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Nick Plumb

@PlumbNick • 24,283 subscribers

AI Engineer | Dual-Service Veteran | ex-Amazon L7 & Walmart Store Manager | Fighting for our American jobs, H-1B reform & Texas values

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This is Korbin Colthorp. He’s the ONLY doctor in Western Michigan University’s 28-person Family Medicine–Kalamazoo residency who attended medical school in the United States. The other 27 went to medical school abroad. 27 out of 28. 96.4%. Americans are told we have a doctor shortage. Maybe we should start asking why the solution apparently isn’t training more Americans.

This is Korbin Colthorp. He’s the ONLY doctor in Western Michigan University’s 28-person Family Medicine–Kalamazoo residency who attended medical school in the United States. The other 27 went to medical school abroad. 27 out of 28. 96.4%. Americans are told we have a doctor shortage. Maybe we should start asking why the solution apparently isn’t training more Americans.

907,412 Aufrufe

I think I found the residency résumé industry. Mount Sinai lists Dr. Ratesh Khillan as a voluntary faculty physician/Assistant Clinical Professor affiliated with Beth Israel and Mount Sinai Brooklyn. Meanwhile, his private Brooklyn USCE business advertises Mount Sinai among its “teaching affiliates” while selling clinical rotations and residency-related services to IMGs. His Brooklyn USCE business currently advertises: $1,550: 4-week clinical rotation +$399: opportunity to participate in research with Dr. Khillan LORs on hospital letterhead for some rotations plus CV review, interview prep, residency signaling guidance and other Match services in larger packages. Then I started looking at the research. Two completely unrelated single-patient case reports, published two months apart, have the exact same 10 Brooklyn Cancer Care authors, just rearranged. One is a liver hematoma case and the other is Stage IV endometrial cancer. And this isn’t even the only company selling residency research credentials. USMLE Wise openly advertises $300 “co-author” placement on an active research project and $800 “lead-author” placement. They say participants perform substantive work and meet authorship standards, but those are literally the products being sold to residency applicants. So foreign medical graduates can now shop for American clinical rotations, research opportunities, publication credits, hospital-letterhead recommendations, interview coaching and Match strategy. Meanwhile we’re told a publication-heavy CV proves who the “best” residency candidate is. How much of the American residency meritocracy is actually a credential marketplace?

I think I found the residency résumé industry. Mount Sinai lists Dr. Ratesh Khillan as a voluntary faculty physician/Assistant Clinical Professor affiliated with Beth Israel and Mount Sinai Brooklyn. Meanwhile, his private Brooklyn USCE business advertises Mount Sinai among its “teaching affiliates” while selling clinical rotations and residency-related services to IMGs. His Brooklyn USCE business currently advertises: $1,550: 4-week clinical rotation +$399: opportunity to participate in research with Dr. Khillan LORs on hospital letterhead for some rotations plus CV review, interview prep, residency signaling guidance and other Match services in larger packages. Then I started looking at the research. Two completely unrelated single-patient case reports, published two months apart, have the exact same 10 Brooklyn Cancer Care authors, just rearranged. One is a liver hematoma case and the other is Stage IV endometrial cancer. And this isn’t even the only company selling residency research credentials. USMLE Wise openly advertises $300 “co-author” placement on an active research project and $800 “lead-author” placement. They say participants perform substantive work and meet authorship standards, but those are literally the products being sold to residency applicants. So foreign medical graduates can now shop for American clinical rotations, research opportunities, publication credits, hospital-letterhead recommendations, interview coaching and Match strategy. Meanwhile we’re told a publication-heavy CV proves who the “best” residency candidate is. How much of the American residency meritocracy is actually a credential marketplace?

