Yes. I hate to say it, but Mexican Builders in New Orleans are spectacular. A lot are not US citizens, and many do not have a green card.
But, a lot of them are fast construction workers, fearless on roofs, rarely have job injuries, and KNOW construction.
Montana needs to build houses, plain and simple. They need to figure out if they want multi-family and or smaller houses to heat/cool that are affordable. McMansions are not one size fits all and are not realistic anymore. People who banded together during Covid, moved back in with family, and people on government assistance, were not willing to go back out there again if they didn't have to. The Meth & Fentanyl crisis exploded too, so there's that. So, (not to be crass, but) if you are on drugs and can spend months in granny's basement gaming...then why go be a barista, make pizzas, or mop the floors at the hospital, for example.
You mentioned lack of doctors... New Orleans had the same sucker-punch after Covid, because many had been in practice for awhile, and the large Hospital Conglomerates wouldn't give them their privileges if they hadn't gotten the Jab. My beloved family doctor hung it up and retired (early)- - as a lot of doctors did. No one was given credit for the best Covid fighter - - God-given Natural Immunity. Doctors know this - - and like the rest of us....nobody wants to be bullied. Now, the Conglomerates are requiring new doctors (and nurses/staff) to get the Jab even though it's not necessary for the disease. (The Moderna Covid vaccine caused an epidemic of myocarditis/deaths in young and middle-aged men - - and the UK banned it.)
Doctors are going to be a hard thing across the country to wrestle with to increase numbers. The malpractice rate in the country is 50% according to the insurance companies. Hospitals have begun to hire PAs (Physician's Assistants) who go through a 2-year program out of college, can see patients on behalf of a "supervising doctor" (that the patient NEVER sees) but the PAs can WRITE PRESCRIPTIONS. However, none of them want to write narcotics, and for that you would be referred to a pain management MD, and make a case for any narcotic. Times changed.