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A nation is a group of people with shared heritage and language. It is not an economic zone, and it is not a above-median-skilled person. GDP is not a nation. Ideals are not a nation.
I will not give away my inheritance, and the inheritance of my children, for cheaper healthcare. I will not do it for cheap fruit or cheap cotton. My ancestors lived and died on the frontier without healthcare, and I'd rather my descendants do the same than live in a country where they are a hated minority. We already are hated, by blacks and asians and yes, indians, and as soon as we're a minority we will see the landscape shift rapidly against us.
Additionally, he's a shrink. Not even a PCP or surgeon or ER doc. He's not curing diseases, or treating the sick, he's treating depression and anxiety and ADHD. I don't think we need to be importing people for that purpose at all, and to conflate this with that is part of the shell game.
This sounds like you mostly agree with my analysis, it's not exactly "I hate Indians" (though it might be) but "I think the presence of even competent Indians that benefit the economy is bad for my descendants" and you basically do think he's less competent than the median American doctor because you don't think psychiatry is all that useful (or that it's just saturated).
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