So for example brining in an Indian doctor to practice medicine in a rural area is great for the US. It is helpful But it does nothing to advance us. Nothing.
It's tough to find doctors who want to run a rural practice. Much of this actually stems from our education system. Graduating doctors are routinely riddled with 6 figure student loan debt. This actually discourages becoming a PCP in rural areas and encourages moving into more specialized medicine because of the pay discrepancy. So it actually does help to "advance us." It sure would be nice if we could find a way to reduce the cost of education. But you know, socialism and all.
Yes it is tough to find doctors. Why? Fix it is my point.
You like being dependent on other countries ? How’s that working out with the pandemic ? China hoarded supplies when they found out and our drugs supply is contingent on them. Why are people so attracted to being dependent on other countries. What’s the allure ?
Socialism ? Huh ? I don’t get your reference
Actually I don't see people based on nationality. I just see people. I don't really care what country the doctors come from as long as everyone is receiving affordable quality care. If you want to "fix it" then start by making education cheaper. The socialism reference was because folks think reducing the cost of education is socialism.
You won’t see me claiming socialism for lowering college costs. I think that deserves it one thread. I would say throwing money at it hasn’t worked. Someone just mentioned foreign students getting a full ride... is that driving up college costs? I don’t have a great answer here.
No. The assumption that we have been “throwing money at [higher education]” isn’t true. One of the leading drivers for why undergraduate college tuition has been going up much faster than inflation stems from the fact that we are funding it less even as more students attend. A big shift occurred (by necessity) after the Great Recession when state budgets were forced to curtail direct support of their college systems. ARound the same time “challenge/merit-based grants became de vogue for federal funding of higher education, which is great for those labs that get the grants but makes it harder for universities in general. To compensate the universities went to the most reliable source of income they had - undergraduate tuitions - and increased them.
At the same time college enrollment has swelled. While that might seem like a great solution - more students = more tuition, it not quite that simple, as students *cost* a great deal, and often tuition isn’t enough to cover the overhead.
In any event, this has diverted into a subject that’s very close to my working life, but is also getting very far from the OP.
Suffice to say my firm opinion is that we need more highly skilled workers, not fewer. More H1B visas. Earlier you mentioned that the H1B is “a symptom that something is wrong”. I believe this is the wrong way to look at it. Even if a country had a ‘perfect’ system (which of course no one has) it would still be beneficial to attract highly skilled foreign workers. IN other words, the H1B should exist regardless of other problems.
That said, we have a lot of challenges with our K-12 educational system, to the point where we’re outranked by numerous countries far less wealthy than our own. To that end I also have issues with our current administration’s approach of siphoning off resources.