Good. There is no shortage of doctors except the one created by accreditation cartel.

I'm curious what makes you think tech workers would monopolize the top spots? I would expect that companies desperate for experts in medicine, research, engineering, law, business (which, like tech, already pay high salaries) would be similarly willing to pay a premium to be able to hire the best from other countries.

How is that resolved now? Uniform probability sampling across all requests, regardless of occupation?