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Public Health Ethics Advance Access published online on July 28, 2009
Public Health Ethics, doi:10.1093/phe/php015
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The Author 2009. Published by Oxford University Press. Available online at www.phe.oxfordjournals.org

Care Worker Migration and Transnational Justice

Lisa A. Eckenwiler*

Department of Philosophy, Center for Health Policy Research and Ethics, George Mason University

* Corresponding author: Department of Philosophy and Center for Health Policy, Research and Ethics, George Mason University, 4400 University Avenue, MS 2D7, Fairfax, VA 22030, USA. Tel.: +1 703 993 1724; Fax: +1 5703 993 1555; Email: leckenwi{at}gmu.edu.


  Abstract

Here I consider the migration of health workers and propose a conception of transnational justice that can best address the concerns it raises, including the perpetuation of global health inequities. My focus will be on nurses and direct care workers (DCWs), also called paraprofessionals—the vast majority of whom are women—coming from the global South to the United States. In the first part of the paper I will identify the factors behind this flow of what I will hereafter call ‘care workers’. From there, I will describe a conception of transnational justice that seems especially promising and explore selected policy options. Finally, I will conclude by offering specific prescriptions for action on the part of a wide range of agents, including institutions as well as individuals.


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