Why Indian doctors prefer to work in Welch(rural america) than in Warangal or Wardha?

Even though ,Under U.S. immigration rules (for j1 VISA), a foreign doctor is obliged to return to his homeland for a period of at least two years before he can seek employment in the U.S,  the brain drain of doctors from developing countries continues to USA. 

WHY ?

Because, an exception built into the law of The U.S. Federal Government,which has designated 2100 areas, mostly impoverished districts , as "medically under-served". If a foreign doctor agrees to work in one of these areas, the standard requirement, of two years outside the U.S. before working here, is lifted. 

1.Typical earnings, as per one media report , ranged from $80,000 to $2,00,000 a year. Only in America can you make that much by serving the poor.

2. Towns like Welch, populated largely by the very poor and the often sick, have little appeal for American doctors whose principal objective is to earn back the quarter of a million dollars they have spent on their medical education.

3. There are some 6,00,000 licensed medical practitioners in the U.S.,(India has 7lac modern doctors and 7 lac AYUSH doctors) of whom about 1,20,000 are foreigners. The largest single group of foreign doctors is, of course, from India — no fewer than 25,000.  

Reasons for emigration.

The psychology of emigration is captured in a recent book about medical practice in India titled What’s Up, Doc? Author Saranaya Nandakumar summarizes the “ideology of the brain drain” as follows: (1) “The West Is Best Epidemic”—the long-standing belief of young doctors and their parents that training outside of India is superior and a mark of achievement; (2) “The Materialism Bug”—the expectation of bigger incomes and more material acquisition associated with life in the West; (3) “Specialization in Extremis”—the lure of high-tech training and “super” subspecialization perceived as prevalent in the West; (4) “Governmentitis”—reaction to the strictures and barriers of Indian governmental management of the education system and the corruption often associated with it; and (5) “Chaosphobia”—escaping the chaotic government and commercial systems in India in favor of what are perceived to be the more regularized and merit-based medical systems of the West.

The cost of private medical education is high ($100,000 for MBBS +  $ 200000 for PG + $ 200000 for super specialty- total comes to $ 500000 ), and students who make this kind of investment are likely to expect a financially productive career—something predictably found in the West. This expectation, combined with the increasingly crowded ranks of doctors in the Indian fee-for-service sector(private practice), will likely result in more graduates intending to emigrate. for information,in USA, to get basic medical M.D. degree it costs $ 250 000 to the student. after that to complete P.G. and SUPERSPECIALTY no expenditure is incurred for the student.