Impact of Merit-Based Immigration Policies on Brain Drain From Low- and Middle-Income Countries

PURPOSE Brain drain is the migration of educated and skilled individuals from a less developed region or country to a more economically established one. The Trump administration proposed a merit-based immigration plan. This article addresses its potential impact on health care delivery in low- and m...

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Main Authors: Nagi S. El Saghir, Benjamin O. Anderson, Julie Gralow, Gilberto Lopes, Lawrence N. Shulman, Hiba A. Moukadem, Peter Paul Yu, Gabriel Hortobagyi
Format: Article
Language:English
Published: American Society of Clinical Oncology 2020-11-01
Series:JCO Global Oncology
Online Access:https://ascopubs.org/doi/10.1200/JGO.19.00266
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author Nagi S. El Saghir
Benjamin O. Anderson
Julie Gralow
Gilberto Lopes
Lawrence N. Shulman
Hiba A. Moukadem
Peter Paul Yu
Gabriel Hortobagyi
author_facet Nagi S. El Saghir
Benjamin O. Anderson
Julie Gralow
Gilberto Lopes
Lawrence N. Shulman
Hiba A. Moukadem
Peter Paul Yu
Gabriel Hortobagyi
author_sort Nagi S. El Saghir
collection DOAJ
description PURPOSE Brain drain is the migration of educated and skilled individuals from a less developed region or country to a more economically established one. The Trump administration proposed a merit-based immigration plan. This article addresses its potential impact on health care delivery in low- and middle-income countries (LMICs) and their preparedness to deal with it. MATERIALS AND METHODS Data on immigration policies, numbers of international medical graduates practicing in high-income countries (HICs), various scientific exchange methods, and efforts for capacity building in LMICs. RESULTS Talented individuals seek to advance their knowledge and skills, and may stay in HICs because of greater rewards and opportunities. HICs also rely on immigrant international medical graduates to supplement their physician workforces. CONCLUSION Ambitious individuals from LMICs need and should have opportunities to advance their education and training in more advanced countries. LMICs should increase their educational efforts, research capabilities, infrastructures, and living conditions to better serve their own populations and reduce their brain drain phenomenon.
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spelling doaj.art-8326055046b44ee68ce285d34cb4434f2022-12-21T23:32:44ZengAmerican Society of Clinical OncologyJCO Global Oncology2687-89412020-11-01618518910.1200/JGO.19.00266Impact of Merit-Based Immigration Policies on Brain Drain From Low- and Middle-Income CountriesNagi S. El Saghir0Benjamin O. Anderson1Julie Gralow2Gilberto Lopes3Lawrence N. Shulman4Hiba A. Moukadem5Peter Paul Yu6Gabriel Hortobagyi7Division of Hematology Oncology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, LebanonFred Hutchinson Cancer Research Center, University of Washington, Seattle, WAFred Hutchinson Cancer Research Center, University of Washington, Seattle, WASylvester Comprehensive Cancer Center at the University of Miami and the Miller School of Medicine, Miami, FLAbramson Cancer Center, University of Pennsylvania, Philadelphia, PADivision of Hematology Oncology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, LebanonHartford HealthCare Cancer Institute, Hartford, CTThe University of Texas MD Anderson Cancer Center, Houston, TXPURPOSE Brain drain is the migration of educated and skilled individuals from a less developed region or country to a more economically established one. The Trump administration proposed a merit-based immigration plan. This article addresses its potential impact on health care delivery in low- and middle-income countries (LMICs) and their preparedness to deal with it. MATERIALS AND METHODS Data on immigration policies, numbers of international medical graduates practicing in high-income countries (HICs), various scientific exchange methods, and efforts for capacity building in LMICs. RESULTS Talented individuals seek to advance their knowledge and skills, and may stay in HICs because of greater rewards and opportunities. HICs also rely on immigrant international medical graduates to supplement their physician workforces. CONCLUSION Ambitious individuals from LMICs need and should have opportunities to advance their education and training in more advanced countries. LMICs should increase their educational efforts, research capabilities, infrastructures, and living conditions to better serve their own populations and reduce their brain drain phenomenon.https://ascopubs.org/doi/10.1200/JGO.19.00266
spellingShingle Nagi S. El Saghir
Benjamin O. Anderson
Julie Gralow
Gilberto Lopes
Lawrence N. Shulman
Hiba A. Moukadem
Peter Paul Yu
Gabriel Hortobagyi
Impact of Merit-Based Immigration Policies on Brain Drain From Low- and Middle-Income Countries
JCO Global Oncology
title Impact of Merit-Based Immigration Policies on Brain Drain From Low- and Middle-Income Countries
title_full Impact of Merit-Based Immigration Policies on Brain Drain From Low- and Middle-Income Countries
title_fullStr Impact of Merit-Based Immigration Policies on Brain Drain From Low- and Middle-Income Countries
title_full_unstemmed Impact of Merit-Based Immigration Policies on Brain Drain From Low- and Middle-Income Countries
title_short Impact of Merit-Based Immigration Policies on Brain Drain From Low- and Middle-Income Countries
title_sort impact of merit based immigration policies on brain drain from low and middle income countries
url https://ascopubs.org/doi/10.1200/JGO.19.00266
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