Megan McArdle at Instapundit describes another case of Lancet’s preaching that probably deserves the Shannon approach: apparently it is a “crime” to “poach” third world health professionals. While there is much to be said for a sense of duty and a sense of loyalty to one’s home turf, most of us consider the importance of those ties as the business of each doctor.
It does, however, make me curious about a phenomenon I’ve noticed locally but have no idea of its breadth. Some of our readers may have a context.
We have many doctors who think of themselves as Indian – and are, in culture, religion, cuisine, languages, etc. (I don’t know any well, but many preferred Montessori, so each daughter had friends from among this group. My first two children were delivered by one of those doctors.) Some of these professionals – mainly doctors – came to our provincial area from places like Uganda. Doctors, like all immigrants, are pulled by a desire for security and money, pushed by economic and political upheavals. I’m not sure why we should expect them to ignore the pull of money. But, I wonder if the Lancet considered other motivations, as well. Citizens (whether Ugandan doctors or Mexican homebuilders) of a country ruled by law, which encourages transparency and believes that businesses (e.g., doctor’s offices) thrive best when there is a high level of confidence that the future will not differ drastically from the past are less likely to leave.