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• W2022154612 abstract "The thoughtful analysis by Bob Bond and Barbara McPake (April 29, p 1448)1Pond B McPake B The health migration crisis: the role of four Organisation for Economic Cooperation and Development countries.Lancet. 2006; 367: 1448-1455Summary Full Text Full Text PDF PubMed Scopus (60) Google Scholar is timely and raises several issues, some of which I highlight here.First, to rein in migration from poor countries, policymakers must simultaneously calibrate demand, supply, price, and global professional mobility. The latter is easier said than done. Ethics, trade, global relations, and the globalisation engine will not support drastic migration controls without hurting other global achievements. For instance, we cannot suddenly lock out medical talent while competing for other talent.2Kapur R McHale J Give us your best and brightest: the global hunt for talent and its impact on the developing world. Center for Global Development, Washington, DC2005Google Scholar, 3Florida R The flight of the creative class: the new global competition for talent. HarperCollins, New York2005Google ScholarSecond, policies within the Organisation for Economic Cooperation and Development (OECD) cannot fix the source countries' push factors. Health workers from such countries could remain at home and simply quit the profession, leading to internal brain loss,4Ogbu UC Arah OA The metrics of the physician brain drain.N Engl J Med. 2006; 354: 528-530Crossref PubMed Scopus (9) Google Scholar or will continue to migrate in smaller numbers to largely non-OECD destinations (a form of “background migration” that may also occur in OECD countries given the global freedom of and market for professionals).Third, the migration crisis is partly induced by OECD supply shortages which in turn have been powerfully influenced by organised medical associations such as the American Medical Association (AMA). Several times in the past 50 years, the AMA and even some medical deans resisted medical school expansions which have contributed to swings in physician supply in the USA.5Blumenthal D New steam from an old cauldron—the physician-supply debate.N Engl J Med. 2004; 350: 1780-1787Crossref PubMed Scopus (87) Google Scholar Such incidental resistances, often based on professional power ideologies and perceptions, can make workforce planning difficult, and thus undermine the ability of policymakers and their researchers to “grasp” the science of lagged effects of physician supply interventions. We should not expect any magic bullets from national OECD countries' policies.I declare that I have no conflict of interest. The thoughtful analysis by Bob Bond and Barbara McPake (April 29, p 1448)1Pond B McPake B The health migration crisis: the role of four Organisation for Economic Cooperation and Development countries.Lancet. 2006; 367: 1448-1455Summary Full Text Full Text PDF PubMed Scopus (60) Google Scholar is timely and raises several issues, some of which I highlight here. First, to rein in migration from poor countries, policymakers must simultaneously calibrate demand, supply, price, and global professional mobility. The latter is easier said than done. Ethics, trade, global relations, and the globalisation engine will not support drastic migration controls without hurting other global achievements. For instance, we cannot suddenly lock out medical talent while competing for other talent.2Kapur R McHale J Give us your best and brightest: the global hunt for talent and its impact on the developing world. Center for Global Development, Washington, DC2005Google Scholar, 3Florida R The flight of the creative class: the new global competition for talent. HarperCollins, New York2005Google Scholar Second, policies within the Organisation for Economic Cooperation and Development (OECD) cannot fix the source countries' push factors. Health workers from such countries could remain at home and simply quit the profession, leading to internal brain loss,4Ogbu UC Arah OA The metrics of the physician brain drain.N Engl J Med. 2006; 354: 528-530Crossref PubMed Scopus (9) Google Scholar or will continue to migrate in smaller numbers to largely non-OECD destinations (a form of “background migration” that may also occur in OECD countries given the global freedom of and market for professionals). Third, the migration crisis is partly induced by OECD supply shortages which in turn have been powerfully influenced by organised medical associations such as the American Medical Association (AMA). Several times in the past 50 years, the AMA and even some medical deans resisted medical school expansions which have contributed to swings in physician supply in the USA.5Blumenthal D New steam from an old cauldron—the physician-supply debate.N Engl J Med. 2004; 350: 1780-1787Crossref PubMed Scopus (87) Google Scholar Such incidental resistances, often based on professional power ideologies and perceptions, can make workforce planning difficult, and thus undermine the ability of policymakers and their researchers to “grasp” the science of lagged effects of physician supply interventions. We should not expect any magic bullets from national OECD countries' policies. I declare that I have no conflict of interest." @default.
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• W2022154612 title "The health-worker migration crisis" @default.
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