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Appendix B Ethical Issues in Foreign Health Workforce Assistance Programs
Pages 157-163

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From page 157...
... His presentation was designed to articulate ideas that were put forth during the course of the two-day meeting of the Committee on the Options for Overseas Placement of U.S. Health Professionals.
From page 158...
... 158 HEALERS ABROAD questions in the design of the program. I don't think you can talk about ethical criteria unless you have some idea of what the program is.
From page 159...
... We have this odd situation in which the United States is now talking about sending over planeloads of volunteers, and they will wave in the window to all those physicians coming from those very countries on their way to better jobs in the United States. What do you call this?
From page 160...
... Also we could say that by providing the volunteers, we are partly compensating the countries for the subsidy that they are giving us by sending us their medical graduates. The third one, which is sort of allied to the third view about what this program is about, is to say, yes, there are equity issues here, and there is a solution to the equity issues, which is that the United States will help go to the root causes of the brain drain and the critical lack of qualified personnel by shoring up the health systems.
From page 161...
... What about this? Is it possible that coming in with a vertical program, an AIDS-oriented program, would have the effect, since it is going to be well-funded, even though these may be volunteers, of drawing people away from primary care and from other kinds of treatment, which, in fact, may be more cost effective?
From page 162...
... 162 HEALERS ABROAD could have done even more good, and you didn't go there." You wouldn't think of saying that. It is amazing that they did as much as they did, and bravo for them.
From page 163...
... But they are examples of what these rules could look like: · Benefit to the host country is the fundamental criterion of adequacy. · Capacity-building over the medium and long term is the primary goal.


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