IDEAS home Printed from https://ideas.repec.org/p/osf/socarx/m79h2.html

Medical Worker Migration and Origin-Country Human Capital: Evidence from U.S. Visa Policy

Author

Listed:
  • Abarcar, Paolo
  • Theoharides, Caroline

Abstract

We exploit changes in U.S. visa policies for nurses to measure brain drain versus gain. Combining data on all migrant departures and postsecondary institutions in the Philippines, we show that nursing enrollment and graduation increased substantially in response to greater U.S. demand for nurses. The supply of nursing programs expanded to accommodate this increase. Nurse quality, measured by licensure exam pass rates, declined. Despite this, for each nurse migrant, 10 additional nurses were licensed. New nurses switched from other degree types, but graduated at higher rates than they would have otherwise, thus increasing the human capital stock in the Philippines.

Suggested Citation

  • Abarcar, Paolo & Theoharides, Caroline, 2020. "Medical Worker Migration and Origin-Country Human Capital: Evidence from U.S. Visa Policy," SocArXiv m79h2, Center for Open Science.
    • Handle: RePEc:osf:socarx:m79h2
    DOI: 10.31219/osf.io/m79h2
    as

    Download full text from publisher

    File URL: https://osf.io/download/5f27fc779c90940191489e20/
    Download Restriction: no
    File URL: https://libkey.io/10.31219/osf.io/m79h2?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Emily A. Beam & Joshua Hyman & Caroline Theoharides, 2020. "The Relative Returns to Education, Experience, and Attractiveness for Young Workers," Economic Development and Cultural Change, University of Chicago Press, vol. 68(2), pages 391-428.
    2. Michel Beine & Fréderic Docquier & Hillel Rapoport, 2008. "Brain Drain and Human Capital Formation in Developing Countries: Winners and Losers," Economic Journal, Royal Economic Society, vol. 118(528), pages 631-652, April.
    3. Slesh A. Shrestha, 2017. "No Man Left Behind: Effects of Emigration Prospects on Educational and Labour Outcomes of Non‐migrants," Economic Journal, Royal Economic Society, vol. 127(600), pages 495-521, March.
    4. Michael Clemens, 2015. "Global Skill Partnerships: a proposal for technical training in a mobile world," IZA Journal of Labor Policy, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 4(1), pages 1-18, December.
    5. Patricia Cortes & Jessica Pan, 2014. "Foreign nurse importation to the United States and the supply of native registered nurses," Working Papers 14-7, Federal Reserve Bank of Boston.
    6. Taryn Dinkelman & Martine Mariotti, 2016. "The Long-Run Effects of Labor Migration on Human Capital Formation in Communities of Origin," American Economic Journal: Applied Economics, American Economic Association, vol. 8(4), pages 1-35, October.
    7. Docquier, Frédéric & Faye, Ousmane & Pestieau, Pierre, 2008. "Is migration a good substitute for education subsidies?," Journal of Development Economics, Elsevier, vol. 86(2), pages 263-276, June.
    8. Chand, Satish & Clemens, Michael A., 2023. "Human capital investment under exit options: Evidence from a natural quasi-experiment," Journal of Development Economics, Elsevier, vol. 163(C).
    9. Kaivan Munshi, 2003. "Networks in the Modern Economy: Mexican Migrants in the U. S. Labor Market," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(2), pages 549-599.
    10. Jasso, Guillermina & Wadhwa, Vivek & Gereffi, Gary & Rissing, Ben & Freeman, Richard Barry, 2010. "How Many Highly Skilled Foreign-Born are Waiting in Line for U.S. Legal Permanent Residence?," Scholarly Articles 32095399, Harvard University Department of Economics.
    11. Bhagwati, Jagdish & Hamada, Koichi, 1974. "The brain drain, international integration of markets for professionals and unemployment : A theoretical analysis," Journal of Development Economics, Elsevier, vol. 1(1), pages 19-42, April.
