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Story summary
- The Trump administration imposes a $100,000 fee for new H-1B petitions.
- The American Medical Association warns the fee could worsen physician shortages; foreign doctors account for nearly 25%.
- Hospitals rely on foreign-trained residents; foreign doctors fill one in six residency spots.
- The rules create a tiered lottery favoring higher-paid positions; the Department of Labor will increase enforcement against H-1B abuse.
