Just paid $500 for the privilege in PA ($250/yr, paid upfront).

Powerful lobbies are surpressing the number of doctors practicing in the US. If a foreign doctor wants to emigrate and practice here they cannot until they pass TOEFL (reasonable) AND finish US-based residencies, of which there are few. I know a Russian dermatologist who has been a receptionist for years because she cannot get ECFMG certification. Some states are wising up and waiving the residencies, but way more need to do it.

Jesus, the shudder this comment just elicited gave me a crick in my neck… Someone distract the mango before he gets the astronauts killed…

I think if the decision had been going forward instead of backward, I would have felt better about it. Saying any descendents born after 2025 will not have assumed citizenship is very different than saying “Lol, your citizenship wasn’t real.”

Now I feel like the fact that I decided to learn Italian and work out an emigration plan before applying bit me in the ass. I should have started the process 15 years ago when I was as you say.

This is exactly the purpose. I am largely against banning things but it’s SOCIAL media. Parents who want to make the objectively correct decision for their child have to go up against the zeitgeist and risk complete isolation of their kids in exchange.