Friday, July 06, 2007

Issues to consider when comtemplating the Potential Jihadist Internationally Trained Medical Doctors(IMGs)

Considering how tricky and sly Al Qaeda is and the UK issue of the "Code Blue" Jihadi Doctors reveals that India is a potential problem for the UK and America. Why?  Simple, Muslim Doctors from India can pass themselves off as Indians and thus slip in between the cracks and radar.  Now I back it up that contention for you. After Canada our second largest group of Foreign Medical Graduates is India see American Academy of Family Physicians
Canadian Physician Exodus Benefits United States, Hurts Canada May 2, 2007
  • Canada has quietly emerged as a major supplier of physicians to the United States in the past several years, second only to India in the number of doctors it produces for the American medical market, according to a new study in the April 10 Canadian Medical Association Journal.
In 2005 there was 853,200 Physicians in the United Sates of America(Encyclopedia Britannica).  Approximately 1/4 of these are IMG's(International Medical Graduates):
Dr. S 'Jay' Jayasankar(of India) was last month made head of the International Medical Graduates (IMG) section of the powerful American Medical Association (AMA).....estimated that there were some 200,000 IMGs around the US. He noted the work done by the American Association of Physicians of Indian Origin (AAPI) is winning several battles, including creation of the IMG section.from The Times of India July 2003 
The American Association of Physicians of Indian Origin  in America is made up of  42,000 physicians and almost 15,000 medical students and residents.

Consider that the Muslim population of India is ~180 million based on the fact that Muslims make up 16.4% of the population per Census in 2001. India's current population is 1 billion 80 million(1,080,264,388 in 2005). 
Alien Physician
To be eligible, foreign medical graduates must meet several criteria including, but not limited to, the following. They must have adequate prior education and training, and pass any of several qualifying exams, identified in the regulations. Competency in oral and written English is required. Program participants must provide a statement of need from the government of the country of their nationality or last legal permanent residence, and an agreement or contract from a U.S. accredited medical school, an affiliated hospital, or a scientific institution to provide the accredited medical education. Please refer to the regulations for details.

J-1 Visas for Foreign Doctors from are good for 2 years but the American College of Physicians reports about waivers.

J-1 Waivers
Many J-1s are subject to a two-year foreign residence requirement upon the completion of their training. This rule is strictly enforced wherein the J-1 visa holder must return to his or her country for at least 2 years before being allowed to re-enter the United States in another visa category. Many J-1 visa holders, however, try to have the 2-year rule waived. Not surprisingly, this is difficult. The following are the only statutory grounds for an IMG to obtain a waiver of the 2-year foreign residence requirements:
  • Pursuant to a recommendation to the INS by an interested federal agency or a state department of health
  • Upon the issuance of a "No Objection" letter from the J-1's home country (not applicable to IMGs who were issued J-1s for GME purposes)
  • Upon a showing that the J-1 will face persecution upon returning to his or her home country
  • Upon a showing that a U.S. citizen or permanent resident spouse and/or child would face "exceptional hardship" were the J-1 required to fulfill the 2-year foreign residence requirement
J-1s are required to work in federally Designated Health Professional Shortage Areas to be eligible for a waiver. The agencies that most frequently act as interested federal agencies are the U.S. Department of Agriculture and the Appalachian Regional Commission. In addition to USDA and ARC, other federal agencies, most notably the U.S. Health and Human Services Administration, can act as an interested agency. Finally, each state is empowered to recommend up to 20 waivers. Each agency had its own waiver application guidelines and should be consulted on a case-by-case basis.

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