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Rural hospitals were already short-staffed. Then came Trump's H-1B visa fee

18 Nov 2025

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The White House’s $100,000 fee on new H-1B visa applications is adding extra pressure to health care systems in rural and low-income areas. Historically, the visa has been a critical pipeline for skilled health workers in hard-to-staff settings. Affected hospitals are already feeling the added strain. Also in this episode: A bitcoin downturn won’t just hurt crypto bros, Panera announces an overhaul amid floundering fast-casual sales, and the EV market soldiers on, despite sunsetted tax subsidies and emissions regulations.Every story has an economic angle. Want some in your inbox? Subscribe to our daily or weekly newsletter.Marketplace is more than a radio show. Check out our original reporting and financial literacy content at marketplace.org — and consider making an investment in our future.

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