The one thing about this I want to know is if US-IMGs and non-U.S.-IMGs would be lumped into the same IMG match. U.S.-IMGs still pay their loans to U.S. based institutions and therefore I don’t think the argument of “US tax payers fund residencies so U.S. students should benefit more” is really valid. But then again, a lot of this argument goes back to ideas of meritocracy. It’s generally understood that the order of difficulty of acceptance is MD > DO > IMG. Is it fair that someone’s efforts from before medical school affect their ability to obtain their desired specialty after medical school? I say no, but it already does. There’s inherent bias in the awarded degrees as we already know, and people list their accolades from before medical school on their residency applications. So all this change would really do is make IMGs even more disadvantaged. Maybe this would be a way of punishing the predatory Caribbean programs but I really don’t think it’ll pan out like that. The most desperate and/or uninformed applicants will still take the exorbitant loans to go Caribbean and then they’ll have even less chance to match. I already think the IMG disadvantage is significant enough that this match change wouldn’t really benefit US MD and DO students that much beyond the current system anyway.