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    [OC] Ländliche Gebiete bieten einen Gehaltszuschlag von 45.000 US-Dollar für Ärzte, ziehen aber nur jeden Zehnten an


    [OC] Ländliche Gebiete bieten einen Gehaltszuschlag von 45.000 US-Dollar für Ärzte, ziehen aber nur jeden Zehnten an

    Von the_h1b_records

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    10 Kommentare

    1. the_h1b_records on

      **[OC] Data & Methodology**

      **Data Sources:**
      – U.S. Department of Labor: Labor Condition Application (LCA) Disclosure Data, FY2024
      – USDA Economic Research Service: Rural-Urban Continuum Codes (2013)
      – U.S. Census Bureau: TIGER/Line county boundaries

      **Sample:**
      – 10,614 certified H-1B physicians (SOC 29-1xxx)
      – October 2023 – September 2024
      – 410 counties with 5+ physicians mapped

      **Key Findings:**
      – Rural median: $250,000 (1,006 physicians, 9.5%)
      – Urban median: $204,697 (9,608 physicians, 90.5%)
      – Wage premium: 22.1% ($45,303 absolute)
      – Statistical significance: Mann-Whitney U test, p < 0.001

      **Rural Definition:**
      USDA Rural-Urban Continuum Codes 4-9 (non-metro counties)

      **Why This Matters:**
      This suggests wage differentials alone cannot overcome non-monetary barriers to rural healthcare access—distance, isolation, spousal employment, and visa constraints may dominate physician location decisions. Price isn’t clearing this market.

      **Tools:** Python (pandas, geopandas, matplotlib)

      **Full analysis:** Link in bio.

      —

      *Note: H-1B Labor Condition Applications (LCAs) represent employer filings, not final visa issuances. A small subset may not result in actual employment.*

    2. Rarvyn on

      The premium is probably a fair bit larger than $45k for docs overall. The medians you’re quoting are well below typical full time physician pay – even for a fresh graduate right out of residency.

      I could probably add 50% to my income if I wanted to move to rural Texas two hours from the nearest big city, but I would rather be near friends and family.

    3. whoareyouguys on

      It’s simple – if you make enough money to live somewhere nice, would you be happier living there or somewhere shitty with an extra Porsche in the driveway

    4. Kolt56 on

      A physician is not moving to the middle of nowhere for 45K.

      They might for double the salary of a saturated HCOL MD.

      Say city MD gets 400k, same city MD actually command 1.5x to 2x to move to a rural setting.

    6. onicut on

      Unfortunately, they would make more money joining ICE. Why would we want to fund rural hospitals?

    7. PyrrhoTheSkeptic on

      If I were a doctor, I would not move to some hellhole for only a $45k increase in salary. Money isn’t the only determinant of quality of life.

    8. Efficient_Tonight_40 on

      Just looking at this map you can also see that there’s a lot of blue in those sorts of poorer B and C tier cities which I would imagine also have a hard time attracting doctors. Like are there hordes of American doctors lining up to work in Buffalo, Memphis, Detroit, Birmingham, and Sioux Falls? I doubt it.

      Similar case for foreign teachers as well. Many of the largest employers of foreign teachers are majority black and Hispanic inner city school districts which also have a hard time attracting teachers, just for different reasons than rural districts do

    9. maringue on

      Not everything is about money. H1B visas go to people from other countries. People from other countries who move to the US like to live in areas that have a community from their home country.

      Rural areas almost never have those.

    10. cybercuzco on

      So youre telling me someone who values being highly educated doesnt want to live in an area known for poorly educating people?

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