Here is my opinion, now just a patient but a retired RN. I worked for a large University teaching hospital in heme/onc. It was like working in the United Nations. I really saw no difference from the American docs vs the international docs. They were all excellent. I did find the Docs from outside of the U.S. a little better prepared coming into clinic. In the clinic we only allowed attendings and fellows. I worked with physicians from India, China, Italy, Iran, Mexico and the United States. I personally now have 1 Doc from India and 1 Doc from Sri Lanka. I don't choose my personal physicians by nationality but how well we interact and training. I don't understand why it makes a difference as long as they are highly trained, pass boards and have great bedside manner. I just want a Doc that listens and explains.