239,332 Aufrufe

It’s actually crazy to me that they went 4-5 weeks after getting inspected without doing this. Then as soon as they felt “the heat” was off them, Sangam went right back to storing grocery items outside - in front of a fire exit and by the dumpster. Now, even better - they’re storing fresh produce directly next to the dumpster. Houston Health Dept Dr. Josh C. Simmons

It’s actually crazy to me that they went 4-5 weeks after getting inspected without doing this. Then as soon as they felt “the heat” was off them, Sangam went right back to storing grocery items outside - in front of a fire exit and by the dumpster. Now, even better - they’re storing fresh produce directly next to the dumpster. Houston Health Dept Dr. Josh C. Simmons

95,578 Aufrufe

It seems like immigration lawyers are catching heat from all sides… 😂 Audubon says it paid Houston immigration lawyer Alla Nowowiejski $109,855.84 for five H-1B employees. Then she allegedly sent them fake USCIS approvals, fake receipts and even a fake “meeting canceled” email. Yesterday she was arrested for Mail fraud and False statements. Of note - she’s the same attorney on 7 certified LCAs in DOL data (2020-current), including two at the Lone Star College System (a public college).

It seems like immigration lawyers are catching heat from all sides… 😂 Audubon says it paid Houston immigration lawyer Alla Nowowiejski $109,855.84 for five H-1B employees. Then she allegedly sent them fake USCIS approvals, fake receipts and even a fake “meeting canceled” email. Yesterday she was arrested for Mail fraud and False statements. Of note - she’s the same attorney on 7 certified LCAs in DOL data (2020-current), including two at the Lone Star College System (a public college).

73,346 Aufrufe

The more I follow these posts, the more I want to know what he was thinking when he chose those frames. 😂

The more I follow these posts, the more I want to know what he was thinking when he chose those frames. 😂

42,046 Aufrufe

We are supposed to believe that a “University” that enrolls 2,000 students a year and a tech company which needed to file ~1,000 LCAs operates in this space.

We are supposed to believe that a “University” that enrolls 2,000 students a year and a tech company which needed to file ~1,000 LCAs operates in this space.

83,993 Aufrufe

Wait. NYREACH is advertising its U.S. clinical-experience program to foreign medical graduates with: “Can apply with tourist visa.” Then it advertises 8- and 12-week rotations in New York City. Their current posting says participants commit at least 8 weeks, Monday–Friday, 9–5 and may assist with history-taking and physical examinations. It also says they provide a visa invitation letter but do not sponsor visas. (Essen Medical Associates Careers Center) Here’s the problem: The State Department says a B-2 visitor visa does not authorize study or employment and the narrow B-1 medical-clerkship exception is for current foreign medical students completing an approved part of their degree, not graduate medical training. Physician observerships on B-1 are supposed to be observation, without hands-on patient care. So what exactly does “tourist visa” mean here? And what immigration status are foreign medical graduates using while assisting with histories and physical exams in a U.S. clinic? That seems like a question somebody should answer. USCIS Director Joseph B. Edlow Inspector General Anthony D'Esposito Dr. Oz CMS

Wait. NYREACH is advertising its U.S. clinical-experience program to foreign medical graduates with: “Can apply with tourist visa.” Then it advertises 8- and 12-week rotations in New York City. Their current posting says participants commit at least 8 weeks, Monday–Friday, 9–5 and may assist with history-taking and physical examinations. It also says they provide a visa invitation letter but do not sponsor visas. (Essen Medical Associates Careers Center) Here’s the problem: The State Department says a B-2 visitor visa does not authorize study or employment and the narrow B-1 medical-clerkship exception is for current foreign medical students completing an approved part of their degree, not graduate medical training. Physician observerships on B-1 are supposed to be observation, without hands-on patient care. So what exactly does “tourist visa” mean here? And what immigration status are foreign medical graduates using while assisting with histories and physical exams in a U.S. clinic? That seems like a question somebody should answer. USCIS Director Joseph B. Edlow Inspector General Anthony D'Esposito Dr. Oz CMS

24,306 Aufrufe

Meet Niraj Jivani. He likes to send threatening messages to women in Texas.

