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The H-1B Lottery Reform: A Wage Level Mirage

2025-09-25

The Department of Homeland Security proposed replacing the H-1B lottery with a weighted system based on Department of Labor (DOL) Wage Levels. However, research reveals this system doesn't prioritize high-skill or high-pay workers. Instead, it favors large outsourcing firms, reduces visas for US-educated graduates, and only marginally increases H-1B holder salaries. Analysis of FOIA data shows a compensation-based system would be far more effective at attracting high-skilled talent and significantly raising average H-1B salaries.

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Reforming Clinical Trials: Accelerating Drug Development and Lowering Costs

2024-12-22

A research report from the Institute for Progress (IFP) explores reform proposals for clinical trials in the US. The report highlights how lengthy and expensive clinical trials hinder medical innovation. Nine specific recommendations are proposed, including streamlining regulations, improving clinical trial databases, and adopting risk-based monitoring, aiming to accelerate new drug development and benefit more patients by increasing efficiency and reducing costs. This reflects a positive exploration of using technology (such as AI) to improve healthcare efficiency.