The text describes the situation of Dr. Ramirez, a physician from the Philippines who is set to return to her home country due to the expiration of her visa. The author is appealing to Senator Dewey Bartlett for help in securing a new visa for Dr. Ramirez so that she can continue working at the Claremore Indian Hospital in Oklahoma. There is a shortage of physicians nationally and especially in the Indian Health Service, making Dr. Ramirez's skills and experience invaluable to the hospital. Time is of the essence as another hospital has already offered her a position.