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Could someone explain to me why visas are focusing so much on skilled workers instead of more grunt-like work? Wouldn't the ideal be to have the positions reversed - encouraging companies to put citizens into specialist jobs, and filling out the manual labour tasks with visa-holders?
H1B is mostly about outsourcing jobs from the US to other countries. Certain companies get a bunch of these visas and bring people in, then, once they've learned the job, pull them back, with the work, to their home countries.

Instead of giving visas to companies, enabling those companies to hold the visas over the heads of the workers, we should end this program and just add suitable preferences to the normal immigration process.