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- By Hitender Rao
Doctors from India Frustrated by Visa Issues
NOTE TO READERS: This story is Part 1 of a two-part series.
Bijender Kumar, the son of a farmer in India's northern state of Haryana, came to the U.S. on an H-1B visa in 2007 after graduating from medical school in India.
He landed a residency in Toledo, Ohio, and then earned a master's in business administration in medical business from Kelley School of Business at Indiana University-Purdue University Indianapolis in 2016.
Now, Kumar is the medical director at Hancock Regional Hospital in Greenfield, Indiana.
"It's a matter of pleasure to look back and see as to how a person who came from a modest background was able to make it to this level," he told VOA. "The fact that a person who came from what I came from can go to Kelley and sit in class with distinguished physicians is amazing."
India exports more foreign medical graduates than any other developing nation, according to the World Health Organization (WHO).
In 2016, of more than 210,000 actively licensed foreign medical graduates (FMGs) or international medical graduates (IMGs) in the U.S., nearly 50,000, or 23%, graduated from schools in India. The next-largest group of international doctors — 35,971, or 17% — are from the Caribbean, according to 2016 research by the Federation of State Medical Boards.
An IMG is a U.S. citizen or green card holder who obtained their degree outside the U.S., while an FMG describes a foreigner who completes a degree in their country of origin.
But the number of doctors who graduated in India and sought a "certificate of good standing" — required in India for working abroad — declined from 2,984 in 2015 to 1,497 in 2017, according to India's Ministry of Health and Family Welfare data cited in news reports.
Jaivir Singh Rathore, who worked as a resident in adult neurology from 2013 to 2017 at the University of Illinois at Chicago, said most foreign medical graduates struggle to get their foot in the door of the U.S. medical field. He now serves as director of the epilepsy division at the Watson Clinic in Lakeland, Florida, after working as a medical fellow at the Cleveland Clinic in Ohio and the Johns Hopkins Hospital in Baltimore.
Rathore said he came to the U.S. on a J-1 student exchange visa in 2010 and eventually received a green card that afforded him more stability. He later became a U.S. citizen through family-based immigration.
Immigration experts have indicated it could become more difficult for foreign nationals to get H-1B visas or find other immigration pathways to work in the U.S.
"Tougher green card control will force doctors to explore other options (to work in the U.S.)," said Ranvir Singh Rathore, a doctor of internal medicine in Toledo, Ohio, and Jaivir Rathore's brother.
"It's a big hassle to live and practice on H-1B or J-1 visa because of the uncertainties that loom," Jaivir Rathore said.
Visa hurdles
A foreign worker with an H-1B visa can stay in the United States for a maximum of six years; with a J-1 visa, up to five years.
"Despite the fact that there is significant physician shortage — especially regarding specialists in many parts of America — it doesn't seem like the [Trump] administration is making any significant changes to help with these immigration issues for physicians of foreign origin," Jaivir Rathore said.
The Association of American Medical Colleges (AAMC) wrote in April 2019, "The United States will see a shortage of up to nearly 122,000 physicians by 2032 as demand for physicians continues to grow faster than supply."
Exploiting doctors
"Many physicians from India and other foreign countries … consider and explore options in other countries like Canada or Australia," Jaivir Rathore said.
Some U.S. licensed physicians return to India because they are highly valued for having education, training and experience in the U.S., especially in the private health care sector, said Anupam B. Jena, an Indian American and associate professor of health care policy at Harvard Medical School.
"Some physicians that I know, including myself, think about it sometimes … to probably do part-time consultancy in India's leading private sector hospitals and with charity organizations," Jaivir Rathore said.
"As telemedicine is becoming vogue, the idea of making American dollars while living in India is becoming a reality and many Indian doctors, especially in the field of diagnostic radiology, are already doing that," he said.
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Trump administration opens antisemitism inquiries at 5 colleges, including Columbia and Berkeley
The Trump administration is opening new investigations into allegations of antisemitism at five U.S. universities including Columbia and the University of California, Berkeley, the Education Department announced Monday.
It's part of President Donald Trump's promise to take a tougher stance against campus antisemitism and deal out harsher penalties than the Biden administration, which settled a flurry of cases with universities in its final weeks. It comes the same day the Justice Department announced a new task force to root out antisemitism on college campuses.
In an order signed last week, Trump called for aggressive action to fight anti-Jewish bias on campuses, including the deportation of foreign students who have participated in pro-Palestinian protests.
Along with Columbia and Berkeley, the department is now investigating the University of Minnesota, Northwestern University and Portland State University. The cases were opened using the department's power to launch its own civil rights reviews, unlike the majority of investigations, which stem from complaints.
Messages seeking comment were left with all five universities.
A statement from the Education Department criticized colleges for tolerating antisemitism after Hamas' Oct. 7, 2023, attack on Israel and a wave of pro-Palestinian protests that followed. It also criticized the Biden administration for negotiating "toothless" resolutions that failed to hold schools accountable.
"Today, the Department is putting universities, colleges, and K-12 schools on notice: this administration will not tolerate continued institutional indifference to the wellbeing of Jewish students on American campuses," said Craig Trainor, the agency's acting assistant secretary for civil rights.
The department didn't provide details about the inquiries or how it decided which schools are being targeted. Presidents of Columbia and Northwestern were among those called to testify on Capitol Hill last year as Republicans sought accountability for allegations of antisemitism. The hearings contributed to the resignation of multiple university presidents, including Columbia's Minouche Shafik.
An October report from House Republicans accused Columbia of failing to punish pro-Palestinian students who took over a campus building, and it called Northwestern's negotiations with student protesters a "stunning capitulation."
House Republicans applauded the new investigations. Representative Tim Walberg, chair of the Education and Workforce Committee, said he was "glad that we finally have an administration who is taking action to protect Jewish students."
Trump's order also calls for a full review of antisemitism complaints filed with the Education Department since Oct. 7, 2023, including pending and resolved cases from the Biden administration. It encourages the Justice Department to take action to enforce civil rights laws.
Last week's order drew backlash from civil rights groups who said it violated First Amendment rights that protect political speech.
The new task force announced Monday includes the Justice and Education departments along with Health and Human Services.
"The Department takes seriously our responsibility to eradicate this hatred wherever it is found," said Leo Terrell, assistant attorney general for civil rights. "The Task Force to Combat Anti-Semitism is the first step in giving life to President Trump's renewed commitment to ending anti-Semitism in our schools."
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The Times of India breaks down the most popular subjects for international students to study in the U.S.
STEM and business lead the pack. Read the full story here. (January 2025)
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Safety and visa difficulties among misconceptions about US colleges
U.S. News & World report addresses some of the misconceptions about U.S. colleges and universities, including the difficulty of getting a visa.
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British student talks about her culture shock in Ohio
A British student who did a year abroad at Bowling Green State University in Ohio talks about adjusting to life in America in a TikTok video, Newsweek magazine reports.
Among the biggest surprises? Portion sizes, jaywalking laws and dorm room beds.
Read the full story here. (December 2024)
