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Should higher-income countries pay their citizens to move to foreign care homes?

de Vries, Bouke (2021). Should higher-income countries pay their citizens to move to foreign care homes? Journal of Medical Ethics, 47(10):684-688.

Abstract

Faced with relatively old and ageing populations, a growing number of higher-income countries are struggling to provide affordable and decent care to their older citizens. This contribution proposes a new policy for dealing with this challenge. Under certain conditions, I argue that states should pay their citizens to move to foreign care homes in order to ease the pressure on domestic care institutions. This is the case if—but not necessarily only if—(1) a significant proportion of resident citizens do not currently have access to adequate aged and nursing care; (2) the care in the foreign care homes is not worse than the one that is available in domestic care homes; (3) sending states conduct regular checks to ascertain that the level of care abroad is not worse or delegate this task to reliable local monitoring bodies; (4) appropriate measures have been taken to ensure that this type of migration does not harm local residents; and (5) the public money spent on the payments is not better spent on other ways of easing the pressure on domestic care institutions. I end by defending the proposed payments against the objection that they create morally problematic inequalities by exerting greater pressure on members of lower socioeconomic classes to migrate than on their more affluent compatriots.

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:01 Faculty of Theology and the Study of Religion > Center for Ethics
06 Faculty of Arts > Institute of Philosophy
Dewey Decimal Classification:100 Philosophy
Scopus Subject Areas:Social Sciences & Humanities > Health (social science)
Health Sciences > Issues, Ethics and Legal Aspects
Social Sciences & Humanities > Arts and Humanities (miscellaneous)
Health Sciences > Health Policy
Uncontrolled Keywords:Health Policy, Arts and Humanities (miscellaneous), Issues, ethics and legal aspects, Health (social science)
Language:English
Date:1 October 2021
Deposited On:21 Dec 2021 11:04
Last Modified:26 Oct 2024 01:40
Publisher:BMJ Publishing Group
ISSN:0306-6800
OA Status:Closed
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1136/medethics-2020-106380
Official URL:https://jme.bmj.com/content/medethics/47/10/684.full.pdf
Related URLs:http://jme.bmj.com/ (Publisher)
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