Drawing on 121 in-depth interviews with first- and second-generation women and men physicians of Indian origin in the U.S. Southwest, I examine the incidence and nature of gender-based discrimination in American medicine. I focus on two aspects: (1) gender discrimination by employers and colleagues against women physicians of Indian origin and (2) the interaction of gender discrimination with race in the professional lives of first- and second-generation physicians. U.S. healthcare has become increasingly dependent on immigrants, in particular women physicians, from the developing world. I document the significant impact gender and race can have in molding the professional trajectories of Indian women physicians. The experiences of these physicians help clarify the interaction of skilled migrant workers with racial/ethnic and gender relations in U.S. workplaces.

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A signifi cant segment of internal migration in India at large, and in the states of Rajasthan and Orissa in particular, continues to be distress-led. Colossal collapse of rural employment generation, the economic setbacks at cultivation, and, the largely defi cient employment opportunities in urban centres among others, are believed to be the driving force behind the rise of a more insecure type of movement now. Paradoxically however, this movement occurs in a world supplemented by a renewed belief in sanctioning equality of opportunity as a way of life, propagating fuller economic growth, and endorsing greater social cohesion (Aldridge 2001), across the sociopolitical spectrum. As a result, migratory processes and their subsequent impacts thereof, attains critical signifi cance in the present times. It is in the above context that the proposed paper contextualizes migration debates within historiography, polity and economy of the states of Orissa and Rajasthan in India, and seeks to elucidate the formidable challenges it represents for the Indian social fabric.