Conrad 30 – A “Win-Win” Response to the US Healthcare Crisis

Affordable and accessible healthcare has long been a national priority.  However, for decades the United States has experienced a critical shortage of physicians.  The addition of millions more insured Americans to the healthcare rolls under the Affordable Care Act has heightened the problem.  In fact, the Association of Medical Colleges predicts the US will face a shortage of 46,000 – 90,000 physicians by the year 2025.[1]  While the US is now graduating more medical students than ever before, the number of graduate medical education residency and fellowship training programs has remained static.[2]  With American physicians increasingly choosing hospital-based medical specialties over primary care positions,[3] millions of vulnerable Americans are left without primary healthcare. Fortunately, US immigration law provides an incentive to attract US-trained international medical graduates (IMGs) to parts of the country not fully served by American physicians.  Since its inception in 1994, state Departments of Health across the country have used the Conrad State 30 J-1 waiver program (“Conrad 30”) to place over 12,000 IMGs in medically underserved communities where they have provided healthcare to millions of our country’s neediest citizens. Here’s how Conrad 30 works:  The majority of IMGs who complete graduate medical education in the US do so in J-1 nonimmigrant status, which carries a requirement to return to the home country for an aggregate of 2 years following completion of training before becoming eligible for...

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