> Hospitals and labs can’t afford to match tech spending to obtain H1Bs.
That's the point! You can train Americans to do those jobs. Visas should be reserved for truly exceptional workers that will create enormous value in the U.S., as opposed to those doing mundane skilled work who wills imply drive down wages for Americans.
> Hospitals and labs can’t afford to match tech spending to obtain H1Bs.
This is just basic demand-supply. I don't see a problem here.
If hospitals and labs can't afford to match the salaries of other occupations, maybe you have too many American candidates or the end result isn't producing enough value.
Most of the occupations doesn't really need H1B. And that's okay.
They obtain interest from citizen workers by increasing wages. H1Bs artificially suppress wages and make the market inefficient by removing those price signals. This creates a self-perpetuating problem that can only be "resolved" by bringing in more H1Bs, as the H1B impact on wages disincentivizes citizens from entering the field and pursuing the requisite education and training.
And why not? Check Kaisers bottom line, they’re not exactly hurting. Same for many hospitals. Also tech is not yet hiring doctors anyway and if there’s a true shortage of medical pros then by all means there will be cash to pay them.
> Most countries identify industry shortages and tailor their immigration needs to bring in people to fulfill those roles.
This makes no sense economically. Auctioning immigrant slots to the highest bidder should allocate those spots to where they'll be most valued in the economy. What the countries you seem to be describing are doing is industry-selective wage suppression.
When you are a smaller country that's more exposed to the international markets than the US, wage suppression is often good for the economy. High wages indicate lack of competitiveness, as foreign businesses can generate the same outputs cheaper than your businesses.
If we could measure externalities accurately and tax/subsidize businesses accordingly, visa auctions might lead to even more accurate wage suppression than immigration policy. But because we can't, auctions optimize the wrong measure. Some industries create more value than they can capture, while others create less.
Western countries don’t have the stomach to maintain “temporary” worker programs as such. Turkish workers in Germany were supposed to be temporary as well. In the U.S., H1B is still legally a “temporary (nonimmigrant)” but was turned into a gateway to permanent immigration by executive branch practice.
The H1 visa was created in 1952, and H1B was created in 1990. To this day, H1 visas are, in the actual statute, for temporary workers under 8 USC 1101: “H) an alien (i) [(a) Repealed. Pub. L. 106–95, § 2(c), Nov. 12, 1999, 113 Stat. 1316] (b) subject to section 1182(j)(2) of this title, who is coming temporarily to the United States to perform services…”
The INA has a provision that requires all temporary workers to have non-immigration intent. Moreover, it requires UCIS to presume immigrant intent if someone files an application for permanent residency, which would make the H1B deportable. The state department created “dual intent” decades ago as a legal fiction to allow H1 immigrants to skirt this provision of the law.
Congress accommodated that somewhat in 1990 and in 2000 (with AC21). But it’s all a hack on top of a kludge. The statue now exempts UCIS from being required to presume non-immigrant intent if someone files a permanent residency application. And AC21 allows extensions while a green card application is pending.
But nothing stops the administration from deciding a green card application constitutes immigration intent, or denying an extension. Congress has never changed the wording of the law—on paper it’s still a temporary worker program. A future administration could start treating it as such at any time.
Hospitals and labs can’t afford to match tech spending to obtain H1Bs.
If there’s going to be an auction then there needs to be an industry or job code cap too.