Catherine Ceniza Choy, associate professor of ethnic studies at UC Berkeley, and author of Empire of Care: Nursing and Migration in Filipino American History (Duke University Press, 2003) concludes that the former colonial relationship between the United States and the Philippines laid the foundation for the mass migration of Philippine nurses to this country in the better half of the 20th century.

While some of challenges faced by immigrant nurses from the Philippines are similar today as they were thirty years ago, others are relatively new. Significantly due to a much more complex work environment than that of a generation ago, including new high-tech equipment, paperless records, increased regulation, utilization review guidelines and new disease management concepts, to name just a few.

There are also more barriers to immigration. Foreign-educated RNs applying for an occupational visa must obtain a VisaScreen certificate issued by the Commission on Graduates of Foreign Nursing Schools, an international authority on credentials evaluation of health care professionals worldwide.

The times and technologies change but Filipino nurses are nonetheless welcome and needed in the USA.

The push and pull rate for qualified nursing professionals lures international Registered Nurses. More than fifty percent of schooled outside the United States are from the Philippines. Let alone Philippine-educated  healthcare professionals who work as Physical Therapists (PTs), Licensed Vocational Nurses (LVNs), Licensed Practical Nurses (LPNs), Certified Nursing Assistants (CNAs), and Certified Home Health Aides (CHHAs), it manifests that healthcare professionals from the Philippines has a great impact on the quality of American Healthcare.