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‘Luring’ Overseas Trained Doctors to Australia: Ethical Issues in Training and Trading Robyn Iredale, Adjunct Senior Research Fellow Australian Demographic and Social Research Institute (ADSRI) ANU Outline Background Ethical issues (a) Non-recognition of some foreign medical qualifications (b) Meeting national shortages with overseas doctors (c) Impact of the loss of medical human resources (d) Escalating medical practitioner migration ‘brain drain’ Australia’s history of medical migration Rates of medical migration and trade in medical services to Australia from 1996 Regulation, recognition and rewards from 2000 Conclusion Background supply of medical practitioners is the centrepiece in health service delivery many countries experiencing shortages immigration of doctors, first or last resort? doctors came in regular migration intake but now more targeted (long and short term) WTO GATS Mode 4 intended to increase trade in medical services Ethical Issues (a) Non-recognition of some foreign medical qualifications Ongoing issue in most countries of immigration Justified in terms of maintenance of high standards Often contaminated by labour market demand and supply issues GATS Mode 4 also has serious recognition issues Ethical issues (cont.) (b) Meeting national shortages with medical practitioners from overseas heightened international demand and competition for medical professionals Figure 1 shows the proportion of foreign-born among practising doctors in selected OECD countries in 2000 — NZ had 46.9% and Australia had 42.9% of their MP workforces born overseas. Many other OECD countries had above 25% Figure 1: Proportion of foreign-born among practising doctors in selected OECD countries, 2000 Figure 2: Proportion of foreign trained doctors in selected OECD countries in 2000 2005 NZ with 35.6% in 2005 was again at the top, followed by the UK (33.1%) and England (32.7%) Big increase in Ireland from 11.1% in 2000 to 27.2% in 2005 was the most dr