Realistically though, a neurosurgeon would probably be able to immigrate on another type of visa. Same goes for most executives, lawyers, partners at VCs or hed

Realistically though, a neurosurgeon would probably be able to immigrate on another type of visa. Same goes for most executives, lawyers, partners at VCs or hedge funds... An auction based allocation would favor ad selling companies that can pay juniors 200k to do A/B testing. Then sure, it would partially solve the abuse from cheap IT consultancies, and that's better than nothing. But there would definitely be adverse effects.