PMID- 32786003
OWN - NLM
STAT- MEDLINE
DCOM- 20220126
LR  - 20220126
IS  - 1471-8847 (Electronic)
IS  - 1471-8731 (Linking)
VI  - 21
IP  - 3
DP  - 2021 Sep
TI  - Medical Cosmopolitanism: The global extension of justice in healthcare practice.
PG  - 131-138
LID - 10.1111/dewb.12278 [doi]
AB  - While there is a shortage of healthcare workers in virtually all countries, there 
      currently exists a pronounced inequality in the distribution of healthcare 
      workers, with a high concentration of healthcare workers in high income countries 
      (HIC) and low concentrations in low- and middle- income countries (LMIC). This 
      inequality in the distribution of healthcare workers persists, in spite of the 
      fact that HICs enjoy a much lower disease burden than LMICs This inequality 
      raises medical ethical issues related to what obligations health workers from 
      HICs have to correct these imbalances by working in LMICs. While the biomedical 
      principle of Justice, first formulated by Beauchamp and Childress, advocates for 
      healthcare workers to conduct themselves in a manner that is fair and equitable 
      in light of what is due or owed, it does not elaborate on what sort of obligation 
      this places on healthcare workers from HICs to work in LMICs in a bid fairly 
      distribute the availability of healthcare workers. As such, this paper gives a 
      normative argument for why healthcare workers from HICs have a moral obligation 
      to work in LMICs, a concept we call Medical Cosmopolitanism. Following our 
      positive argument, we debunk prominent objections to the concept of Medical 
      Cosmopolitanism and consider ethical, educational and governmental implications 
      of our findings.
CI  - (c) 2020 John Wiley & Sons Ltd.
FAU - Gantsho, Luvuyo
AU  - Gantsho L
AUID- ORCID: 0000-0002-9530-5936
FAU - Wareham, Christopher S
AU  - Wareham CS
AUID- ORCID: 0000-0003-1631-8868
LA  - eng
PT  - Journal Article
DEP - 20200812
PL  - England
TA  - Dev World Bioeth
JT  - Developing world bioethics
JID - 101120122
SB  - IM
MH  - *Delivery of Health Care
MH  - Developing Countries
MH  - Health Personnel
MH  - Humans
MH  - Moral Obligations
MH  - *Social Justice
OTO - NOTNLM
OT  - Medical Cosmopolitanism
OT  - developing world
OT  - distributive justice
OT  - medical ethics
OT  - moral obligation
EDAT- 2020/08/14 06:00
MHDA- 2022/01/27 06:00
CRDT- 2020/08/14 06:00
PHST- 2020/06/25 00:00 [revised]
PHST- 2020/05/14 00:00 [received]
PHST- 2020/06/29 00:00 [accepted]
PHST- 2020/08/14 06:00 [pubmed]
PHST- 2022/01/27 06:00 [medline]
PHST- 2020/08/14 06:00 [entrez]
AID - 10.1111/dewb.12278 [doi]
PST - ppublish
SO  - Dev World Bioeth. 2021 Sep;21(3):131-138. doi: 10.1111/dewb.12278. Epub 2020 Aug 
      12.