Last Friday , President Trump announced that every new H-1B visa application will carry a $100,000 fee. In practice, this will end the H-1B program and with it, a critical pipeline of health care workers the U.S. cannot afford to lose.

Although the new fee is written in neutral language, its impact is not. More than 70% of H-1B visas go to Indian nationals. In health care, Indian physicians make up one of the largest cohorts of international graduates and are disproportionately likely to serve in rural and underserved communities. By making sponsorship prohibitively expensive, the administration is effectively cutting off Indians from the workforce, making this policy about costs really a policy about exclusion.

I am an Indian American medical student, born and raised in the United

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