As for the rest of your non-sense, for one thing, thousands of the FMGs come to the US to do their residencies after their home countries have paid for their expensive medical school training. In other cases Westerners go to foreign medical schools and come back for their residencies and internships. The third-world country maintains educational infrastructure for medical school. 1st world country gets doctors. Reality, as usual, looks a little different than your fantasies of it.

As for the statement that their “qualifications can’t be certified,” blah blah, you speak as though this is a natural law and not an institutional fact, set up to protect certain upper-middle class skilled professions. Those tests are made practically impossible so as to maintain a lower supply and thus higher compensation for doctors here.

As for the rest, 3rd world societies need specialties. The issue is setting up institutional and economic infrastructures for them.

If this sounds like a moral condemnation of the third world, it isn’t. The original topic was the complaint by Mad Max that immigrants were working below their educational level–due entirely to prejudice, of course. I suggested there is another way to see this situation. Those chaps aren’t entitled to complain because they had the choice and chose to qualify themselves in fields they know don’t really exist in their own countries whether it’s repairing photocopy machines or neuropharmacology.

The Arab armies “overrran” the Berbers of North Africa in the eighth century. In the 19th century the French returned the favor, putting the slavers and protection racketeers (the notorious “Barbary Pirates”) out of business. The Arab and Berber population had been small and static with deaths keeping pace with births. Under the French, that population grew quickly.
Within a century It no longer was possible to sustain **Algerie francaise**. Nor was there any economic rationale once most Europeans there held low paid city jobs which Arabs could do more cheaply.

You keep bolstering my argument with these expressions of resentment. Immigration and the welfare state are a poor mix.

The USA is so overrun with immigrant doctors that a special category had to be created for them: “F.M.G.’s”, standing for Foreign Medical Graduates. The major sending countries are India, Egypt and the states of the West Indies. Many are well prepared but as their qualifications can’t be certified they must pass special examinations to be allowed to practice in the USA. Until they are qualified they work as lab techs or, yes pumping gas or driving a cab.

Not emt’s but family practitioners, public health doctors to combat infectious diseases or nurse-practitioners are what is “needed” in the Third World.

Now, if you happen to think poor people in underdeveloped countries don’t need both primary care and specialist care, or that it’s not feasible to implement such programs, here are my thoughts. On (1) you’re a well-spoken bigot. But that’s been established and I don’t know why we’re still indulging you. Some odd leftist libertarian streak. Don’t push it.

On (2) face some “facts” and you’ll know that programs placing doctors [not EMTs or shamans whatever you're bizarrely suggesting.] in underdeveloped regions/countries have worked fine.

In Syria the fertile Ghab valey was a malarial swamp in the last years of the Ottoman empire and during the French occupation. After independence the government drained the swamp and turned the Ghab into a rich, fertile zone. They didn’t need an incoming force to destroy their villages and drive the people out in order to achieve this.

Your talk about ‘savage tribes’ may or may not go down well with the inhabitants of Texas, but the readership here is a different matter.

And who, exactly, ‘invited you in’ to Palestine? Balfour?

OK, the French were bad masters and they paid the price, in Indochina and Algeria. Drawing up ancestral balance sheets is a thankless task.
Actually the French are much less racist than the British. The French treat anyone as an equal who fully embraces their language, culture and religion.