A New York hospital system is under the microscope over who gets its residency slots. Labor Department Inspector General Anthony D'Esposito took to X on September 27 to demand answers from Rochester Regional Health: "Show us the numbers. How many residency slots went to H-1B and J-1 visa holders? How many American applicants got a fair shot?"
D'Esposito, a former Republican congressman confirmed as inspector general in December 2025, tied the inquiry to President Trump's September 18 executive order on visa-program integrity and said his office would work with the White House fraud task force if "the system is being gamed."
The spark was an unverified claim from an anonymous X account, "Expose H1B Fraud," that 80 of the hospital's 82 incoming residents are visa holders. That figure has not been independently verified — the hospital's public listings show residents' medical schools across 22 countries but not citizenship or visa status. Rochester Regional says it has received no official communication from the department and defended its accredited programs, citing the national physician shortage.
What to watch next: whether the department opens a formal inquiry — and what the actual numbers show.