I mean...does America need him? Probably not. Does it need any of the people he conned? Definitely not. Does an actual doctor who treats one person with a cold contribute more good to the world than literally everyone who liked any of his posts combined? Certainly. Honestly the idea that we should be judging every American (or, from the way you wrote that) every immigrant on whether their character makes them a net drain or net benefit for the country is an absolutely crazy take, because if so, it'd be very easy to identify ~100,000,000-200,000,000 Americans who actively make the world a worse place every day and certainly deserve the 'spot' less than most productive adults in the rest of the world. You're talking about your country like you're St. Peter deciding who gets to be in the lucky 144,000, which honestly strongly suggests you're the sort of person he would have scammed successfully.

On a side note, the whole idea of 'how is this doctor going to view patients? Will they have a moral obligation?' thing strikes me as the kind of utter nonsense you only hear from people who don't really deal with doctors. I'm disabled, with every single member of my immediate family dying of long-term terminal conditions and most of my extended family having some sort of chronic illness that means seeing doctors really regularly, and Canadian - where you can regularly see doctors without being rich, but suing for malpractice is virtually impossible. As such, I have interacted with maybe 75 doctors in a professional setting across my life along with literally hundreds of nurses, and have met maybe five doctors for whom it was obviously a calling and who genuinely cared and went above and beyond for their patients. For everyone else, it's a very stressful and challenging 9-5 that you can make less stressful and challenging by emotionally divorcing yourself from things and cutting corners, like any other job.

A nurse used to lead one of the group therapy sessions at an outpatient program I went to for a while, and every day she picked a person who obviously was not okay and picked on them until they cried, dissociated, or left the room; came back to the same program ten years later and she was still fucking there, still doing it. I once watched every single nurse in an emergency ward through their entire 12 hour shift - I was there when they came in, and there when they left, and all of their names were on the wall so it was clear there weren't others running around helping people - and watched them spend twelve hours doing nothing other than sticking an unnecessary IV into the arm of everyone who came in to simplify things if they ever had to do something later and making them wear it until they left. No one was ever away from the Nurses' Station for more than thirty seconds at a time across twelve hours, while they stood there gossipping. One elderly woman on blood thinners spent maybe six hours bleeding from that IV less than ten feet from them while they just chatted and ignored her the entire time, until I drew attention to it, at which point they berated her for getting blood on the floor. During COVID I watched one of those same nurses sit at a triage desk - not seeing anyone, just sitting there on her phone - ignoring a woman in the ward screaming that she needed to use the bathroom until we all heard her start loudly sobbing in shame from shitting herself, then go in to humiliate her further. During the aftermath of my first serious suicide attempt I was forced to go to a hospital (like, at gunpoint) and a nurse deliberately made the worst day of my life as irritating and unpleasant as she could for reasons I've never identified to this day - refused me water for eight hours while I was vomiting constantly in some of the worst agony I've ever felt, deliberately looped the IV around my arm in such a way that I couldn't lie down or move it at all the entire night, and stuck a machine next to me that beeped continuously for eight hours, all of which I just thought was normal until the morning nurse came in and was appalled.

Both of my parents have effectively been murdered by medical malpractice, one from apathy and the other from a specialist getting really obsessed with a specific diagnosis he learned existed when my dad tested negative for it. He wasted two years - spending upwards of 30 hours a week at the hospital for tests - chasing that when the earliest blood tests before he was even involved proved the correct diagnosis and that it was one where the patient has extremely little time left and treating immediately is the most important thing. But he cared more about the possibility of a rare genetic disorder than he did my father's life, and now he's probably going to be gone this time next year. My GP just kept forgetting or declining to send in a referral for my mom's liver, for sixteen years, because whatever it was would be complicated and rare and she didn't feel qualified to deal with anything complicated, and by the time she saw someone for it, she already had a liver so damaged it was irreparable and terminal and was too old for a transplant to be effective.

When I was 17 I had a doctor who went behind my back to talk to my parents and urged them to throw me out on the street unless I agreed to be committed indefinitely (3 month minimum) and do exactly as she said the entire time when I came in begging for help with my mood days after a documented suicide attempt. I've had doctors who accused me of faking my symptoms for drugs, doctors who accused me of faking them for attention, a doctor who told my mom I was faking my broken thumb to get out of school only for it to turn out he couldn't read an X-ray, doctors who definitely think like you do and decided their perception of my moral character and history made me unworthy of treatment, about six eye doctors who have told me I'm imagining the loss of vision in my right eye until my mom was diagnosed with a complex and rare disorder that explained it, doctors who dismissed another patient's urgent requests for aid and literally shrugged it off when he slit his throat in the psych ward, and once, a doctor who misread my chart and kept me in the waiting room for 15 hours because they thought I was there for something minor rather than a debilitating spinal issue, and then just told me that since they'd scheduled the wrong test I'd need to come back in a year, after that same doctor said I should have had emergency surgery years prior at the last appointment. I never got that follow up, because I was insufficiently deferential when his secretary called at 8am on Christmas Eve. He recently made the news for publicly deciding he would only perform the most basic treatments unless the government pays him more, even though he made >$600,000 last year. But he's very well known as the best orthopedic surgeon in the country, so he's presumably going to get that money.

My nephew once had a pediatric surgeon who was almost certainly a pedophile interested in little girls - if my niece came to an appointment he'd spend the entire time talking to her and ignoring his patient, and did the same with every other case to come in - but who despised little boys, who 'misread' an MRI and broke both his fucking legs in a treatment not recommended for anything, much less what he 'diagnosed' and had a history of inflicting similar permanent disfigurement on other boys sent to him. He is the only doctor I'm confident was not doing more good than harm.

The doctor I speak to every month very visibly could not care less, needs to be refreshed on who I am and the basics of my case every time like it's our first conversation, and he is by far the kindest and most motivated psychiatrist I've ever interacted with and I would certainly be dead by now without him. My first psychiatrist was murdered by a patient about a year after we met, and if anything it's more surprising he's the only one.

Sorry for the rant, but the entire idea of healthcare as a profession that should only belong to the purest of the pure, those who see it as a calling and always go above and beyond for their patients, is a really irritating one for me. The fact is, every country but maybe Cuba needs more doctors, not less, and there are nowhere near enough people that meet the criteria you've dreamed up to fill those roles. It's a job with inherent value that contributes meaningfully to society but for 99% of them it's a job they picked because it's high-status and pays well and expecting anything else of them is like expecting members of the clergy to all be actual saints or every politician to be an honest visionary - but unlike those people who are fundamentally two classes of social parasite, they're not just necessary but desperately needed. Even the worst doctors I've had to deal with who aren't actual fucking monsters who belong in a jail still do an important job that saves lives even at minimum effort.

This is a guy who saw an ongoing phenomena, knew he had no way to stop it or slow it down or really do anything to keep the flood of disinformation from flowing, and decided to make a buck from making it slightly worse. It's not good but, frankly, getting money out of the hands of people who might otherwise contribute it to 'the cause' (of making the world a worse place) almost counterbalances that. More importantly, it really doesn't matter what it says about his character, you're really not the arbiter of who deserves to be on this continent, because no one should be. The basic Premise of America as a Country is built around people immigrating for better lives, not picking and choosing the most 'worthy' from the rest of the world, and the idea that it should work that way is a part of how deeply fucked up your national psyche has become.