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The agricultural migrant worker program is ok. They come in understanding what the job is and what they will get. The Mexican crew at my SO's old job have been coming for years, they're very much part of the family, and good friends with all the staff, and enjoy the season they spend there, and they make some amazing food for the harvest parties. I'm not saying it's perfect but at least it's honest about what they will receive, it's usually pretty friendly, and they're not handed a Tim Hortons uniform and directed to the nearest shelter while promised a better life, and having Canadians resent them for being there and taking up resources like housing (the migrant agricultural workers live on the farm or surrounding properties in more of a dormitory situation instead of finding their own housing). There is nothing pretentious about it and in my experience they're very peaceful people.
One thing I think would be better is to create an educational bridging program for doctors who come to Canada and don't qualify to work here. If we offered training at our standards to internationally trained doctors and made a deal with them they had to take a job in an underserviced area for family medicine in exchange and have a full roster of patients, that would be a better use of resources and would benefit everyone. There are so many who can't practice here, and I just think they could really be a valuable resource. I know a pediatric cardiologist from Pakistan who works as a cardiovascular testing tech, a geneticist from Brazil who is working as a translator, my own GP was a respirologist in Croatia and went through med school here again to practice in family medicine. Hell I know a German psychiatrist, who actually does have the same level of education and training as Canadian doctors, and they made him go through five more years of residency that he had finished 15 years before. Set them up to have the correct education to be GPs and sign a contract with them that they have to work in an area that is low in family doctors. I bet that would solve a lot.