There are a bunch of H1Bs working as teachers in my medium sized midwestern city, making around $50k. Then there are a bunch in the healthcare sectors making from $50k to $500k. I actually feel like they are legitimate reasons they are there, very difficult to get good healthcare workers in the midwest since no one good wants to go there.
There are lots of places that are hours to days drive away from those two. Midwest is a big place, so what are you talking about? I guess you could say the talent is concentrated in a few places, but lots of places in the midwest with terrible hospitals.
I am sure the issue of talent being concentrated in a few places is a problem everywhere but it’s definitely more of a problem in the midwest; the quality of doctors and other healthcare workers there are noticeably worse than the east coast.
