Their plan is a failed Economic Model

The concept of demand, according to Arthur Sullivan, is the desire to own something and the ability to pay for it [[Sullivan, arthur; Steven M. Sheffrin, 2003. Economics: Principles in action. Upper Saddle River, New Jersey 07458: Pearson Prentice Hall. pp. 79. ISBN 0-13-063085-3.]]. In this sense, there is the need for a good or service, and there is a capacity to acquire a good or service. In international trade, when the invisible hand arranges incentives for the world to have laptops made in Taiwan, it does so because Taiwan is more efficient at providing the world demand of computers. Now, maybe I need a laptop for working all day and for debating until dawn, but I have to stick to this Pentium III dinosaur instead. Maybe some Canadian kid just wants a computer to play Monkey Island once in a while, but since his father has the money, he gets him the laptop I wanted. This is a cartoonish depiction of how the Capacity element makes the concepts of Need and Demand so different from each other. The Taiwanese company is centered on satisfying the demand for computers, but not the need of computers. Prop. may say "Needs are based in preferences, and these are not comparable nor can be aggregated, according to Economics Nobel Laureate Kenneth Arrow". Even when this may be arguable, the fact is that when it comes to health care, the UN has clearly established worldwide priorities in the Millennium Development Goals. These are: reduce child mortality AND maternal mortality in two thirds and reverse the spread of HIV/AIDS, Malaria and other diseases The areas most affected by these problems are Subsaharan Africa and Southern and Western Asia (Affected as well by poverty, hunger, and all the other elements set as priorities by the UN). [[http://mdgs.un.org/unsd/mdg/Resources/Static/Products/Progress2008/MDG_Report_2008_En.pdf#page=22]] So let us be clear erectile dysfunction is indeed terrible. But according to the consensus of the leaders of all countries the priority of the world efforts should be to solve the health problems that particularly affect the poor areas. And these areas are the priority because they lack of capabilities. The whole "comparative advantage" of poor countries over rich countries is based in the higher capacity (and therefore, demand) for accessing medical services and everything else in rich countries. It is our case that the mechanism proposed by the proposition would arrange market forces in a negative way that will damage priority health care in poor countries. First of all, it must be said that demand for health care in developed countries is inelastic. This means that an increase in the price paid will have a very small impact over the quantities demanded of the service. [[http://books.google.com/books?id=rwYSN_QU9gIC&pg=PT183&lpg=PT183&dq=economic+elasticity+medical&source=bl&ots=lTlDE6mIEM&sig=vsrSZWZG-n7pkNVWgUxyuMAKx7k&hl=en&ei=zwGwSua5HaGStgfXqq2yCA&sa=X&oi=book_result&ct=result&resnum=9#v=onepage&q=economic%20elasticity%20medical&f=false]] In this sense, having people in rich countries pay compensation to poorer countries will not significantly decrease their demand for health care, so their demand for foreign doctors would stay pretty much the same. But their system will quickly increase the supply of doctors to rich countries with doctors currently supplying the need in poor countries. This is so because governments in poor countries will seek alleged "profit" by causing further brain drain as explained in our other arguments.This process may leave the poor country with more cash, but this may perfectly translate into worsened health care for the poor. Training new medical personnel to replace brain drain can not be easily done with money. The fact is that human capital is a scarce resource and it takes a lot of time to produce it. In the case of the medical personnel it takes several years of training and work experience. In the example of Kenya (already mentioned by the other team) it takes 4 years to become a bachelor in Medical Physiology or to get a nursing degree.[[http://www.uonbi.ac.ke/academics/degree-information/?page=Bachelor&id=99]].