 8–16 hours. Then they pass all the annual and quarterly evaluations required of every physician completing 5–8 years of ACGME-accredited US residency and fellowship training. Which is a must to practice independently in the US wether you obtained MD from US or abroad. Then they pass in-service examinations that are benchmarked against the national average, and finally pass board certification exams. State level, ECFMG and board vetting. All of that while supposedly practicing on a fraudulent diploma? At that point, he is Frank Abagnale incarnate, they should make a sequel to Catch Me If You Can about him.
PhysiciansOnPause tweet media
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PhysiciansOnPause
PhysiciansOnPause@MD_pause·
Official NRMP data makes the point clear: in 2025, U.S. medical schools produced about 20,000 MDs and 9,000 DOs, while there were roughly 44,000 residency positions. U.S. graduates alone cannot fill all residency slots. There are 2 seats for each graduate. They get priority. Many positions in primary care, rural areas, and lower-paying specialties are filled by qualified international medical graduates who pass the same exams, enter the same Match, and complete the same U.S. training. Expanding U.S. medical schools is a valid long-term goal, but it takes 10–15 years. Hospitals and patients need physicians now.
PhysiciansOnPause tweet media
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Urinal Cake
Urinal Cake@UrinalCake619·
@MD_pause "They compete directly against U.S. medical graduates for residency positions" Do you not see a problem with this? When there are already limited spots available.
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Butey
Butey@Butey452265·
@MD_pause That is good. I was assuming that the Medical Schools were like other universities. Can't get a number for permanent residents though and it seems odd to group them with Citizens. Obviously foreign born.
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Butey
Butey@Butey452265·
@MD_pause Why have so many foreigners been trained while American were blocked? The universities should answer for this.
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PhysiciansOnPause
PhysiciansOnPause@MD_pause·
You make it sound as if foreign physicians arrive at the shore with a diploma in hand and start practicing medicine the same day. Even the best surgeon from the UK, China, India, or anywhere else in the world cannot do that. First, they undergo primary-source credential verification. Then they must pass the same licensing examinations required of American graduates. They compete directly against U.S. medical graduates for residency positions, complete 3–7 years of residency training in U.S. universities and teaching hospitals, and pass American board certification exams. Only then can they practice independently as physicians. Specialists require even more years of U.S. postgraduate training and additional board certifications. If, after all of that, someone still argues these physicians are somehow fraudulent or unqualified, then the implication is that the entire U.S. medical education, residency, fellowship, and board certification system is itself a fraud. That is a ridiculous position to advance. The fact that this still has to be explained is less an indictment of US physicians than it is of the quality of the discussion.
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Urinal Cake
Urinal Cake@UrinalCake619·
@MD_pause Do you not realize how much fraud is being uncovered by foreign "doctors"?
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PhysiciansOnPause
PhysiciansOnPause@MD_pause·
It is simple math. We do not graduate enough American MD to fill all our postgraduate residency spots. The U.S. produces about 29K MD/DO graduates each year for roughly 44K residency positions. With the cost involved and student debt, US MDs dont want to do low paying specialties like primary care, pediatrics and internal medicine. 98% of students in US medical schools are citizens or permanent residents. Without international medical graduates, the system would crumble within 1–2 years. Expanding medical schools to produce more American doctors is a good goal. But that requires a 10–15 year pipeline. Patient care cannot wait a decade. All is simple google search away to fact check this.
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NC
NC@NicholasChacon9·
@MD_pause We want more American doctors.
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PhysiciansOnPause
PhysiciansOnPause@MD_pause·
You make it sound as though immigrant physicians arrive on a ship at the shore, holding a medical diploma in hand, and are allowed to begin practicing medicine the next day. 🤦🏻‍♂️ That is not how medicine works in America. The best surgeon from England, India, or anywhere else cannot simply walk into a U.S. hospital and practice: 🔴 They must first obtain ECFMG certification by passing all USMLEs. 🔴 Then they must repeat years of U.S. residency and fellowship training under supervision in American hospitals and universities, just like a newly graduated U.S. MD. 🔴 They must pass the same licensing exams, meet the same standards and training requirements, and earn the same U.S. board certification. In simple terms, they are tested, trained, supervised, and certified here before practicing. A 4-year MD degree is a piece of paper. You are not yet a doctor unless you meet the above requirements, whether you obtained your MD degree in the US or abroad. ⚠️ The doctor in question trained clinically for 8 years at Maimonides, Stanford, and Yale before becoming a cardiac surgeon. He is certified by the American Board of Surgery and the American Board of Thoracic Surgery. So no, this is not someone “imported” and handed a scalpel. This is someone trained and educated by the American system and American universities.
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Libs of TikTok
Libs of TikTok@libsoftiktok·
Dr. Ashok Muralidaran, the Portland doctor who’s being sued for $17 million for allegedly putting a girl’s heart valve in upside down, got his medical degree and completed a fellowship in India
Libs of TikTok tweet mediaLibs of TikTok tweet media
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PhysiciansOnPause
PhysiciansOnPause@MD_pause·
This goes far beyond asylum. It affects physicians on H-1B visas, engineers with approved Einstein (EB-1) green card petitions, scientists on O-1 visas, spouses on H-4 status, and legal non-immigrants who are married to U.S. citizens, almost every type of work authorization, except Asylum. Then come asylum seekers, refugees, and other humanitarian categories. This policy has harmed skilled professionals, US citizen families and people who followed the immigration laws diligently more than almost anyone else. In fact, asylum applicants were among the least affected groups because it the only work permit that had exception and was issued. Unfortunately, many people are not familiar with the complexities of immigration law, so the impact is often misunderstood.
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Stephen Miller
Stephen Miller@StephenM·
Notice how Democrats describe foreign citizens from failed states as their “constituents” rather than American citizens.
Rep. Morgan McGarvey@RepMcGarvey

