Aid, restitution and international fiscal redistribution in health care: implications of health professionals' migration

Journal of International Development - Tập 18 Số 6 - Trang 757-770 - 2006
Maureen Mackintosh1, Kwadwo B. Mensah2, Leroi Henry3, Mike Rowson4
1Faculty of Social Sciences, The Open University, Walton Hall, Milton Keynes, UK
2Medical doctor and independent researcher, Kumasi, Ghana
3Research Fellow, Faculty of Social Sciences, The Open University, UK
4Independent Consultant, London, UK

Tóm tắt

AbstractHigh and sustained levels of migration of health professionals from labour‐short health services in low‐income countries to the health services of rich countries create a perverse subsidy from poor to rich, flowing across national boundaries. This subsidy worsens international inequality, and creates an obligation, both ethical and legal, for the payment of restitution. Drawing on the case of the migration of health professionals from Sub‐Saharan Africa to the UK, we argue that this obligation in turn constitutes an opportunity to shift development aid relationships away from a framework of charity towards a less neo‐colonial commitment to progressive international fiscal transfers. Copyright © 2006 John Wiley & Sons, Ltd.

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