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Only 60 of the 500 doctors trained in Zambia since independence are still there.4 Mozambique has only 500 doctors for a population of 18 million.5

Any number of incentives have been tried to persuade doctors to remain in or return to their countries of origin—enhanced salaries, better pensions, cars, and housing allowances. Ethical recruitment codes may make us feel that we occupy the moral high ground. But, as long as the rich countries have plenty of vacancies, the flow of healthcare professionals from South to North will continue.