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Rural hospitals were already short-staffed. Then came Trump's H-1B visa fee

Nov 18, 2025
A new $100,000 fee on H-1B visa applications is worsening staffing shortages in rural hospitals, complicating healthcare access for underserved communities. Meanwhile, Bitcoin's value plummets, raising concerns about its impact on broader financial markets. Panera faces challenges as it revamps its menu amidst declining sales in the fast-casual dining sector. On a brighter note, EV sales rise despite expiring tax incentives, showcasing resilience in the electric vehicle market.
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INSIGHT

H-1B Fee Threatens Rural Health Access

  • Rural and low-income health systems rely heavily on H-1B visas to staff hard-to-fill roles.
  • The Trump administration's $100,000 H-1B fee threatens access by halting those hires and worsening workforce shortages.
ANECDOTE

Frederick Health's Overseas Hiring Collapse

  • Frederick Health expected 29 overseas nurses but the hires fell through after the fee change.
  • The hospital now covers gaps with overtime and temporary measures.
INSIGHT

Agencies Say Fee Halts Healthcare Hiring

  • Recruiters and agencies that bring hundreds of nurses annually say the fee is a non-starter.
  • H-1B healthcare hiring is effectively paused as employers await legal outcomes.
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