Trump’s H-1B Visa Fee Hike Sparks Fears of Worsening US Doctor Shortage

The Trump administration’s proposal to sharply raise H-1B visa fees is sparking concern among U.S. healthcare groups, who warn the move could exacerbate an already critical physician shortage. The plan, under review by the Department of Homeland Security, would increase application fees from a current maximum of $4,500 to as much as $100,000, making it significantly harder for hospitals and clinics to recruit foreign-trained doctors.

Dependence on Foreign-Trained Physicians

Foreign-trained doctors currently make up nearly 20% of U.S. family medicine posts, underscoring their crucial role in filling healthcare gaps, particularly in underserved areas. In 2025 alone, 5,600 H-1B approvals were granted for healthcare professionals. Physician groups warn that adding cost barriers will choke supply at a time when patient needs are rising.

Growing Shortfall Ahead

The Association of American Medical Colleges estimates that the U.S. could face a doctor shortfall of up to 86,000 by 2036. Healthcare advocates argue that the visa fee hike, combined with widespread burnout and high turnover, with over half of healthcare workers considering leaving their jobs within the next year, risks deepening the crisis.