Amid a crippling doctor shortage, Republicans in Kentucky are desperate to lure immigrant doctors to their state.
Kentuckians (or at least those the state hasn’t disenfranchised) helped President Donald Trump win the state by more than 30 percentage points in 2024, when anti-immigrant vitriol and vows of mass deportations were centerpieces of his political agenda.
Now, Kentucky is among several states struggling with a doctor shortage, which, without intervention, is expected to worsen in years to come. Last year, a study from Kentucky’s Legislative Research Committee projected that the state is on track to have a shortage of around 3,000 doctors by 2030.
That’s the background behind the Kentucky state Senate’s overwhelming vote on Thursday to pass a Republican bill that would make it easier for immigrant doctors by allowing them to practice without having to repeat their residency as long as they meet other requirements. The bill passed by a 30-7 margin in a state Senate, where Republicans outnumber Democrats 4-1.
The bill’s Republican sponsor, a former hospital CEO, seemed to appreciate that the legislation is at odds with some of the bigoted rhetoric his party has embraced. According to the Kentucky Lantern:
Pushing through what the Republican sponsor called a ‘xenophobic virus,’ a bill to allow foreign-born doctors to more easily practice in Kentucky passed the Senate on Thursday. Sen. Stephen Meredith, R-Leitchfield, said on the Senate floor that he initially ‘wasn’t really anxious about running this bill because of all the current rhetoric about immigration’ that could present a barrier to the legislation. “It has become almost a fever pitch in some communities,” he said, pushing back on the rhetoric with anecdotes about how foreign-trained doctors helped make his hospital better.
Here’s some of that pushback:
Meredith, a former hospital CEO, said his own rural hospital was ‘successful’ thanks in part to the facility’s international doctors. ‘I had pediatricians from Iran. I had an otolaryngologist and an emergency medicine physician from Canada. From Lebanon, I had a pediatrician (in) hospice. From Pakistan I had pulmonary medicine. From the Philippines: Neurology, obstetric gynecology and an oncologist. From Vietnam, I had an emergency medicine physician and a nephrologist. From South Korea, I had an orthopedic surgeon and an anesthesiologist that was the funniest guy you’ve ever met in your life,’ Meredith said. ‘He kept our medical staff and our hospital in stitches.’
Health experts have warned that Trump’s racist anti-immigrant crackdown risks discouraging top talent from wanting to work in the United States, thus worsening worker shortages in the health care field. Meanwhile, top Trump administration officials, like Vice President JD Vance, have dismissed concerns about losing expertise.
But underscoring the fundamental reality of the situation, Thursday’s vote in Kentucky functions as a legislative acknowledgement that the MAGA movement’s xenophobic deportation project poses real-world risks — and not just for its intended targets — even in ruby-red Kentucky.
