In addition to adopt a "healthy" child from China the wait has grown to 11 years. There that are those labeled as special needs (SN) and the process can be completed in 6-12 months give or take depending on various factors (mainly the lengthy paperwork completion). That 2,231 number was probably 99.9% SN kids. SN's are a variety of needs such as Down's Syndrome, blindness, deafness, mental delays, cleft palate, club foot, other physical deformities, cerebral palsy, heart conditions, to name a few. Some kids have multiple conditions. Not to mention the possible institution issues - delays, malnutrition, etc. You have to prove you have access to specialists to take care of needs and now you have to turn in home study updates throughout various times since the child was brought home. Home studies that must have the status of said child's medical condition(s). Since they seem so anti-hospital and the excellent care the family gives Josie I doubt they will adopt from China.
Also, I think in Ethiopia you have to stay a long period of time to get your court date, but Ethiopia is really clamping down too as its been shown to have some corruption issues like Guatemala. Families being tricked into giving up their children under the guise it is temporary for the child's education and that they will return once schooling is complete is an example.
I would bet that they "adopt" either a relative's child (like MEshelle did) or one from another Gothard family if they do any of that at all. Depends on how desperate they are for TV attention to do something dramatic for ratings.