Why Indian doctors are hit hardest by US Green Card backlog?


 An unending wait for most qualified immigrants working in America’s under-served cities.

 Dr Tejaswi Bhari who lives and practices as a physician in Coffeyville, Kansas has been in the US for 20 years now. As a family medicine practitioner, he has spent ten years serving locals in some of America’s most under-served cities facing acute health challenges.

However, as someone who has contributed immensely not just to the American society, but to the economy as well, a permanent US resident status still eludes him.

Bhari, is on an H-1B visa and is in line for the Green Card which may take up to two decades before he can call himself a permanent resident. He is among a growing group of Indian physicians in America, who feel shortchanged by current US immigration policies.

According to new data published Jan 23 by the Association of American Medical Colleges (AAMC) the US will see a shortage of up to nearly 22,000 physicians by 2032 as demand for physicians continues to grow faster than supply.

While rural and historically under-served areas may experience the shortages more acutely, the need for more physicians will be felt everywhere.
The overall supply of physicians will need to increase more than it is currently projected to in order to meet this demand, the AAMC report says.

Most doctors of Indian origin in America, often sacrifice their family lives to practice in smaller pockets with virtually no social lives. Many say they have to go through numerous visas before coming anywhere close to the green card.

“America is doing itself a disservice by denying permanent residency to the deserving,” says Bhari.

“As a physician in America,” he says, “I opted for a J-1 waiver, which meant that I would have to work in an under-served area in the US for three years before I could qualify for the green card.”

“I took up the offer knowing full well that working in under-served areas especially as a physician of color comes with many challenges.”

“I started with Allendale, Arkansas,” Bhari said. “The thing with most under-served places is that these are small, sleepy towns with smaller populations and poor health awareness amongst the locals.

“There is also almost always an initial resistance towards an immigrant doctor. If truth be told, most American doctors do not prefer to work in under-served areas. However, many Indians and Caucasian doctors take up the challenge.”

During his years in under-served areas, Bhari realized the problems faced by the communities first hand.

“In most areas, the population we are treating is financially challenged,” he said. “There is poor health literacy among people and they are also non-compliant to health advisories.”

But overwhelmed by his experiences with rural pockets in the US, Bhari chose to work for almost six years more in Hugo, Oklahoma another under-served area. He then moved to Merced, California, another under-served area but much bigger than any of the places Bhari had worked at earlier.

The irony according to Bhari is that “Despite my work and the fact that I have paid a million dollars in taxes in the US, the country still does not think that I should have a fair route to green card.”

“As an Indian, under the per country cap backlog I have to wait decades before calling America my home.”

Bhari admits that he may still be in a better position than many others as both his kids are American born and he does not have to worry about them aging out before the family gets their green card.

But for Dr. Swapan Swamy, the problems are manifold. Just like Bhari he too has invested in America and has worked in rural places, but for the fear of his kids aging out the family has now decided to move to Canada.

Even though, the Swamy family has been in the line for over ten years now, they are left with no choice, but to let go and move to a more welcoming place rather than waste their years wondering about their future.

“I do not care about a green card any longer. It’s a joke,” he says. “We have been living and working honestly and we are denied basic rights such as future security for our school going children. We do not want to face family separation after years of living and loving the US.”

About 300,000 Indian legal immigrants are a in a long line for green cards. Many face a decades long wait before they may get permanent status.

“Contrary to popular notions, we were not told that our wait would be that long,” says Swamy. “Any reasonable man would choose another country rather than getting stuck in unending lines.”

A majority of his colleagues on H-1B visa feel they deserve a faster route to residency, says Swamy. “We are in specialty occupation, we contribute to the society. But we are made to feel like beggars asking for a residency.”

“If the American attitude is that we can go if we do not like the wait here, then my answer is yes, we will go but there will be an acute shortage of physicians in rural America.”

“For those who say that due processes should be followed must know that under EB-5 category one could invest millions of dollars and get a fast track green card. Is it not like selling green cards?” asks Bhari.

Indian doctors maintain that they do not have anything against physicians from any other nationality getting faster green cards. All they ask for is not to discriminate against the country of their birth.


The newly passed H.R.1044 raises caps for family-based green cards (July 11, 2019)

Waiting for the Wait to End: The human face of Indian immigrants caught in the Green Card backlog (December 4, 2018)

Will Trump’s proposed immigration reform benefit Indians? What will be its impact on Green Card backlog? (May 20, 2019)

Trump talks about changes in H-1B Visa, including a possible citizenship (January 11, 2019)

Trump’s tweet on H-1B and path to citizenship evokes lukewarm response (January 12, 2019)

Waiting for the Wait to End: The human face of Indian immigrants caught in the Green Card backlog (December 4, 2018)

H-4 and H-1: Time for Indian immigrants to speak up on immigration policy, says author Amy Bhatt (January 5, 2019)

The unstable life of Indians on H-1B visa in the US due to visa renewal policy (October 28, 2016)

High-skilled Indian workers, DALCA kids, rally on Capitol Hill to clear green card backlog (June 15, 2018)

Reverse brain drain – the experience of three couples who moved back to India from the US (January 20, 2014)


  1. Swapnil Mukherjee

    Over 8 million legal and illegal Indians have already flooded the US, stolen jobs, ruined careers, uprooted families and destroyed lives of US citizens. Why allow more of them in? These free-loaders need to go back home to their own birth country and work and live there happily. Enough already.

  2. Blaming the country caps as the primary reason for the backlog is very disingenuous and shallow in thought. S386 will only solve the problem for a certain group of Indians for a short period of time and basically put a choke-hold on the entire EBGC system and that’s the fact. It is a very crude solution to a very complex problem. The EB GC system was simply not designed for or was not anticipated to cater to 50K plus persons excluding their wives and kids and this is the problem ICCs created. Not all high-skilled immigrants are the same so a true merit-based system is the only one that will salvage the situation for the most highly skilled among us including the doctors referenced in this article and I’ll gladly support such a bill. As for S386, it’s never a solution to begin with so I can never support it.

  3. Why is the wealthiest country in the world depriving a third world country of physicians?

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