Recent initiatives and executive orders of the US federal administration have brought into question America’s openness to immigrants across the world who seek a successful, valued life and career in the United States. There are many personal stories of surprised and anguished clinicians, graduate students, and clinical fellows studying and working in major US health care centers who have now found themselves in a border limbo, unable to return to their new home or to have their children and family join them solely based on a heavy-handed and uninformed executive action that is both perplexing and troubling.