The $100,000 fee is going to absolutely devastate rural medicine/rural hospitals since these immigrant doctors form the backbone of healthcare in many smaller communities.
I know where my husband’s family is from in east-central Missouri and southern Missouri, nearly all the doctors are Indian or Pakistani who are serving their 5 years of public service to earn their green cards.
The US accepts between 6000-7000 non-citizen foreign trained physicians in residency programs even year. The residency programs that accept FMGs tend to be “workhorse” programs in inner city hospitals and rural programs.
FMGs are 1/3 of ALL internal medicine residents in any given year.
The US is opening medical schools at pace unseen in the last 100 years, but adding an additional 7000 med school seats just isn’t going to happen any time soon.