$400K is now middle class
(media.kotakuinaction2.win)
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The US has for many years been favoring foreign students over American born students for doctoral residencies, to the point where there's a 5k backlog of American doctors that can't practice, and it's only been growing while they continually expand the "import foreign doctors" programs.
Also there is no oversight of foreign doctors' credentials, and the US is one of the only countries on the planet that just blindly accepts any other nation's doctoral credentials without any vetting.