@SpineNeuro 100%. As ID getting consulted frequently to “rule out meningitis” without LP, this is one of my biggest gripes. LP is a much safer, easier and more time sensitive than many other procedures that we expect EM and IM to do.
NOT AGAIN —
Over the past decade, the U.S. has steadily increased the number of residency positions, reaching 43,237 total positions in 2025, the highest ever.
Yet even with that growth, the system still struggles to fully align supply with demand.
Every year, 93–94% of U.S. MD seniors match, and over 92% of DO seniors match, meaning the vast majority of U.S. graduates secure positions.
At the same time, nearly 10,000 international medical graduates (IMGs) matched into U.S. residency programs in 2025, filling critical gaps in the system.
Even after the main match, 2,500+ residency positions remained unfilled and had to be offered through SOAP, a process specifically designed to fill vacancies that U.S. grads did not take.
IMGs are not “taking” spots at scale, they face much lower match rates (≈58–68%) compared to U.S. graduates, meaning they are competing for and often filling the positions others leave behind.
The facts remain
— U.S. grads overwhelmingly match at high rates
— Certain specialties and locations remain undesirable
— And thousands of positions would go unfilled without IMGs
Without international doctors, entire parts of the U.S. healthcare system, especially rural and primary care, would be understaffed.
How did we end up wanting to blow up everything that adds value to America?
@AmputationSuck@anish_koka No one claims IMGs are uniquely altruistic. They go where policy sends them. J-1 waivers require underserved service. If US grads had similar obligations the distribution of docs might look different. This is about incentives, not character.
@SKastenbaum@RealJessica I appreciate you trying, but it’s pretty clear the original poster isn’t interested in facts. This reads like rage-bait more than reporting. Unfortunately that’s what gets engagement these days.
@sull1vannolan@StevePhillipsMD This “h1-b” filled a position that was empty for a year, in a safety-net hospital, in a specialty that’s unpopular because reimbursement is poor. Serving patients in NY with pride.
@visegrad24 That video shows the tiny upper-class who weren’t living in the tenements or working 14-hour sweatshop shifts. NYC in 1905 was mostly poor immigrant labor. The “good old days” weren’t good for the people who built the city.
@MayoClinicINFD I initially thought blasto but it is normally S to itraconazole, and does not cause elevation of bdg. Scedosporium fits the description
@OGwenda8269@SecKennedy@HHSGov Glad you were lucky—but many weren’t. Kids still die or face lifelong complications from measles. No parent should have to endure that when it's preventable.
@Culture_Crit Budapest was destroyed at the end of the WWII. A post-war country will prioritize its resources in housing and basic infrastructure to its population, not vanity projects. Now capitalism is reviving architecture of the rich to house malls and casinos. How is that any better?