I think you fundamentally misunderstood any aspect of society, civility and community building if you adhere to such ideas. The issue at hand is bad governance and resource management, not that “immigrants should be kept out”.
Immigration is needed at different parts of a country’s economic timeline, and the levels of immigration needed can vary depending on your needs to balance labor supply and demand. This isn’t about racism, or cultural differences. This is about good governance.
Doctors with proper training will do what they were trained for. Maybe personality traits play a role as well secondary, but stuff like culture is just noise compared to what really matters.
Maybe lol? There is basically no way of knowing cost going into anything or whether or not it will wind up being covered. Also when they get around to demanding money they won't necessarily do it all at once, you can get a bill a year after a visit even though they billed you the first time 4 months ago or some shit. A doctors office can handle this well with significant effort on their part or not.