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very well said! The American Dream for Pinoy nurses is close to impossible. Even though you get your green card and RN license in the US, it is still hard to get a job. Many employers in the US do not accept or consider Philippine nursing experience. They prefer those with US experience.
That's a nice article that should and must awaken my fellow Filipino nurses to the reality of nursing in the US. I got into nursing exactly as described at the beginning of the text, persuaded by my parents and relatives who promised to financially support my education but sooner or later was nowhere in sight a year after I shifted from Information Management to Nursing.
Eventually I graduated and passed the Philippine Nurse Licensure Exam, but had to work in a bank for almost 2 years since there were no local hospitals that were hiring staff nurses simply because of the oversupply of newly licensed RN's in the Philippines. With the help of friends, I luckily got a slot for a "training program" at a nearby tertiary hospital and eventually got hired, and selected for specialization after a couple of years. And here I am now, a dialysis nurse working in the Caribbean, with 5 years of experience and counting. But it won't stop there. I'm planning to get my Master's in the next couple of years, and would do my graceful exit in the clinical aspect of nursing and level up to administration and management, or public health.
The thing is, even if I got sucked into a terrible system dictated by economic needs, there are still ways to jump out of it. America is not the only place where nurses can have a flourishing career, there's Canada, Australia and the UK. There's a whole big world out there. So if America is closing its doors, then look somewhere else. If the situation is not to your advantage, then instead of waiting for your papers in the pile thanks to Retrogression, it might be more practical to go look for other options.
Zero: Australia, Canada and the UK are no longer looking off shore for qualified nurses. Read these countries threads on this forum. Locally educated new grads are having a hard time finding full time work. Governments are cutting healthcare spending which results in layoffs.
Nursing isn't the golden ticket some people think it is.
Great article, thank you.
"Many PH RNs now resort to marrying American citizens (fiancee visas) whether for real or not - just to be able to enter the US legally."
How very true. And this happened to me.
Keep in mind that as part of my nursing function I do accident/incident investigation. Now I may not be the sharpest guy but looking back -- there was every indication that the Filipina that I married was truly and deeply in love with me. But the reality: Nope, it was all a clever scam, a type called a "coached scam." Exactly 35 days after being married USCIS (Immigration) accepted my wife's AOS (Adjustment of Status). The next day she disappeared. Then beyond the cost of bringing her here was the cost (and stigma, for annulment in NH is not available) of Divorce, exacerbated by how do you serve someone who has disappeared? So if you're thinking "stupid man," that's ok, sometimes I feel that way, but it was so cleverly done I still say: "how could I have known?" I've found out, it works in reverse too. This common and difficult to tease out scam works East to West (Asia to US with women immigrants) and seems to work mostly West to East with men (for instance Turkey or an African Nation marrying an American woman.
You don't hear about it because most are to embarrassed to have been "taken" to tell.
Which brings me to the rest of the story which does directly affect nursing:
"...or try their luck by overstaying and transforming into illegal immigrants working as caregivers, separated painfully from their families back home by decades."
Armed only with my then wife's sister's phone number I traced it to a 4 square mile area in Phoenix, Arizona. I found a name too and later figured out that it was a fake name but which used real elements. The husband's name was listed first, and Ate's (Ate means: "the elder sister", TOS does not allow real names) name was listed last, partially. With this, by checking public real estate records I found that the couple had a few house purchase/sales and so found the correct full names.
Since the family had told me that Ate in Arizona, who was illegal (many years in overstay) was an LNA I thought I'd check the Arizona BON. Bingo--there she was, "LNA test attempted four times--failed four times." Now I'd been told that Ate worked as many hours as she wanted and made $20/hour. This made sense because the family had proudly pointed out to me: "Ate bought that house" (in Cebu City) or "Ate bought that house over there" (in Carcar City, Cebu, Philippines), or "Ate bought that land on the island of Bohol". Well, I had presumed that Ate and her husband were rich. Oddly I never knew exactly where Ate lived and oddly Ate never would speak on the phone when she called my then wife, but I figured she was just shy.
