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

Maureen Mackintosh, Kwadwo Mensah, Leroi Henry and Michael Rowson
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Maureen Mackintosh: Faculty of Social Sciences, The Open University, Walton Hall, Milton Keynes, UK, Postal: Faculty of Social Sciences, The Open University, Walton Hall, Milton Keynes, UK
Kwadwo Mensah: Medical doctor and independent researcher, Kumasi, Ghana, Postal: Medical doctor and independent researcher, Kumasi, Ghana
Leroi Henry: Research Fellow, Faculty of Social Sciences, The Open University, UK, Postal: Research Fellow, Faculty of Social Sciences, The Open University, UK
Michael Rowson: Independent consultant, London, UK, Postal: Independent consultant, London, UK

Journal of International Development, 2006, vol. 18, issue 6, 757-770

Abstract: High 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.

Date: 2006
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Persistent link: https://EconPapers.repec.org/RePEc:wly:jintdv:v:18:y:2006:i:6:p:757-770

DOI: 10.1002/jid.1312

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