    12. Cortés, Patricia & Pan, Jessica, 2014. "Foreign nurse importation and the supply of native nurses," Journal of Health Economics, Elsevier, vol. 37(C), pages 164-180.
    13. Michael Clemens, 2007. "Do Visas Kill? Health Effects of African Health Professional Emigration," Working Papers 114, Center for Global Development.
    14. Caroline Theoharides, 2018. "Manila to Malaysia, Quezon to Qatar: International Migration and Its Effects on Origin-Country Human Capital," Journal of Human Resources, University of Wisconsin Press, vol. 53(4), pages 1022-1049.
    15. Batista, Catia & Lacuesta, Aitor & Vicente, Pedro C., 2012. "Testing the ‘brain gain’ hypothesis: Micro evidence from Cape Verde," Journal of Development Economics, Elsevier, vol. 97(1), pages 32-45.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Mauro Lanati & Rainer Thiele, 2021. "Aid for health, economic growth, and the emigration of medical workers," Journal of International Development, John Wiley & Sons, Ltd., vol. 33(7), pages 1112-1140, October.
    2. Fernando Riosmena, 2024. "Worlds in Motion Redux? Expanding Migration Theories and Their Interconnections," Population and Development Review, The Population Council, Inc., vol. 50(3), pages 677-726, September.
    3. Braga, Breno & Khanna, Gaurav & Turner, Sarah, 2024. "Migration policy and the supply of foreign physicians: Evidence from the Conrad 30 waiver program," Journal of Economic Behavior & Organization, Elsevier, vol. 226(C).
    4. Guo, Jingyuan & Deng, Kent, 2024. "Laying off old guards to rebuild state capacity: Deng Xiaoping’s bloodless coup d’etat in post-Mao China, 1980-2000," Economic History Working Papers 126083, London School of Economics and Political Science, Department of Economic History.
    5. Batista, Catia & Costa, David M. & Freitas, Pedro & Lima, Gonçalo & Reis, Ana B., 2025. "What matters for the decision to study abroad? A lab-in-the-field experiment in Cape Verde," Journal of Development Economics, Elsevier, vol. 173(C).
    6. Mobarak, Ahmed & Sharif, Iffath & Shrestha, Maheshwor, 2021. "Returns to International Migration: Evidence from a Bangladesh-Malaysia Visa Lottery," CEPR Discussion Papers 15990, C.E.P.R. Discussion Papers.
    7. Dodini, Samuel & Lundborg, Petter & Løken, Katrine & Willén, Alexander, 2025. "The Fatal Consequences of Brain Drain," Discussion Paper Series in Economics 9/2025, Norwegian School of Economics, Department of Economics.
    8. Blanco-Álvarez, Jose & Parsons, Christopher & Tang, Sam & Wang, Yong, 2022. "Brain Refrain and Human Capital Formation in Spain," IZA Discussion Papers 15400, IZA Network @ LISER.
    9. repec:ces:ceswps:_11158 is not listed on IDEAS
    10. Agarwal, Ruchir & Ganguli, Ina & Gaulé, Patrick & Smith, Geoff, 2023. "Why U.S. immigration matters for the global advancement of science," Research Policy, Elsevier, vol. 52(1).
    11. repec:ehl:lserod:126083 is not listed on IDEAS
    12. World Bank, 2024. "International mobility as a development strategy," World Bank Publications - Reports 41928, The World Bank Group.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Narcisse Cha'ngom & Christoph Deuster & Frédéric Docquier & Joël Machado, 2025. "Selective Migration and Economic Development: A Generalized Approach," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 66(4), pages 1713-1732, October.
    2. Björn NILSSON, 2019. "Education and migration: insights for policymakers," Working Paper 23ca9c54-061a-4d60-967c-f, Agence française de développement.
    3. Frédéric Docquier & Hillel Rapoport, 2012. "Globalization, Brain Drain, and Development," Journal of Economic Literature, American Economic Association, vol. 50(3), pages 681-730, September.
