Resolving the health service crisis?  To what extent does the VDP resolve the lack of health service professionals in Zambia? Two caveats emerge.  Firstly, the project shows how intervention from international organisations can work against trade union demands and employment issues. The project is introducing a model of outsourcing. The medical staff do not need to be based in hospitals so reducing government costs and decentralising employees. Recent strikes by nurses [1] shows dissatisfaction with work conditions and overwork. It raises concern over the motives of the VDP. Is the VDP encouraging social protection and an ethical work environment for all medical professionals? Or is the VDP an escape mechanism to keep wages low and neglect demands made by working nurses? A majority of the expert ‘virtual doctors’ employed are volunteers. Ultimately then the government might consider the VDP a good excuse not to invest in training Zambian doctors.  Secondly, does the VDP resolve the issue of brain drain? Improved incentives and increased salaries are required for trained medical professionals, to motivate them to stay. The VDP may help educated doctors but it does not provide them with reasons to remain in Zambia, rather it gives them contacts with outside healthcare systems where their skills will be much better rewarded.  [1] See further readings: Kunda, 2013.