Trump to impose $100k fee for H-1B worker visas, White House says

Instead of a flat fee, they should just auction off the visas, highest salaries win.

This has been proposed before and I don't really see any downsides. If your company really needs them, just pay them what they're actually worth.

This insures that tech and finance get all the visas. A lot of things like rural medicine gets staffing through h1b sponsored physicians and likewise for post-docs and researchers. If this gets implemented across the board, a lot of science is going to disappear and a lot of medical care (especially outside of cities) is going to get a lot worse.