80 of 82 Hospital Residency Slots Went to Foreign Medical Grads. The Proof-of-Citizenship Voting Bill Still Can't Get a Senate Vote.

Rochester General Hospital's incoming residency class is almost entirely graduates of foreign medical schools, with only two U.S. graduates — while the SAVE America Act, which would require proof of citizenship to register and photo ID to vote, passed the House and died in the Senate.

The Trump administration took the Rochester General roster personally. A New York hospital posted a residency class trained almost entirely outside the United States, and Labor's inspector general answered by name.

Rochester General Hospital's own internal-medicine page lists the schools. Forbes counted graduates from 22 countries in the class: about 20 from India, 12 from Pakistan, 7 from Sudan, then the United Arab Emirates, Nepal, Egypt, and others. Only two came from a U.S. school, both from Lake Erie College of Osteopathic Medicine. A viral post said 80 of 82 slots went to H-1B or J-1 holders and only two to Americans. That visa split is not proven — a foreign medical school is not the same as a visa — and the hospital has not released it. It did not deny the school list. It said the physicians meet its standards and that a national doctor shortage explains the hiring.

That list is what Americans are reading as disenfranchisement. A U.S. teaching hospital, paid residency seats, and a path into American medicine filled from schools in India, Pakistan, and Sudan, with citizens left holding two places in a class of 82.

Inspector General Anthony D'Esposito did not treat it as a local staffing note. On September 27 he told Rochester Regional Health to show the numbers: how many slots went to H-1B and J-1 holders, and how many American applicants got a fair shot. He tied the demand to President Trump's executive order on visa abuse and said that if the system is being gamed, his office will work with Vice President Vance's White House Fraud Task Force to expose it. The hospital answered with a shortage statement and did not give the count.

Democrats are defending that school pipeline while the SAVE America Act sits stuck in the Senate. The bill requires documentary proof of citizenship to register and a photo ID to vote. They say it would block eligible citizens. The administration's reading of Rochester is the opposite: seats and ballots both treated as open inventory, and a citizenship check is the one door they will not open. That is why the bill cannot pass. The school list made the fight personal, and the White House answered it that way.

Watch a report on the Rochester residency fight:
https://www.youtube.com/watch?v=I_jrRbRNrnk