The large inflow of Foreign Medical Graduates (FMGs) into the U.S. is cited and four issues discussed. They are: (1) the belief that the FMG is less qualified than the U.S. medical graduate and thus contributes to the decline in quality of medical care; (2) the loss of scarce manpower from less developed countries that have greater needs than the U.S. for medical care and for physicians; (3) the lessening of opportunity for large numbers of U.S. citizens to become physicians; and (4) if trends continue, then together with the recently increased capacity of U.S. medical schools, there will be an oversupply of physicians in the U.S. which could lead to adverse competitive behavior, unnecessary care, and higher costs. Each of these concerns is examined together with several alternatives for alleviating each concern and the probable consequences of each alternative. It is concluded that the differential effects of a reduction in FMGs alone does not appear to be the solution to any of the issues, nor is it realistic. The differential effects of a reduction in FMGs on the population they serve may more than outweigh any benefits from such arbitrary reductions. (LBH)