Powerful lobbies are surpressing the number of doctors practicing in the US. If a foreign doctor wants to emigrate and practice here they cannot until they pass TOEFL (reasonable) AND finish US-based residencies, of which there are few. I know a Russian dermatologist who has been a receptionist for years because she cannot get ECFMG certification. Some states are wising up and waiving the residencies, but way more need to do it.

I honestly think it’s because in measures of distance, a US American could be considered well-traveled without ever having left the United States. Living in DC and visiting Florida or California is a big trip logistically. I love to travel and have moved a LOT and I have just barely been to every state in the US (some I only drove through, fuck rural Nebraska). While I disagree personally, I think that most Americans just don’t see the immediate utility in learning other languages.

Not learning Spanish in school as a requirement at this point is just racism, though.

I am of Italian descent but also Italian-American. Those are different things in my mind. Like, I am learning Italian and learning about Italian culture today (my father and I are trying to get our Italian citizenship although it’s a long road). That is separate from the Italian diaspora that my father’s family settled into as immigrants in the US. That community has it’s own cultural practices and nuances that may be roughly sourced from the same place as my ancestors from Italy, but they aren’t the same. I am proud of both, I see no reason to discard the Italian-American label just because Italians might make fun of me. I don’t pretend being Italian-American makes me Italian or able to speak for Italians or Italy.

That said, my mother’s side of the family is decidedly more WASPy and while I am no less accepting of that heritage, I see no real reason to deliberately celebrate it. It’s the dominant “culture” in the US and in no danger of being assimilated away. It may just be that those of us who came from a minority community (no matter how distant that status is from the present) feel driven to protect it on some level.