This report from the BBC caught my eye.
The recruitment of nurses by high-income countries from poorer nations is "out of control", according to the head of one of the world's biggest nursing groups.
The comments come as the BBC finds evidence of how Ghana's health system is struggling due to the "brain-drain".
Many specialist nurses have left the West African country for better paid jobs overseas.
In 2022 more than 1,200 Ghanaian nurses joined the UK's nursing register.
This comes as the National Health Service (NHS) increasingly relies on staff from non-EU countries to fill vacancies.
Although the UK says active recruitment in Ghana is not allowed, social media means nurses can easily see the vacancies available in NHS trusts. They can then apply for those jobs directly. Ghana's dire economic situation acts as a big push factor.
Howard Catton from the International Council of Nurses (ICN) is concerned about the scale of the numbers leaving countries like Ghana.
"My sense is that the situation currently is out of control," he told the BBC.
"We have intense recruitment taking place mainly driven by six or seven high-income countries but with recruitment from countries which are some of the weakest and most vulnerable which can ill-afford to lose their nurses."
The head of nursing at Greater Accra Regional Hospital, Gifty Aryee, told the BBC her Intensive Care Unit alone had lost 20 nurses to the UK and US in the last six months - with grave implications.
"Care is affected as we are not able to take any more patients. There are delays and it costs more in mortality - patients die," she said.
She added that seriously ill patients often had to be held for longer in the emergency department due to the nursing shortages.
One nurse in the hospital estimated that half of those she had graduated with had left the country - and she wanted to join them.
There's more at the link.
That report was about nurses; but one could find similar reports about almost every skilled profession in Third World countries. To many students there, a professional qualification is a ticket to a better life in a First World nation, and they pursue it avidly. Across the Third World as a whole, I doubt whether even one in three professionals - medical personnel, engineers, architects, computer specialists, whatever - stay there more than a few years after they qualify. Their skills are in high demand in other countries that offer a better life, and they'll willingly accept lower wages than local personnel in exchange for an immigration visa and the vastly improved living conditions that go with it.
One can't blame them, of course; but it's devastating many poorer countries, who simply can't afford to educate their brightest and best students, only to lose them to richer nations who can offer them more. I know that several countries in Africa now make medical students sign agreements that they'll work for at least a certain number of years in their countries of origin after graduation, or lose their student subsidies and be forced to repay them. This hasn't stopped the problem: many of those students simply abscond without bothering to go through emigration formalities, then refuse to pay. Attempts to coerce them by making their parents co-responsible for repaying study subsidies haven't worked, either, because many of their parents are so poor they can't do so, no matter how much pressure is applied. (Besides, once established overseas, many professionals bring their family over to join them, nullifying such pressures.)
Even churches face such pressures. The Catholic Church in the USA can't find enough candidates for the priesthood to meet local demand, so it "imports" priests from India and elsewhere to fill the gaps. I'd estimate that there are currently at least several hundred of them, if not into four figures worth.
On the receiving end of such emigration, there are problems too. Cultural differences, work ethos, etc. are very different, making it awkward for new arrivals to fully integrate into their professions here. There's also the problem that professional standards are often not the same. What might be acceptable treatment, or management practices, or whatever, in the Third World may not be at all appropriate in the First. I've heard several complaints about foreign doctors from Americans that I'm pretty sure amounted to not much more than cultural differences. Being an immigrant myself, I could perhaps weigh up the nuances better than those born and raised here.
There's no real answer to the problem. It's been in progress for a long time, and as long as the First World is richer and more comfortable than the Third, it'll continue. Sadly, that means a lot of Third World nations will continue to lose their brightest and best citizens to countries that can offer them more, leaving the rest of their citizens to cope with shortages and an infrastructure that's breaking down under the "brain drain".