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

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 pa...

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Detalles Bibliográficos
Autor principal: de Vries, Bouke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8479752/
https://www.ncbi.nlm.nih.gov/pubmed/33753474
http://dx.doi.org/10.1136/medethics-2020-106380
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description 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.
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spelling pubmed-84797522021-10-08 Should higher-income countries pay their citizens to move to foreign care homes? de Vries, Bouke J Med Ethics Original Research 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. BMJ Publishing Group 2021-10 2021-03-22 /pmc/articles/PMC8479752/ /pubmed/33753474 http://dx.doi.org/10.1136/medethics-2020-106380 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Research
de Vries, Bouke
Should higher-income countries pay their citizens to move to foreign care homes?
title Should higher-income countries pay their citizens to move to foreign care homes?
title_full Should higher-income countries pay their citizens to move to foreign care homes?
title_fullStr Should higher-income countries pay their citizens to move to foreign care homes?
title_full_unstemmed Should higher-income countries pay their citizens to move to foreign care homes?
title_short Should higher-income countries pay their citizens to move to foreign care homes?
title_sort should higher-income countries pay their citizens to move to foreign care homes?
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8479752/
https://www.ncbi.nlm.nih.gov/pubmed/33753474
http://dx.doi.org/10.1136/medethics-2020-106380
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