No, it seems that Ate is not shy; it appears that she simply didn't want to talk to the host (as in parasitic host). So now I knew where my then wife had gone to and also believed that Ate was the "coach." Ate had made one fatal error, but it really did not matter much as you'll see. Years earlier leaving one's spouse after acceptance of AOS still allowed the immigrant a path to citizenship. That path has mostly been closed and I did what was necessary so that hopefully the scammer will not attain legal status.
But legal status is not necessary. What, you say? How can this be? Well, consider: if Ate works a plain 40 hour week her take home pay (no taxes under-the-table) is about $41,000/year. If my (ex) wife also works under the table, then annual income, tax free is $82,000 per year. For comparison, a high school teacher in the Philippines makes about $6,000/year or every year in America = 7 years earnings in the Philippines.
Let's look at OP's quote again:
"...immigrants working as caregivers, separated painfully from their families back home by decades."
Painfully separated? If so, how was it that Ate returned annually to the Philippines to spend her cash? The answer is simple, though I can never prove it. From reading I now see there must be thousands if not tens of thousands of "improper/illegal" H-1B Visas. A few years ago the going rate was about $2500 for a 3 year H1-B, renewable for 3 more years. Since H-1B's require certain skills which clearly Ate does not have I must assume that Ate's H-1B states that she is something like "health educator," or "IT specialist," or maybe "Healthcare IT Specialist," or perhaps "Bowel Movement Engineer." Who knows? Yet since she travels freely she must have an illegal H-1B, for I know of no other way.
This too explains how brother proudly told me that when he finished his schooling in Cebu, Philippines that Ate would bring him to America too, but how? Auto Mechanic is not an accepted skill for an H-1B, ah but "Combustion efficiency engineer" just might be. What's $2500 for a 3 year H-1B? Not a big deal. So it seems that Ate saved $2500 at my expense. I suppose it beats having malaria or schistosomiasis (parasitic diseases), or maybe not--both can be cured for less than $1000.00, a fraction of what I expended.
But now I start to wonder. How is it that Arizona BON never even questioned whether a person taking the test even belongs here? Ah, but how is it that last week, in my small state of New Hampshire 10,500 people went to work--all illegal. And how is it that in Massachusetts a person can get a driver's license and register a car and be an illegal (ok to be politically correct: undocumented) alien?
The answer is simple. There is a big demand for illegal immigrants and many Americans benefit too. I'm betting that throughout the US there is a network of healthcare workers, probably mostly for homecare and it goes like this: "Yes, we can come and care for your elderly parent, we'll send an LNA and it will cost you $35/hour." Or "Yes we can come and care for your elderly parent, we'll send a Certified Caregiver (and show you the Philippine cert) and oh by the way this excellent caregiver is not yet documented, and so we only accept cash, but our cost is $23/hour." See how it works?
Will anything be done? Will or have ICE (Immigration and Customs Enforcement) done anything about my case? I'll never know, they do not tell. In my case Ate made a fatal error. Some years ago the scam would have worked perfectly but at least the laws have changed some and now if a marriage ends shortly after AOS acceptance, the path to citizenship ceases. But as you see above, no matter, for my (ex) wife, will pass the CNA, of that I have no doubt. And if she stays here even in overstay as an illegal, and works 5 years, she will have earned (and been able to save) more than she could working 35 years in the Philippines.
It's a crazy world.
steppybay
1,882 Posts
Nursing Philippines: End of the Demand
The American Nursing shortage is over
Kenneth Mann.......http://icedragon7.hubpages.com/hub/Nursing-Philippines-End-of-the-Demand#
DISCLAIMER MEMO: I did NOT write this, this was passed on to me by another person. I don't know who the actual writer is, she didn't tell me, but it was passed on to her from another friend. But definitely the original writer deserves all the credit for coming out and describing exactly what has been happening from a historical standpoint to present day issues from the frauds to the concurrency to the current job market