This document discusses alternatives to the H-1B visa lottery system for high-skilled foreign workers. It outlines various visa options available based on a company's needs, a person's nationality, or professional background, such as the H-3, J-1, E-1, TN, H-1B1, E-3, E-2, L-1, O-1, and OPT-STEM visas. It also previews potential reforms to increase H-1B visas and reforms for H-4 dependent visas. The presentation aims to help companies and individuals avoid the uncertainty of the H-1B lottery.