200-500k would make a large negative impact in healthcare. Specialty doctors cannot be trained in a snap, and there are limits on how many MDs and DOs are churned out of schools.
So healthcare industries turn to H1Bs to hire specialty positions in underserved / rural areas. The alternative is to shut these facilities down, which has other negative aspects to communities.
So healthcare industries turn to H1Bs to hire specialty positions in underserved / rural areas. The alternative is to shut these facilities down, which has other negative aspects to communities.