Intended for healthcare professionals

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Reviews Personal views

How to halt the brain drain

BMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7546.921 (Published 13 April 2006) Cite this as: BMJ 2006;332:921

Rapid Response:

Re: You can't write in the chimney with charcoal.

I can understand Dr Hegde's views but I am not sure how family
physicians and general practitioners can solve the problems related to
nutrition, drinking water, toilets, housing and gender equality. In fact,
if these problems are solved, developing countries will need neither super
-specialists nor generalists. At least not in such large numbers. In
absence of political will, frustration will always drive people to search
for a better quality of life. Migration is not easy. It has a stress of
its own. On balance, people perhaps find migration easier. After all, who
wants to move his or her home 5000 miles away unless there were compelling
reasons? Also, successful doctors do not earn any less in India than they
do in the west. What matters is not money but quality of life and
democratic way of functioning. If doctors do not keep a society healthy as
Dr Hegde rightly says, how does the generalist:specialist ratio matter
anyway?

Competing interests:
I am from India working in the UK

Competing interests: No competing interests

26 April 2006
Abhijit M Bal
Specialist Registrar
Department of Medical Microbiology, Aberdeen Royal Infirmary, Aberdeen AB25 2ZN