Meet Niraj Jivani. He likes to send threatening messages to women in Texas.

46,811 Aufrufe

J.C. Penney is ~125 year old American business, yet somehow: Shein now owns part of it. They hire H-1B Financial Planning Managers (among other roles.) And we have to listen to this commercial the entire back to school season. 😔

J.C. Penney is ~125 year old American business, yet somehow: Shein now owns part of it. They hire H-1B Financial Planning Managers (among other roles.) And we have to listen to this commercial the entire back to school season. 😔

50,384 Aufrufe

We’ve all seen the fake resumes coming out of India that impact our labor market, but did you know India’s first Heavyweight Champion also faked it? Despite no apparent athletic skill, footwork or punching power, Rohit Singh bought his way to a WBF Asia Pacific title and even managed to be recognized by the WBC Legends of Boxing Museum. (Ironically, this probably is enough to qualify him for an EB-1a visa.) Is any industry safe from Indian fraud?

We’ve all seen the fake resumes coming out of India that impact our labor market, but did you know India’s first Heavyweight Champion also faked it? Despite no apparent athletic skill, footwork or punching power, Rohit Singh bought his way to a WBF Asia Pacific title and even managed to be recognized by the WBC Legends of Boxing Museum. (Ironically, this probably is enough to qualify him for an EB-1a visa.) Is any industry safe from Indian fraud?

14,763 Aufrufe

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In all fairness, Sidharth has a point. Let’s investigate Amazon and Apple next. Here’s a video from my last team dinner at Amazon, before I was laid off. Americans could and should be doing every one of the jobs these people have stolen.

In all fairness, Sidharth has a point. Let’s investigate Amazon and Apple next. Here’s a video from my last team dinner at Amazon, before I was laid off. Americans could and should be doing every one of the jobs these people have stolen.

103,650 Aufrufe • vor 17 Tagen

This is what quiet replacement looks like in North Texas. There was no protest and no vote - just broken labor laws. Once-quiet towns in historically deep-red districts are now packed with people from the other side of the world, settling in like they own the place. American workers never got a say, the visa machine just kept running.

This is what quiet replacement looks like in North Texas. There was no protest and no vote - just broken labor laws. Once-quiet towns in historically deep-red districts are now packed with people from the other side of the world, settling in like they own the place. American workers never got a say, the visa machine just kept running.

382,947 Aufrufe • vor 2 Monaten

When I left Texas at 18 to join the Army, they told us if we fought overseas, we’d be preserving our way of life back home. Twenty years later, I finally came back… …and now Texas is just a bunch of Indian shops, Afghan markets and halal stores. This is my state, but it feels so far from home. Is this really what we fought for?

When I left Texas at 18 to join the Army, they told us if we fought overseas, we’d be preserving our way of life back home. Twenty years later, I finally came back… …and now Texas is just a bunch of Indian shops, Afghan markets and halal stores. This is my state, but it feels so far from home. Is this really what we fought for?

526,363 Aufrufe • vor 5 Monaten

The betrayal is real. And we will end it.

The betrayal is real. And we will end it.

543,172 Aufrufe • vor 9 Monaten

71% of of Republican Primary voters in Texas are 55+ and almost half were 70+ Age/Primary voters/GOP share/Turnout 18–24 44,639 1.9% 3.0% 25–34 105,242 4.5% 3.2% 35–44 211,769 9.1% 6.6% 45–54 315,240 13.5% 11.0% 55–64 501,976 21.5% 18.0% 65+ 1,153,439 49.5% 26.1%

71% of of Republican Primary voters in Texas are 55+ and almost half were 70+ Age/Primary voters/GOP share/Turnout 18–24 44,639 1.9% 3.0% 25–34 105,242 4.5% 3.2% 35–44 211,769 9.1% 6.6% 45–54 315,240 13.5% 11.0% 55–64 501,976 21.5% 18.0% 65+ 1,153,439 49.5% 26.1%

