The issue is more about employer costs and if hospitals can afford to sponsor residents with this new fee. It’s not just about wages but the total financial burden on hospitals. So even if immigration does not directly depress wages, this 100k will seriously raise hiring costs, which affects if these hospitals can afford to keep sponsoring these doctors.
This will force hospitals to stop hiring international medical graduates, making doctor shortage worse, especially in underserved areas.
There’s rural areas where there are few doctors or clinics nearby and people often have to travel long distances for care because American doctors don’t wanna live there.
Also places with high poverty, elderly populations, or other vulnerable groups also are where there’s obstacles to get care and again American doctors don’t wanna work there.