Las Vegas Sun

May 13, 2008

Issues:

Indentured Doctors

Photo by Leila Navidi / Las Vegas Sun

When Dr. Beatriz Ang-Ermocilla finishes her three-year term at Nevada Health Centers clinic in Beatty, Nev., there may be no physician to replace her. Dr. Ang-Ermocilla works in the United States through the J-1 visa waiver program, which allows foreign physicians to gain legal U.S. residency if they agree to work 40 hours a week for at least three years in underserved areas. She is originally from the Philippines and will move to a Nevada Health Center facility in the Las Vegas Valley in early 2008.

Across the United States, foreign doctors are being worked to exhaustion, cheated out of wages, coerced into unfair contracts and diverted away from the medically needy patients they're supposed to serve. Their bosses can bully them because they sponsor their visas.

The foreign doctors come to America for their medical residencies and are allowed to stay as long as they work full-time for at least three years in blighted cities and rural towns where there's a shortage of physicians. When they finish their term they're allowed to begin the process of becoming legal residents.

The program, which was created by Congress, is supposed to be good for everyone -- patients get care, America gets doctors and foreign physicians can fulfill their dreams of citizenship. But it's being undermined -- and, with little government oversight no one seems to care. The foreign doctors say the abuses by employers have gone on for so many years, with so little enforcement by government agencies, that they are avoiding the program and finding less abusive paths to residency.

See the first story in the series, or an update from December.

— Las Vegas Sun reporter Marshall Allen

Sun stories

At first blush, a tough J-1 board

Tue, Apr 15, 2008 (2 a.m.)

Indentured Doctors Nevada’s latest effort to reform a program that brings foreign physicians to the state is off to a deliberate and disciplined start. For the first time ever, health ...

Foreign doctors get new guardians

Fri, Apr 11, 2008 (2 a.m.)

Indentured Doctors Steps against doctors’ exploiters (2-13-2008) New watchdog: Doctors’ abusers are in for it (1-29-2008) Protect foreign doctors who work in Nevada, colleagues urge (1-16-2008) Department of Defense J1 ...

Steps against doctors’ exploiters

Wed, Feb 13, 2008 (2 a.m.)

Protect foreign doctors who work in Nevada, colleagues urge (1-16-2008) Doctors exploited; patients suffer, too (12-23-2007) Exploited J-1 doctors urged to speak up (12-11-2007) Indentured Doctors (9-27-2007) Indentured Doctors Documents ...

New watchdog: Doctors’ abusers are in for it

Tue, Jan 29, 2008 (2 a.m.)

Sun Topics: Indentured Doctors INDENTURED DOCTORS (09-30-07) Doctors exploited; patients suffer, too (12-23-07) For a while, it seemed that doctors who violated the rules of a government program by exploiting ...

Protect foreign doctors who work in Nevada, colleagues urge

Wed, Jan 16, 2008 (2 a.m.)

Across the United States, foreign doctors are being worked to exhaustion, cheated out of wages, coerced into unfair contracts and diverted away from the medically needy patients they're supposed to ...

Complaints lead doctors to dead ends

Sun, Dec 23, 2007 (6 a.m.)

The desperate plea from the foreign doctor in Florida stands in stark contrast to the bureaucratic reply. "I am an international medical graduate working as a J-1 visa waiver in ...

Doctors who abused doctors get off scot-free

Sat, Dec 15, 2007 (6 a.m.)

State health officials Friday proposed better oversight of a program that allows foreign doctors to work in medically needy parts of Nevada. But they showed no willingness to investigate past ...

Exploited J-1 doctors urged to speak up

Tue, Dec 11, 2007 (6 a.m.)

The lone doctor who complained to state legislators six weeks ago about being exploited by his employer in a government-sponsored program says it’s time for other foreign physicians to air ...

Sweeping changes in works to curb abuse of foreign doctor program

Mon, Dec 10, 2007 (10 p.m.)

Two U.S. senators, including Majority Leader Harry Reid, called Thursday for an investigation into abuses of a federal program that provides doctors to communities lacking adequate medical care. In a ...

Physicians felt intimidated in state probe

Tue, Oct 30, 2007 (6 a.m.)

The state has launched its inspections of primary care medical clinics in response to a Las Vegas Sun investigation that found employers exploiting foreign doctors and neglecting medically needy patients. ...

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