76,129 Aufrufe • vor 1 Monat

Turn the sound on. NYREACH is giving International Medical Graduates New York clinical experience, letters of recommendation and a pathway toward residency. Their own recruitment page says applicants must have “excellent oral and written communication skills in English.” Now listen to the promotional video. Several of these future doctors are genuinely difficult to understand. And these aren’t people being trained to write code in a back office. NYREACH says participants assist with patient histories, physical exams and health education, including serving underserved communities. This isn’t about having an accent. If an elderly patient can’t clearly understand the person taking their medical history or explaining their treatment, that is a patient-safety issue. Why are we so afraid to say this out loud?

Turn the sound on. NYREACH is giving International Medical Graduates New York clinical experience, letters of recommendation and a pathway toward residency. Their own recruitment page says applicants must have “excellent oral and written communication skills in English.” Now listen to the promotional video. Several of these future doctors are genuinely difficult to understand. And these aren’t people being trained to write code in a back office. NYREACH says participants assist with patient histories, physical exams and health education, including serving underserved communities. This isn’t about having an accent. If an elderly patient can’t clearly understand the person taking their medical history or explaining their treatment, that is a patient-safety issue. Why are we so afraid to say this out loud?

44,736 Aufrufe • vor 24 Tagen

I apologize, I was too critical of the dance lessons being offered at USC Viterbi. They are actually preparing their students for life in big tech.

I apologize, I was too critical of the dance lessons being offered at USC Viterbi. They are actually preparing their students for life in big tech.

20,757 Aufrufe • vor 10 Tagen

A university, an H-1B tech firm and a Bollywood film producer walk into a single office suite in Lacey, Washington… No, this isn’t a joke. It’s the story of CodeSmart, People Tech and a “university” advertising master’s degrees, corporate scholarships and Day-One Utilization from the same address.

A university, an H-1B tech firm and a Bollywood film producer walk into a single office suite in Lacey, Washington… No, this isn’t a joke. It’s the story of CodeSmart, People Tech and a “university” advertising master’s degrees, corporate scholarships and Day-One Utilization from the same address.

138,948 Aufrufe • vor 2 Monaten

USC Viterbi held graduate recruiting events in 7 Indian cities in 7 days. They have an India-based admissions team and a dedicated Instagram account promoting engineering programs to students in India. Apparently, they’re not just recruiting engineers, they’re holding auditions for backup dancers.

USC Viterbi held graduate recruiting events in 7 Indian cities in 7 days. They have an India-based admissions team and a dedicated Instagram account promoting engineering programs to students in India. Apparently, they’re not just recruiting engineers, they’re holding auditions for backup dancers.

18,138 Aufrufe • vor 10 Tagen

I may have found the most offensive and unnecessary use-case for the H-1B visa, so I went to review their Public Access Files. SPOILER ALERT: There were no files to review. This program is not actually about highly skilled workers - it’s all about who can fill out the paperwork correctly.

I may have found the most offensive and unnecessary use-case for the H-1B visa, so I went to review their Public Access Files. SPOILER ALERT: There were no files to review. This program is not actually about highly skilled workers - it’s all about who can fill out the paperwork correctly.

101,792 Aufrufe • vor 2 Monaten

Check out this future doctor.

Check out this future doctor.

23,272 Aufrufe • vor 17 Tagen

Watch this. A physician recruiting account is explaining how hospitals can hire certain foreign physicians who haven’t taken the USMLE. The pitch: internationally recognized doctors simply find a U.S. hospital willing to give them a job offer. Meanwhile, Americans spend years fighting through the U.S. medical-school pipeline, residency bottlenecks and licensing exams just for the opportunity to practice here. We keep being told America has a “doctor shortage.” What we seem to have is an entire industry devoted to finding new ways around the American pipeline. And Americans barely know it exists.

