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Those top tier researchers are the kind of people the program is legitimately meant for, but for every one of those there are probably 10 or 100 H-1B contractors being paid below-market wages resulting in underemployment of US citizens, especially early career graduates.

The program is also used to employ people that won’t quit when they are mistreated because their family’s existence in the country depends on continued employment.

Even more basic IT jobs, no programming at all

I’ve worked with a lot of backend and mobile devs that are on H1-B. They were solid for the most part but they aren’t exactly niche skills.