Then they end up in the hospital systems in the US that the domestic talent passes over, after having to repeat their residency requirements of course trying to

Then they end up in the hospital systems in the US that the domestic talent passes over, after having to repeat their residency requirements of course trying to keep up with the 80 hour work weeks in residency with fresh out of school mds who might have 10+ years of youth on them. Circle of life I guess.