Where Doctors Are Needed Most, H-1B Petitions Are Lowest [OC]

We analyzed the FY2024 H-1B LCA dataset to look for geographic inefficiencies.

Methodology: We joined DOL disclosure data with USDA Rural-Urban Continuum Codes (RUCC 2013) using a ZIP-to-County crosswalk.

The Signal: We found a clear inversion of the standard supply curve. Rural areas offered a 21.4% wage premium ($250k median vs $206k) yet achieved 10.2x lower placement volume.

Systemic Friction: The data suggests that for high-skill labor (physicians), geographic friction and regulatory overhead (including the new $100k fee) outweigh significant monetary incentives. The market is not clearing.