Precommitting to Serve the Underserved

American Journal of Bioethics 12 (5):23-34 (2012)
In many countries worldwide, especially in Sub-Saharan Africa, a shortage of physicians limits the provision of lifesaving interventions. One existing strategy to increase the number of physicians in areas of critical shortage is conditioning medical school scholarships on a precommitment to work in medically underserved areas later. Current practice is usually to demand only one year of service for each year of funded studies. We show the effectiveness of scholarships conditional on such precommitment for increasing physician supplies in underserved areas. Then we defend these scholarships against ethical worries that they constitute slavery contracts; rely on involuntary, biased, or unauthorized early consent by a young signatory; put excessive strains on signed commitments; give rise to domination; and raise suspicion of slavery contracts. Importantly, we find that scholarships involving far longer commitment than current practice allows would also withstand these worries. Policymakers should consider introducing conditional scholarships, including long-term versions, as a means to increasing the supply of physicians to medically underserved areas
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DOI 10.1080/15265161.2012.665134
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References found in this work BETA
John Rawls (1993). Political Liberalism. Columbia University Press.
Amartya Sen (2009). The Idea of Justice. Belknap Press of Harvard University Press.
J. Rawls (1995). Political Liberalism. Tijdschrift Voor Filosofie 57 (3):596-598.

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Citations of this work BETA
Samia A. Hurst (2012). What If Medical Graduates Are Right? American Journal of Bioethics 12 (5):37-38.

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