    4. Slobodan DJADJIC & Frédéric DOCQUIER & Michael S. MICHAEL, 2019. "Optimal Education Policy and Human Capital Accumulation in the Context of Brain Drain," JODE - Journal of Demographic Economics, Cambridge University Press, vol. 85(4), pages 271-303, December.
    5. Antwi, James & Phillips, David C., 2013. "Wages and health worker retention: Evidence from public sector wage reforms in Ghana," Journal of Development Economics, Elsevier, vol. 102(C), pages 101-115.
    6. Philippe BOCQUIER & Narcisse CHA’NGOM & Frédéric DOQUIER & Joël MACHADO, 2024. "The within-country distribution of brain drain and brain gain effects: A case study on Senegal," JODE - Journal of Demographic Economics, Cambridge University Press, vol. 90(3), pages 384-411, September.
    7. Anelí Bongers & Carmen Díaz-Roldán & José L. Torres, 2022. "Brain drain or brain gain? International labor mobility and human capital formation," The Journal of International Trade & Economic Development, Taylor & Francis Journals, vol. 31(5), pages 647-671, July.
    8. Mobarak, Ahmed & Sharif, Iffath & Shrestha, Maheshwor, 2021. "Returns to International Migration: Evidence from a Bangladesh-Malaysia Visa Lottery," CEPR Discussion Papers 15990, C.E.P.R. Discussion Papers.
    9. Michael A. Clemens, 2011. "Economics and Emigration: Trillion-Dollar Bills on the Sidewalk?," Journal of Economic Perspectives, American Economic Association, vol. 25(3), pages 83-106, Summer.
    10. Hatton, Timothy J., 2014. "The economics of international migration: A short history of the debate," Labour Economics, Elsevier, vol. 30(C), pages 43-50.
    11. Laurent Bossavie & Çağlar Özden, 2023. "Impacts of Temporary Migration on Development in Origin Countries," The World Bank Research Observer, World Bank, vol. 38(2), pages 249-294.
    12. Romuald Méango, 2016. "What Makes Brain Drain More Likely? Evidence from Sub-Saharan Africa," CESifo Working Paper Series 6209, CESifo.
    13. Cinque, Andrea & Gehrke, Esther & Reiners, Lennart, 2026. "Confined to stay: Migration restrictions, natural disasters, and poverty," Journal of Development Economics, Elsevier, vol. 178(C).
    14. Clemens Michael A., 2014. "A Case Against Taxes and Quotas on High-Skill Emigration," Journal of Globalization and Development, De Gruyter, vol. 5(1), pages 1-39, June.
    15. Docquier, Frédéric & Iftikhar, Zainab, 2019. "Brain drain, informality and inequality: A search-and-matching model for sub-Saharan Africa," Journal of International Economics, Elsevier, vol. 120(C), pages 109-125.
    16. Chand, Satish & Clemens, Michael A., 2023. "Human capital investment under exit options: Evidence from a natural quasi-experiment," Journal of Development Economics, Elsevier, vol. 163(C).
    17. Beine, Michel & Docquier, Frédéric & Oden-Defoort, Cecily, 2011. "A Panel Data Analysis of the Brain Gain," World Development, Elsevier, vol. 39(4), pages 523-532, April.
    18. Ha, Wei & Yi, Junjian & Zhang, Junsen, 2016. "Brain drain, brain gain, and economic growth in China," China Economic Review, Elsevier, vol. 38(C), pages 322-337.
    19. Biavaschi, Costanza & Burzynski, Michal & Elsner, Benjamin & Machado, Joël, 2016. "The Gain from the Drain: Skill-biased Migration and Global Welfare," IZA Discussion Papers 10275, IZA Network @ LISER.
    20. Theoharides, Caroline, 2020. "The unintended consequences of migration policy on origin-country labor market decisions," Journal of Development Economics, Elsevier, vol. 142(C).

    More about this item

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:osf:socarx:m79h2. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: OSF (email available below). General contact details of provider: https://arabixiv.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.