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The Economic Impact of Medical Migration: A Receiving Country's Perspective
Authors:Martine Rutten
Institution:1. Rutten: Royal Tropical Institute, PO Box 95001, 1090 HA Amsterdam, Netherlands;2. Erasmus University Rotterdam and Institute for International and Development Economics (IIDE). E‐mail: . The author wishes to thank Joe Francois and Geoff Reed for their valuable comments and suggestions. The paper presents the opinion of the author, and is not meant to reflect the opinion or official position of any institution with which she is or has ever been affiliated with. The responsibility for any remaining errors or infelicities remains with the author.
Abstract:This paper seeks to determine the macroeconomic impacts of migration of skilled medical personnel from a receiving country's perspective. The resource allocation issues are explored in theory, by developing an extension of the Rybczynski theorem in a low-dimension Heckscher–Ohlin framework, and empirically, by developing a static CGE model for the UK with an extended health sector component. Using simple diagrams, an expansion of the health sector by recruiting immigrant skilled workers in certain cases is shown to compare favorably to the long-term (short-term) alternative of using domestic (unskilled) workers. From a formal analysis, changes in nonhealth outputs are shown to depend on factor-bias and scale effects. The net effects generally are indeterminate. The main finding from the applied model is that importing foreign doctors and nurses into the UK yields higher overall welfare gains than a generic increase in the NHS budget. Welfare gains rise in case of wage protection.
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