Foreign-Born Physicians in the United States: A Geographic Exploration

摘要: In this paper we seek to shed light on a series of hitherto ignored questions relating one the most remarkable developments in U.S. health care system recent years: namely, growing number and changing spatial distribution Immigrant Medical Doctors (IMDs) United States. While U.S.and Canadian-born physicians (USMGs) practicing US has more than doubled space twenty years, increase IMDs been spectacular, almost tripling. Today account for quarter all physicians. This fraction far exceeds immigrant contribution other professional sectors labor market, is particularly interesting instructive phase larger phenomenon worldwide restructuring contemporary market. discuss salient characteristics IMD population Specifically, profile growth numbers IMDs, identify main source countries, comment sex composition, language, type medical practice entered, income levels training IMDs. discussion provides context our review concerning literature suggests that are distributed rather differently from USMGs, but much uncertainty prevails exact nature these differences. Using index dissimilarity show have departed substantially USMGs correlates poorly with total population. Surprisingly, match between foreign-born even weaker; latter fails explain former. The significant, puzzling, finding over-representation east Mississippi dearth west.