Plan promotes abuse by bad governments

The proposition's plan can be described as a compensation system in which a rich country's government pays a poorer country's government for the migration of doctors that flow in the opposite direction. Even if the poorer country's government does not directly control the outflow of doctors, it may certainly affect the conditions that motivate the migration. It could reduce wages for doctors, impose controls over private provision of health services, introduce red tape for bureaucracy related to the practice of medicine, revoke licenses for "surplus" doctors, or any other institutional element that may motivate doctors to migrate to other countries, leaving the government with a significant amount for each doctor that leaves the country. A myopic government focused on hastily putting it's hands on money for, let's say, crushing the opposition or a neighbor country, may take such decisions and leave the country with insufficient doctors to meet the basic public health needs. There's simply no guarantee that the raised money will be used in the health sector, or even in any other meaningful priority, since most of the poor countries have transparency and institutional deficiencies that allow for corruption in the administration of State resources. Of course, that is the SQ, but the proposal would create the perception in governments of poorer countries that they can dispose of not only the cash they have in the bank, or the oil in the soil, but of the brains of people. Usually, medical unions have a strong bargaining power with governments. This is positive because it works as an educated balance of government power in the design of the public health policy. One of the collateral damages bred by the plan is that it leaves medical unions with a shrunk bargaining power in front of the government, which may present a "do this or leave" attitude, since it would be profitable if the latter happened. In the end, more room for discretionary and arbitrary policy making by the government would arise with reduced power of the medical unions. The proposition says that "This key change would align market forces with the interests of both sides of the contract". This is one of the major blunders in their case, since the decision of migrating is not a contract among governments, but an individual decision of a citizen trying to find a better economic and social environment where to live. Their plan creates a compensation system among governments, so the impact on people's migration comes after a certain action by the governments. In this context, the increased abuse and interfering by the poor country's government on the health system would undermine the rights of the individuals in comparison to the status quo, for it would lead them to take a decision (migrate) that they may have not desired in the very beginning. This is a remarkable fact, since the "Rights of the Individual" is a priority in the proposition's case. A question in this debate is: Who's responsible of migration? People leave their country in search for greater opportunities to reach a fulfilled and happy life. This is an individual decision that may very well depend on personal preferences or particular conditions in the host country. Nonetheless, one could say that when an emigration pattern arises in a country, it's because lacking proper economic and social conditions. The responsibility of guaranteeing such conditions relies on the governments, whose existence is only justified in promoting the welfare protecting the rights and freedoms of the citizens in their country. Except in cases of internal conflict or war, systematic emigration arises from failed policies sustained by the government. But contrary to what appropriate governance incentive schemes would require, what the proposition's plan does is reward governments for ineffective policies with bad outcomes. If a country is poor and doctors start leaving in the search for better conditions, the government would receive a financial boost that would motivate the perpetuation of the failed policies. The plan simply sets the wrong message. It rewards governments responsible of the lack of resources and opportunities in their countries with money that may perfectly be used in sustaining failed and arbitrary policies. All this scenarios are very plausible. Since brain drains happen mostly where government have been proven capable of taking irresponsible and bad decisions, it follows that to give them more things to be irresponsible about (reinvesting towards education, not engaging in pressuring people, etc) an ill-conceived idea.