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commercial bank for a period of 32 years at a fixed deposit interest rate of 6.65% per<br />

annum, <strong>the</strong> investment will grow to US$ 517,931. This is obtained by applying <strong>the</strong><br />

standard compounding formula: [(initial investment) ! (1+r) t ] = [US$ 65,997 !<br />

(1+0.0665) 32 ]. Therefore, on average, for every doctor that emigrates, a country loses<br />

about US$ 517,931. The economic loss incurred by Kenya as a result of <strong>the</strong> brain drain<br />

of 167 medical doctors is US$ 86,494,477, i.e. 167 doctors ! US$ 517,931 per doctor.”<br />

(cited in Kirigia & al., 2006)<br />

Pakistan, which suffers from a medical staff shortage, has provided <strong>the</strong> US with around<br />

10,000 of its medical graduates (Shafqat & Zaidi, 2007). Likewise, India and since 1951<br />

has lost around 83,000 doctors to <strong>the</strong> States, which amounts to around US$3.6 - 5.0<br />

billion lost in investment (Nayak 94 , 1996).<br />

On <strong>the</strong> receiving end of migration, <strong>the</strong> United Nations Commission for Trade and<br />

Development has estimated that each migrating African professional represents a loss of<br />

$184 000 to Africa (Oyowe, 1996)…” The US Congressional Research Service, for<br />

example, computed in 1971-72 that <strong>the</strong> USA gained $20 000 annually on each skilled<br />

migrant from <strong>the</strong> developing countries. If this ra<strong>the</strong>r conservative amount is extrapolated<br />

for Africa, <strong>the</strong>n <strong>the</strong> continent lost more than $1.2 billion of investment between 1985 and<br />

1990 on <strong>the</strong> 60 000 or so African professionals who emigrated during that period. Much<br />

closer perhaps to <strong>the</strong> truth today would be <strong>the</strong> estimate made by <strong>the</strong> United Nations<br />

Conference on Trade and Development (UNCTAD), using 1979 prices, which put a cash<br />

value of $184 000 on each African professional migrant (and this only for those between<br />

<strong>the</strong> ages of 25 and 35) (Oyowe, 1996.)<br />

However, immigration negatives can be reduced with <strong>the</strong> right policies. In a study of <strong>the</strong><br />

cost and benefits of <strong>the</strong> immigration of health workers on <strong>the</strong> economy of Malawi, a<br />

group of researchers from Kings College London in <strong>the</strong> UK and from <strong>the</strong> Malawian<br />

Ministry of Industry and Trade has suggested <strong>the</strong> following three points as a means to<br />

turn <strong>the</strong> cost into benefits: (i) receiving countries could refund a part of what <strong>the</strong>y receive<br />

from <strong>the</strong> foreign doctors in form of taxes to <strong>the</strong> sending countries, (ii) <strong>the</strong> Malawian<br />

country can charge for medical education in Malawi which could be overwritten if <strong>the</strong><br />

! *)%!

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