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Conflicting Obligations in the International Migration of Health Workers

  • Jeremy Snyder
Chapter

Abstract

Many moral wrongs allegedly take place due to the migration of skilled health workers from the developing to the developed world. In many cases, the immorality of this kind of migration is taken to be self-evident, as is the need for reforms aimed at creating an ethical system of health worker migration. While it might be uncontroversial that the ‘brain drain’ created by the migration of skilled workers out of the developing world is morally troubling, there is a danger in not clarifying and assessing charges of moral wrongdoing.

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References

  1. Allan, H. T. and Larsen, J. A. (2003), ‘Learning from Others: Overseas Nurses’ Views of UK Nursing’, Nurse Education Today, 23(6), 393–5.CrossRefGoogle Scholar
  2. American Federation of Teachers (2003), The State of the Healthcare Workforce, 2003, Washington: American Federation of Teachers.Google Scholar
  3. Attas, D. (2000), ‘The Case of Guest Workers: Exploitation, Citizenship and Economic Rights’, Res Publica, 6(1), 73–92.CrossRefGoogle Scholar
  4. Beitz, C. (1999), Political Theory and International Relations, Princeton: Princeton University Press.Google Scholar
  5. Benatar, S. (2007), ‘An Examination of Ethical Aspects of Migration and Recruitment of Health Care Professionals from Developing Countries’, Clinical Ethics, 2(1), 2–7.CrossRefGoogle Scholar
  6. Bergström, S. (2005), ‘Who Will Do the Caesareans When There is No Doctor?: Finding Creative Solutions to the Human Resource Crisis’, British Journal of Obstetrics and Gynaecology, 112(9), 1168–9.CrossRefGoogle Scholar
  7. Brubaker, B. (2001), ‘Hospitals Go Abroad To Fill Slots for Nurses’, Washington Post, 11 June 2001, 1.Google Scholar
  8. Buchan, J. (2002). ‘Nurse Recruitment: Going Places’, The Health Service Journal, 112(5816), 22–4.Google Scholar
  9. Buchanan, A. (2000), ‘Rawls’s Law of Peoples: Rules for a Vanished Westphalian World’, Ethics, 110(4), 697–721.CrossRefGoogle Scholar
  10. Clemens, M. (2007), ‘Do Visas Kill?: Health Effects of African Health Professional Emigration’, Center for Global Development Working Paper, 114, 1–56.CrossRefGoogle Scholar
  11. Committee on the Work Environment for Nurses and Patient Safety (edited by A. Page) (2004), Keeping Patients Safe: Transforming the Work Environment of Nurses, Washington: National Academies Press.Google Scholar
  12. Crozier, G. (2009), ‘Agency and Responsibility in Health Care Worker Migration’, American Journal of Bioethics, 9(3), 8–9.CrossRefGoogle Scholar
  13. Dwyer, J. (2007), ‘What’s Wrong with the Global Migration of Health Care Professionals?: Individual Rights and International Justice’, Hastings Center Report, 37(5), 36–43.CrossRefGoogle Scholar
  14. Eyal, N. and Hurst, S. (2008), ‘Physician Brain Drain: Can Nothing Be Done?’ Public Health Ethics, 1(2), 180–92.CrossRefGoogle Scholar
  15. Glaessel-Brown, E. (1998), ‘Use of Immigration Policy to Manage Nursing Shortages’, Image — The Journal of Nursing Scholarship, 30(4), 323–7.CrossRefGoogle Scholar
  16. Department of Health (2004), Code of Practice for NHS Employers Involved in the International Recruitment of Healthcare Professionals, London: Department of Health.Google Scholar
  17. Grimsley, K. D. (2000), ‘Immigrant Workers Abused, EEOC Says’, The Washington Post, 22 June 2000, 2.Google Scholar
  18. Hardill, I. and Macdonald, S. (2000), ‘Skilled International Migration: The Experience of Nurses in the UK’, Regional Studies, 34(7), 681–92.CrossRefGoogle Scholar
  19. Kittay, E. F. (1999), Love’s Labor: Essays on Women, Equality, and Dependency, New York: Routledge.Google Scholar
  20. Kline, D. S. (2003), ‘Push and Pull Factors in International Nurse Migration’, Journal of Nursing Scholarship, 35(2), 107–11.CrossRefGoogle Scholar
  21. da Luz Vaz, M. and Bergström, S. (1992), ‘Mozambique — Delegation of Responsibility in the Area of Maternal Care’, International Journal of Gynaecology and Obstetrics, 38 (Suppl), S37–9.CrossRefGoogle Scholar
  22. Martineau, T., Decker, K., and Bundred, P. (2004), ‘“Brain Drain” of Health Professionals: From Rhetoric to Responsible Action’, Health Policy, 70(1), 1–10.CrossRefGoogle Scholar
  23. McElmurry, B. J., Solheim, K., Kishi, R., Coffia, M., Woith, W., and Janepanish, P. (2006), ‘Ethical Concerns in Nurse Migration’, Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing, 22(4), 226–35.CrossRefGoogle Scholar
  24. McIntosh, T., Torgerson, R., and Klassen, N. (2007), The Ethical Recruitment of Internationally Educated Health Professionals: Lessons from Abroad and Options for Canada, Ottawa: Canadian Policy Research Networks.Google Scholar
  25. Meleis, A. (2003), ‘Brain Drain or Empowerment?’ Image: The Journal of Nursing Scholarship, 35(2), 105.Google Scholar
  26. Miller, D. (2001), ‘Distributing Responsibilities’, Journal of Political Philosophy, 9(4), 453–71.CrossRefGoogle Scholar
  27. Pereira, C., Bugalho, A., Bergström, S., Vaz, F., and Cotiro, M. (1996), ‘A Comparative Study of Caesarean Deliveries by Assistant Medical Officers and Obstetricians in Mozambique’, British Journal of Obstetrics and Gynaecology, 103(6), 508–12.CrossRefGoogle Scholar
  28. Pogge, T. (2002a), ‘Responsibilities for Poverty-Related Ill Health’, Ethics & International Affairs, 16(2), 71–9.CrossRefGoogle Scholar
  29. Pogge, T. (2002b), World Poverty and Human Rights, Oxford: Polity.Google Scholar
  30. Rawls, J. (1999a), The Law of Peoples, Cambridge: Harvard University Press.Google Scholar
  31. Rawls, J. (1999b), A Theory of Justice, Revised, Cambridge: Belknap Press.Google Scholar
  32. Reader, S. (2003), ‘Distance, Relationship and Moral Obligation’, Monist, 86(3), 367–81.CrossRefGoogle Scholar
  33. Snyder, J. (2009), ‘Is Health Worker Migration a Case of Poaching?’ American Journal of Bioethics, 9(3), 3–7.CrossRefGoogle Scholar
  34. Trossman, S. (2002), ‘The Global Reach of the Nursing Shortage’, The American Journal of Nursing, 102(3), 85–9.CrossRefGoogle Scholar
  35. Van der Linden, H. and Clark, J. (2005), ‘Economic Migration and Justice’, The International Journal of Applied Philosophy, 19(1), 45–61.CrossRefGoogle Scholar
  36. Wertheimer, A. (1996), Exploitation, Princeton: Princeton University Press.Google Scholar
  37. World Health Organization (2006), The World Health Report 2006: Working Together for Health, Geneva: World Health Organization.CrossRefGoogle Scholar
  38. Young, I. (2006), ‘Responsibility and Global Justice: A Social Connection Model’, Social Philosophy and Policy, 23(1), 102–30.CrossRefGoogle Scholar

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© Jeremy Snyder 2010

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  • Jeremy Snyder

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