Watch this. A physician recruiting account is explaining how hospitals can hire certain foreign physicians who haven’t taken the USMLE. The pitch: internationally recognized doctors simply find a U.S. hospital willing to give them a job offer. Meanwhile, Americans spend years fighting through the U.S. medical-school pipeline, residency bottlenecks and licensing exams just for the opportunity to practice here. We keep being told America has a “doctor shortage.” What we seem to have is an entire industry devoted to finding new ways around the American pipeline. And Americans barely know it exists.

28,525 Aufrufe • vor 24 Tagen

This is what the “talent shortage” actually looks like. Foreign students and H-1B spouses sweating $1,800 premium processing fees and downloading case trackers just to get their OPT/H4/GC EADs so Americans can be displaced quicker. The entire cottage industry of EAD trackers, coupon codes and body-shop compliance apps only exists because Congress keeps the pipeline wide open. Protect the American worker - End it all.

This is what the “talent shortage” actually looks like. Foreign students and H-1B spouses sweating $1,800 premium processing fees and downloading case trackers just to get their OPT/H4/GC EADs so Americans can be displaced quicker. The entire cottage industry of EAD trackers, coupon codes and body-shop compliance apps only exists because Congress keeps the pipeline wide open. Protect the American worker - End it all.

67,034 Aufrufe • vor 2 Monaten

To all my fellow “redneck trailer trash” friends out there: the ones using their hands to build and fix things, or putting their lives on the line to protect your community - remember how they view us. The next time you get a service call or go out to bid a contract, think of this Frisco “rally.” #TexasChanged

To all my fellow “redneck trailer trash” friends out there: the ones using their hands to build and fix things, or putting their lives on the line to protect your community - remember how they view us. The next time you get a service call or go out to bid a contract, think of this Frisco “rally.” #TexasChanged

108,677 Aufrufe • vor 5 Monaten

Foreign-trained physicians are now being taught how to shop between states for the easiest path into American medical practice without repeating a full U.S. residency. Massachusetts? 1 year of prior experience. Iowa? 5 years. Some states restrict the pathway to rural/underserved areas. Others are less restrictive. And then comes the part Americans should hear: Even where the law says “underserved area,” he explains that the geography can be broad enough to cover a lot of different areas. We were told these laws were about fixing isolated doctor shortages. An entire industry is already teaching foreign doctors how to navigate them state by state.

Foreign-trained physicians are now being taught how to shop between states for the easiest path into American medical practice without repeating a full U.S. residency. Massachusetts? 1 year of prior experience. Iowa? 5 years. Some states restrict the pathway to rural/underserved areas. Others are less restrictive. And then comes the part Americans should hear: Even where the law says “underserved area,” he explains that the geography can be broad enough to cover a lot of different areas. We were told these laws were about fixing isolated doctor shortages. An entire industry is already teaching foreign doctors how to navigate them state by state.

21,430 Aufrufe • vor 24 Tagen

Back in 2015 Jeff Bezos decided to offer free bananas from banana stands all around the company headquarters. Today, everyone that got a free banana also walked away with a new kindle. Check out the promo video.

Back in 2015 Jeff Bezos decided to offer free bananas from banana stands all around the company headquarters. Today, everyone that got a free banana also walked away with a new kindle. Check out the promo video.

