President Trump issued a long-awaited executive order this week targeting H1B visas. The order could especially hobble Indian outsourcing companies.

In a briefing, the administration named large tech firms TCS, Infosys, and Cognizant for bringing in low-wage workers on H1B visas, as examples of “egregious violations”. Bottom line: the current lottery system for 85,000 H1B visas will be dismantled and replaced with one that prioritizes high-wage, high-skill workers.

The markets seemed to have anticipated this, evidenced by a significant drop in the visa applications for FY2018. Some believe this could also be due to large companies postponing new outsourcing initiatives.

This interesting infographic highlights areas most impacted by curbs on H1B visas.

The healthcare sector could feel the fallout as doctors get swept up in the visa clampdown and exacerbate the physician shortage.

The Indian IT sector seems to have its own troubles, quite apart from the H1B brouhaha. Earnings releases from TCS and Infosys this month reported low top line growth. A rash of share buybacks is unfolding, raising further questions about the growth prospects of the industry. Technology shifts, such as automation and cloud, threaten the core revenue model for these firms. Knowledge@wharton explores all of this and asks: Is the dream run over?

President Trump’s inauguration received the highest donations ever, including from drug makers seeking to protect profits. A lawyer with an impressive history of class action lawsuit wins is taking them on.

In other news, The President reignited the effort to repeal and replace the ACA, and health plans struggled with pricing for the exchange markets in 2018.

Digital health is the bright spot today. Here are 21 companies that are revolutionizing the way healthcare is delivered.

Rude doctors, rude nurses, rude patients. We have it all. This NYT piece examines the state of rudeness at healthcare institutions.

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