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Why Trump's H-1B fee could hurt rural hospitals

Posted

December 8, 2025

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Rural America depends on immigrant doctors, nurses and lab techs to keep clinics open — but a new $100,000 H-1B visa fee is putting that care at risk. The fee was introduced by President Trump to deter companies from hiring foreign workers and to protect U.S. jobs, claiming the old H-1B program had been “abused."

In North Carolina, one kidney specialist is stuck overseas because her clinic can’t afford the fee, leaving patients waiting longer for appointments. Another hospital relies on immigrant lab techs working overnight just to keep services running. Health reporter David Ovalle traveled to both towns to see how this policy is reshaping patient care in rural America and why communities like these may feel the consequences first. Subscribe to The Washington Post on YouTube

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Rural AmericaPresident TrumpIn North CarolinaDavid OvalleThe Washington PostYouTube FollowTwitter Instagram Facebook

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Why Trump's H-1B fee could hurt rural hospitals · Washington Post · Sentinel