I believe that an auction system would significantly impact the medical field (medical technicians, physical therapists) and secondary education (teachers - esp

I believe that an auction system would significantly impact the medical field (medical technicians, physical therapists) and secondary education (teachers - especially foreign language in many high schools which in turn would make it more difficult for college bound students). The mistake that the US has is that there are only three categories under the "H-x" set of visas. There's the H-1B (which we're familiar with for all skilled workers requiring a college degree) and the H-2A for agricultural work and H-2B for workers that don't require a college degree and are not agricultural. The H-1A was originally for nursing and expired in 1995. The H-1C was also created for using from 1999 to 2009. The thing is... it's 3 big categories that date back to 1990s (The H visa was established in the 1950s and was a "everything" bucket). https://en.wikipedia.org/wiki/Immigration_Act_of_1990#Non-immigrant_visas https://en.wikipedia.org/wiki/Immigration_Act_of_1990#Non-im... . In 1990, both the house and the senate were democratic and G H.W. Bush was president. Getting the big comprehensive reforms through takes a unified congress and that being a goal (a lot of political capital is spent on getting that through - to the point where trying to do two big reforms in one presidential term gets difficult)... and immigration reform keeps getting deprioritized compared to other things. Going to a per field model (22 top level in https://www.bls.gov/oes/current/oes_stru.htm https://www.bls.gov/oes/current/oes_stru.htm ) would be a marked improvement. Adding to your list of UK and Australia - Canada. https://www.immigration.ca/fast-track-high-demand-occupations/ https://www.immigration.ca/fast-track-high-demand-occupation...