60,494 Aufrufe • vor 2 Monaten

In Houston, we have Colombians packed outside THEIR consulate, voting for THEIR president on American soil and act like this is normal. Open borders were such a mess, we’re now hosting their elections. When the hell does it stop? #TexasChanged

In Houston, we have Colombians packed outside THEIR consulate, voting for THEIR president on American soil and act like this is normal. Open borders were such a mess, we’re now hosting their elections. When the hell does it stop? #TexasChanged

94,396 Aufrufe • vor 5 Monaten

The evidence is starting to pile up on H-1B fraud... This video is of a "candidate" being prepared for an interview with a "client" by a man who owns a staffing agency, while also being on H-1B and working himself for said client. (Yes, actively managing another business while being on an H-1B for another employer is illegal.) Here's how it works: The scammer (Recruit HR in this video), uses his position at the client to get interviews scheduled for people he refers who are willing to pay a $5 per hour kickback. He ensures they pass the interview by giving them just enough training to answer specific questions he knows will be asked and then does a mock interview himself. Here you see just how unworthy this referral actually is - but he was still pushed forward and placed at the client. The scammer (I have his real identity) also happens to be directly connected to a major foreign labor lobby - I bet you'll be able to guess which one.

The evidence is starting to pile up on H-1B fraud... This video is of a "candidate" being prepared for an interview with a "client" by a man who owns a staffing agency, while also being on H-1B and working himself for said client. (Yes, actively managing another business while being on an H-1B for another employer is illegal.) Here's how it works: The scammer (Recruit HR in this video), uses his position at the client to get interviews scheduled for people he refers who are willing to pay a $5 per hour kickback. He ensures they pass the interview by giving them just enough training to answer specific questions he knows will be asked and then does a mock interview himself. Here you see just how unworthy this referral actually is - but he was still pushed forward and placed at the client. The scammer (I have his real identity) also happens to be directly connected to a major foreign labor lobby - I bet you'll be able to guess which one.

115,096 Aufrufe • vor 6 Monaten

Check out the third-world standards straight from the back alleys of India being demonstrated by Sangam Supermarket in North Houston. Sandwiched between two sets of dumpsters, on the hot asphalt they’re piling up one food safety violation after another and nobody seems to give a damn. This isn’t oversight, it’s just low standards and exactly how things are done in 3rd world markets. This has ZERO place in American grocery stores. Harris County Public Health and the Houston Health Department are supposed to enforce the Texas Food Establishment Rules (TFER), yet here we are. Let’s count the violations: 1. Section 228.69 (Protection from Contamination): Zero shielding from exhaust fumes, bird shit, dust and debris. 2. Section 228.186 (Pest Control): Bulk food stored directly beside active dumpsters, prime real estate for roaches, rats and every pest in Houston. 3. Section 228.174 (Storage Location): Palletized inventory must stay inside a clean, secure, dry facility, not baking outside in the Texas sun. Houston Health Dept Harris County Public Health #GetVaxxed will you stop letting third-world hygiene slide at Indian grocery stores in our city? Get an environmental health specialist out to this store immediately.

Check out the third-world standards straight from the back alleys of India being demonstrated by Sangam Supermarket in North Houston. Sandwiched between two sets of dumpsters, on the hot asphalt they’re piling up one food safety violation after another and nobody seems to give a damn. This isn’t oversight, it’s just low standards and exactly how things are done in 3rd world markets. This has ZERO place in American grocery stores. Harris County Public Health and the Houston Health Department are supposed to enforce the Texas Food Establishment Rules (TFER), yet here we are. Let’s count the violations: 1. Section 228.69 (Protection from Contamination): Zero shielding from exhaust fumes, bird shit, dust and debris. 2. Section 228.186 (Pest Control): Bulk food stored directly beside active dumpsters, prime real estate for roaches, rats and every pest in Houston. 3. Section 228.174 (Storage Location): Palletized inventory must stay inside a clean, secure, dry facility, not baking outside in the Texas sun. Houston Health Dept Harris County Public Health #GetVaxxed will you stop letting third-world hygiene slide at Indian grocery stores in our city? Get an environmental health specialist out to this store immediately.

91,472 Aufrufe • vor 5 Monaten

I honestly wouldn’t care if they did - but we have to do something about legal immigration. This is out of control.

I honestly wouldn’t care if they did - but we have to do something about legal immigration. This is out of control.

41,639 Aufrufe • vor 2 Monaten