Former U.S. Secretaries of Health Alex Azar and Kathleen Sebelius argue that to address the nursing shortage crisis, we need to fix immigration
of rules and regulations that doesn’t make it easy or fast for an international nurse to emigrate and begin treating American patients. Under current law, international nurses compete for the same limited number of employment-based green cards within an enormous pool of applicants that include IT workers, lawyers, engineers, and architects. Unlike those other workers, nurses do not qualify for temporary visas.
Under the best conditions, that’s a multi-year process in which the nurse has passed English language and licensure exams, established a sterling overseas clinical record, and secured a job offer that has been demonstrated not to harm U.S. workers. Now, that timeline will grow significantly, thanks to a recent visa freeze instituted by the U.S. State Department.
The State Department tightly monitors the number of employment-based green cards issued against the remaining number for the fiscal year, which is set by Congress and has been untouched since 1990. Post-pandemic resurgent demand for this category recently forced State to issue a notice of visa retrogression, an immigration term of art that refers to eligibility backdating when demand exceeds equilibrium.
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