My office has seen the devastating impacts this policy has had on my constituents since it started. People have lost jobs, healthcare, and been put in unnecessary limbo. Today a judge ruled what we have all known from the start — this pause was illegal and arbitrary. USCIS must start adjudicating immediately.

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PhysiciansOnPause
PhysiciansOnPause@MD_pause·
The Judge wrote: “In ruling on these motions, the Court is reminded of a line often repeated in discussions around immigration policy: If people wish to immigrate to the United States, they ought to "follow the law" and "do things the right way." This case serves as a perfect example of immigrants doing just that”
PhysiciansOnPause tweet media
Press Unpause@PressUnpause

🚨🚨🚨BREAKING NEWS!🚨🚨🚨 THE 39 COUNTRIES PAUSE HAVE BEEN VACATED BY THE DORCAS V USCIS LAWSUIT FEDERAL JUDGE IN MASSACHUSETTS FOR EVERYONE!!! Each of the Challenged Policies have been declared unlawful and are hereby VACATED and SET ASIDE. We'll provide furter details later

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Stephen Miller
Stephen Miller@StephenM·
Local judge says it’s illegal to restrict migration and that America actually belongs to 8 billion foreigners—not you or your family and that no matter who you vote for you will be dispossessed. If SCOTUS doesn’t restrain these judges the people will lose all faith in the courts.
Camilo Montoya-Galvez@camiloreports

CBS News: A federal judge has blocked a series of Trump administration measures that had prevented federal officials from granting asylum, green cards and other legal immigration benefits to many immigrants in the U.S. He said they were driven by “anti-immigrant sentiments.”

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PhysiciansOnPause retweetledi
Dr Ahmad Rehan Khan
Dr Ahmad Rehan Khan@AhmadRehanKhan·
Kudos to @AmerMedicalAssn President Dr. Mukkamala @PresAmerMed for engaging with the U.S. Department of State regarding delays in J-1 visa processing for incoming resident physicians and for challenging the false narrative that IMGs "steal" jobs from Americans. Dr. Mukkamala rightly highlighted the ongoing physician shortage and the indispensable role International Medical Graduates play in the U.S. healthcare system, particularly in rural and underserved communities where access to care is already limited. More organizations, including the , and , should continue speaking out on this critical issue. Delays and barriers affecting physician recruitment ultimately harm American patients. When people are sick, they do not care about the color of their doctor's skin, their religion, country of birth, or accent. They care about receiving timely, quality medical care. That is the reality policymakers must understand. #Match2027 #ECFMG #USMLE #AMA #ResidencyMatch #Healthcare #MedTwitter
Dr Ahmad Rehan Khan tweet mediaDr Ahmad Rehan Khan tweet media
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PhysiciansOnPause
PhysiciansOnPause@MD_pause·
Not only incoming new residents from abroad are affected, but thousands of physicians already in the United States are as well. Many have completed US residency and fellowship training, are board-certified, and are either scheduled to begin positions in rural and underserved communities or have already spent years serving those areas. Long serving physicians born in any of the 39 designated countries remain in limbo because waivers, H-1B change-of-status petitions, green cards, and work authorization renewals have been indefinitely paused since December 2, 2025. The recent physician exemption reflects an important recognition of the seriousness of this issue. However, implementation has been slow, and we are now only weeks away from significant workforce disruptions. We respectfully urge the AMA to continue advocating for a timely and practical resolution so that physicians can continue providing care to the communities that depend on them.
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AMA
AMA@AmerMedicalAssn·
You think it’s tough to see a doctor now? Without immediate action, it’s about to get a lot worse. J-1 visa delays could prevent international medical graduates (IMGs) from starting their training this July, leaving hospitals short-staffed and patients at risk. As Dr. Bobby Mukkamala, @PresAmerMed, states: IMGs aren’t taking jobs; they’re filling critical gaps in communities like Flint, MI, and across rural America. The AMA has urged the State Department to prioritize visa appointments for these essential physicians. We must act now so patients can get the care they deserve. Read our letter to the State Department: spr.ly/6013B8Ucy1
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@_Dantany @forbes @HeritageIndiana @AAGDhillon @UrinalCake619 @Butey452265 @elonmusk @BarackObama