In the Federal Prison system. It used to be a few years ago that many if not most of the doctors were foreign and older and had not passed US boards.
The exceptions were to be found at Rochester FCI and Ft Worth FCI and Springfield.
Rochester which may now be closed was the only one worth a shite.
The backbone of the Fed’s medical system are the Physicians Assistants they hire. The older Vietnam era corpmen types who came over from VA hospitals had the reputation of being capable. many of the newer ones did not.
An unlicensed Fed prison doc made around 150K 10 years ago plus usual govt benefits.
PAs made 60K or so starting out.
Point is that medical care in any joint unless you are very lucky is substandard and probably worse than Canada.
and no one is gonna care of course unless their loved one is dying in there
A lot of the Cal system doctors were retired military. Now more foreign grown, including a lot of Filipinos. If I can increase my salary and work in a better place, why go into the prison and work in all that mess? Same for nurses, who can get a job just about anywhere.