[[http://www.ku.ac.ke/schools/health/index.php?option=com_content&view=article&id=38:department-of-nursing-sciences&catid=19:departments&Itemid=35]]. To the 4 years we have to add the valuable and needed years of work experience. All this reveals that investments in improving medical capability and training personnel are long term. Money is not necessarily sufficient to compensate for the time it needs to train medical personnel. On the other hand, for this specific case, the market fails to accommodate immediately. The lag between exporting medical personnel and the training of new personnel is extremely harmful. This lag means that myriad of poor people will not have the same access to health and will feel the consequences of the mechanism. The lack of access to health causes both political instability and economic meltdown.The plan may actually even decrease the production of medical personnel in poor countries. First, exporting medical personnel may export medicine, physiology and nursing professors that would not be there to train the new personnel. Second, lack of health decreases labor productivity and even decreases the accumulation of capital. Health is a factor that encourages economic growth by improving labor productivity and through the accumulation of capital by extending life expectancy. In a a study done by three Harvard professors their " main result [...] is that health has a positive and statistically significant effect on economic growth. It suggests that a one-year improvement in a population’s life expectancy contributes to an increase of 4% in output" [[http://qcpages.qc.cuny.edu/~redwards/GC-Econ71100/bloom-etal-wd04.pdf]]. The proposition's plan may severely threatened the capacity of the country to grow which discourages new investments in health and worsens the situation. At the end, the country may enter into a vicious cycle of lack of health followed by lack of grow and so on, just for liquidating a valuable asset: their medical personnel. It isn't even sure that this mechanism will increase the health budget, since poor country governments may discretionally use the received income for different means. It may be even worse, because if the system just compensates governments for the amount spent in training doctors, then there wouldn't even exist a profit. Proposition sees our assertion that the value of a doctor, includes, amongst other things, the years he would serve, measured in decades and instead of meeting the challenge and including them they insist of including just training.They say" It costs the Kenyan people $66,000 to train a doctor", they include all education this time and they contrast it [with ] the UK tax payer [that pays] between $300,000 and $375,000 to train a single doctor – between five and six times as much". But again, no single mention of the lost decades of service. Why? because they know that to really pay the value would render the importing of MPs nonviable. Especially if you consider the already mentioned impact of MPs on the growth of the economy. Finally, in an economic contradiction, they call for further polarization in the research sector: "an easy cost benefit analysis would rule it would be in the best interest of a poorer country to let a richer country develop the drugs and cures for diseases". Amazingly, in the same paragraph they state: "The reason why we still see high numbers of malaria cases in African countries is because they are unable to afford the drugs themselves, not because they are deprived of the knowledge of how to develop these drugs". In any case, they conceded that the plan further pushes R&D to rich nations.Had the poor countries developed the existing drug for malaria, or developed new ones, they could be simply reproducing it at a low cost without having patent suits hovering over their heads, thus saving thousands of lives that are now lost. The rush for the AIDS cure is based in it's potential profitability, but we know that due to lack of R&D (further promoted by the plan) poor countries (The most affected by AIDS) will not receive any profit, and will be left without the cure, since the patent won't belong to them.This could be a public health issue for rich countries. It was in Africa where AIDS and Ebola appeared, Mexico where swine flu appeared, and Cambodia where the bird flu appeared. These diseases were only advocated for once they had gained momentum and spread towards rich countries. Stopping potential worldwide endemics that affect us all requires having a well prepared and well funded R&D team in every poor region of the world that can constantly track the development of new diseases, look for it's cure, and avoid or contain worldwide spreading. [[http://news.bbc.co.uk/2/hi/americas/8016909.stm]] [[http://news.bbc.co.uk/2/hi/asia-pacific/3429851.stm]] [[http://www.avert.org/origin-aids-hiv.htm]] [[http://virus.stanford.edu/filo/eboz.html]] In conclusion, their plan focuses in meeting the demand of health care rather than the need of health care. This approach will very counterproductive in terms of the world's health care priorities, since it will most likely increase Brain Draining from poor countries in the short run (perpetuating the inefficiencies and problems previously stated in our case through inelastic demand in rich countries and governments promoting migration in the supply side), and reduce the poor countries capacity to produce doctors in the long run.