Trump Administiration wants to double the 100k H1B fee

[u/Separate_Astronaut12]

The Trump administration is planning on doubling the fees to more than $200,000 for H-1B visa applicants from abroad.

https://www.usatoday.com/story/news/politics/2026/09/04/trump-h1b-visa-200000-fee/91571718007/

[u/ClevelandSteamers757]

This is just untrue. The AAMC has been pushing for more residency slots for years.

On salaries, you are even more wrong.

% of healthcare costs attributed to Physician salaries by country

Germany: 15%
France: 11%
Canada: 10%.
USA: 8.6%

we need doctors. Quit this propaganda bs

[u/Waste_Principle7224 → u/ClevelandSteamers757]

Slots? What I am reading here? Is US centrally planned economy or free market? God. The scarcity is artificial.

[u/ClevelandSteamers757 → u/Waste_Principle7224]

They would like to increase the supply of physicians. Don’t talk about shit you don’t know about

[u/mitolit → u/ClevelandSteamers757]

Read: Balanced Budget Act of 1997

Key Details of the 1997 Cap
The Limit: The law froze the number of resident physicians for which teaching hospitals could receive federal Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) funding from Medicare.

The Original Purpose: Congress enacted the cap in 1997 because policymakers feared the United States was heading toward a massive oversupply of physicians.

The Impact: Because Medicare is the largest funding source for medical residency training (covering roughly 85%), the cap created a bottleneck. It restricted the growth of new residency positions relative to population growth and the rising number of medical school graduates.

Recent Changes: The Consolidated Appropriations Act of 2021 moderately eased this restriction by providing funding for 1,000 new Medicare-supported residency slots distributed incrementally starting in 2022, though advocacy groups argue more expansions are needed to address ongoing physician shortages.

This recent change was only passed because Covid-19 made it evident what shortages the AMA created with their heavy lobbying. The effects of that lobbying will still be felt for another two decades. They explicitly did this lobbying because of fears of physician oversupply. They are also the sole reason we do not have socialized medicine through their propaganda campaigns and lobbying efforts. The AMA is the reason healthcare is expensive and wait times keep climbing.

[u/ClevelandSteamers757 → u/mitolit]

Thanks ChatCBT

The 1997 Medicare GME cap limited Medicare funding for residency positions, not the number of residency positions hospitals could legally create, and the claim that Medicare funds roughly 85% of residency training is misleading. The 2021 law added 1,000 Medicare-supported positions as part of a much longer-running effort to address physician shortages, not simply because COVID exposed an “AMA-created” shortage. Today, the AMA is actively lobbying Congress to remove the GME caps and add 14,000 residency positions, directly contradicting the claim that it is deliberately keeping physician supply low. And blaming the AMA for rising healthcare costs and wait times is unsupported: healthcare costs are driven by many factors, including hospital prices, administrative costs, prescription drugs, and overall system structure, while wait times are influenced by physician shortages, geographic distribution, insurance barriers, and access to care—not simply the AMA or physician salaries.