The November issue of Health Affairs includes a Reform
Proposal co-authored by to researchers at the RAND Corporation, a post-doctoral
fellow at the Vanderbilt University School of Nursing, and two faculty members
at the Yale School of Heath.
The extensively researched
article explains the substantial size of foreign-born healthcare workers in the
United States. The Abstract to the
article explains that the authors:
Review the distribution of these workers and their countries of
origin, and we summarize the literature concerning their contributions to US
health care. We also report on these workers’ experiences in the United States and the
impact their migration has on their home countries.
Finally, we present policy strategies to increase the benefits
of health care worker migration to the United States while mitigating its
negative effects on the workers’ home countries.
The author’s strategies include:
attracting more people with legal permanent residency status
into the health workforce, reimbursing home countries for the cost of educating
health workers who subsequently migrate to the United States, improving
policies to facilitate the entry of direct care workers into the country,
advancing efforts to promote and monitor ethical migration and recruitment practices,
and encouraging the implementation of programs by US employers to improve the
experience of immigrating health workers.
The article is a must-read for those who are serious about attending
to US health care worker supply shortages.
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