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Nearly 1,000 patients come to Dr. Faysal Al Ghoulaâs pulmonology clinic in southwestern Indiana every year. Some come to manage chronic lung disease; others reckon with a new lung cancer diagnosis. The 38-year-old doctor also spends weeklong stretches in an understaffed ICU, watching over patients as ventilators hum and conversations tip between survival and loss. On his days off, he volunteers at a clinic for uninsured patients. The father of two summed it up: âItâs busy.â But even as demand for Al Ghoula grows, he fears that his ability to care for patients is at risk. Trump administration policy changes are putting a growing number of immigrant doctors in limbo. And Al Ghoula knows he could be next. Heâs from Libya, one of the 39 countries officials now call âhigh-risk.â Many immigrants from those countries who came to the US legally are facing indefinite delays in decisions on their applications for visas, work permits, green cards and citizenship. And some hospitals have already lost doctors, a loss felt across the communities they serve. According to the Cato Institute, a libertarian think tank, roughly 2 million immigration applications are affected by these po

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