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Download the report - Femise

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III.2 Migration of Medical Doctors: A Cooperative Framework<br />

This sub-part is devoted to showing that fur<strong>the</strong>r and mutual cooperation is among <strong>the</strong> possibilities<br />

that can transform brain-drain into mutual brain-gain for players that are in <strong>the</strong> North and South.<br />

A game <strong>the</strong>oretical framework is introduced in relation to migration patterns related to medical<br />

doctors.<br />

This sub-part deals with <strong>the</strong> issue of coordinating migration of medical doctors amongst<br />

coalitions, with eventual application to <strong>the</strong> context of <strong>the</strong> Mediteranean areas with <strong>the</strong><br />

Euroepan Union and MENA countries. It investigates <strong>the</strong> mainly <strong>the</strong> directions of<br />

incentives of agents and countries to share a common framework that mutually value<br />

skilled health labor force. It examines what kind of incentives can be suggested based on<br />

<strong>the</strong> positive outcomes from migration to both parties from medical doctors. The<br />

definition of “acceptability” is twofold. First, <strong>the</strong> river sharing agreement (or allocation)<br />

should be stable in <strong>the</strong> sense that no users or group of users are better off designing<br />

ano<strong>the</strong>r river sharing agreement. Fur<strong>the</strong>rmore, it should be perceived as fair according to<br />

certain justice principles. This issue is tackled using cooperative game <strong>the</strong>ory. The paper<br />

describes <strong>the</strong> cooperative game induced by a river sharing problem, and analyzes <strong>the</strong><br />

stable river sharing agreements in this cooperative game. Next, it considers standard<br />

axiomatic principles of fair division and adapts <strong>the</strong>m to <strong>the</strong> migration of medical doctors.<br />

It conceives fair sharing rules for both <strong>the</strong> welfare of <strong>the</strong> sending as well as of <strong>the</strong><br />

receiving country.<br />

This latter issue is addressed using a cooperative framework with “utility transfer” and<br />

“side payments” to formalize <strong>the</strong> relationship between a sending and a receiving country.<br />

The intuition behind this approach is that a coalition can be formed based on an<br />

agreement between for example, Morocco and one country from <strong>the</strong> European Union, or<br />

between Morocco and <strong>the</strong> European Union. This agreement would set <strong>the</strong> terms of trade<br />

between <strong>the</strong> two countries in defining <strong>the</strong> checks and balances for a free circulation of<br />

medical doctors.<br />

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