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Global Migration
A newsletter from The John D. and Catherine T. MacArthur Foundation
’08.1
FALL 
VOLUME 

President’s Message

The Global Forum
on Migration and
Development

Learning from Mexico
about governance and
global migration

Addressing the brain
drain of healthcare
workers

Director’s Message
MacArthur
Foundation
Global
Migration
2 | MacArthur/Fall ’08
T
he movement of people across
borders is a fundamental aspect
of international and domestic
affairs, yet one which has until
recently received surprisingly little attention.
What does migration reveal about the shape
of contemporary global economics and
politics? How does migration affect coun-
tries that send and receive migrants — and
migrants themselves?
In our new grantmaking arena,
MacArthur takes an explicitly global view
on population movement. Our core con-
cern is international migration, but we
acknowledge migration as a subset of the
much larger category of global human
mobility — a term that encompasses
migrants, refugees, students, business travel-
ers, tourists, and all others who cross inter-
national boundaries.
The Foundation’s Initiative on Global
Migration and Human Mobility is moti-
vated by the observation that migration
is one of the least well understood and
most poorly governed aspects of globaliza-
tion. Our grantmaking seeks to contribute
to improved governance of international
migration and better understanding of
the relationship of migration to economic
development.
We are inspired by a new generation
of researchers who emphasize how com-
munications and transportation technolo-
gies have transformed the migration expe-
rience. Under the old view, migration was
understood to be a one-way process, from
a country of origin to a country of des-
tination, ending in assimilation.The new
paradigm acknowledges that migratory
paths are often back-and-forth, or circular,
and that migrants retain ties to their home
countries that lend their existence a trans-
national character.
This understanding influences the
words we use to describe the phenomena.
Our use of the term migration is intended
to emphasize the global, back-and-forth
nature of human mobility.The more com-
mon term — immigration — is always
used relative to a receiving country — but
practically every country on earth, includ-
ing the United States, is at once a country
of origin, a country of destination, and a
country of transit.And while the United
States remains the largest single destination
for immigrants, other countries, includingfor immigrants, other countries, including
Russia, Germany, and Saudi Arabia, each
host millions of migrants.
Migration is an extraordinarily complex
phenomenon — intertwined with econom-
ics and politics, gender and culture, society
and religion, race and poverty, climate and
conflict.At MacArthur, we are cognizant
of our status as newcomers in the areas of
migration research and policy, to which
many individuals have devoted lifelong
careers. Our ambition is not to find and
promote the one best theory of migration.
Neither is MacArthur entering the field of
global migration in order to enter into pres-
ent-day debates over immigration policy in
the United States. Rather, we hope to con-
tribute to building a flexible, adaptive frame-
work for understanding migration processes
around the world and to help capture the
benefits of migration for individual migrants
as well as countries of origin and destination.
The international movement of people
is here to stay. Migration — and flows of
people more broadly — is likely, in its total-
ity, a global public good. But specific flows
of migrants bring costs as well as benefits
for countries of origin and destination, and
for individual migrants and their families.
These costs and benefits — some measur-
able, others very hard to quantify — tend
to be unequally distributed among groups
of people, within localities and sectors in a
country, and across countries. Few countries
do a good job of dealing with these distri-
butional effects of migration.
While there are fairly robust interna-
tional regimes in such fields as environment
and trade, the international community is
just beginning to grapple with migration
as a global policy issue. MacArthur seeks to
advance international migration policy dis-
cussions through its support for the Global
Forum on Migration and Development,
which met in Brussels in July 2007, and
meets in Manila in October 2008.The
Forum is a voluntary, non-binding consulta-
tive process that brings together representa-
tives of more than 150 countries for frank
and productive conversations and sharing of
best practices for improving the impact of
migration on development.
The Global Forum is helping shift the
way governments view migration — from
threat to opportunity.The Brussels Forum
generated new partnerships and specific
projects, including a feasibility study forprojects, including a feasibility study for
mobilizing the private sector to reduce the
up-front costs of migration.The next meet-
ing of the Forum, in Manila, focuses on pro-
tecting migrants’ rights and enabling them
to become agents of development.
The Forum is a key vehicle for focus-
ing global attention on migration, but most
pragmatic policy coordination takes place
at the bilateral or regional level.Through
a grant to the Organisation for Economic
Co-operation and Development, MacArthurCo-operation and Development, MacArthur
is funding research on regional migration
governance institutions in West Africa and
Central America.And since effective policy-
making depends on accurate empirical data,
the Foundation is supporting a commission
at the Center for Global Development that
brings together top migration data special-
ists with the aim of improving international
migration statistics.
Through a grant to the Social Science
Research Council, the Foundation has sup-
ported an anthology of research on the
developmental impact of remittances —
the funds that migrants send to households
in their countries of origin. Several other
projects on the migration/development
nexus are aimed at affecting specific migra-
tion practices.The migration of healthcare
workers to the United States is addressed by
MacArthur grantee AcademyHealth, which
has assembled a health sector task force to
develop a code of conduct for the inter-
national recruitment of nurses.And work
undertaken at the University of Michigan
by researcher DeanYang uses an innovative
experimental design to see how new bank-
ing products can help migrants and their
families make better use of remittances.
Global migration cuts across a broad
range of issues of concern to MacArthur
— from regional economic development to
conservation, human rights, and international
security. I am pleased by the prospect of
MacArthur’s further engagement in this field,
and welcome your thoughts on this work.
Jonathan F. Fanton
President
President’s Message
Global migration
Above:The first
meeting of the Global
Forum on Migration
and Development
was held in Brussels,
Belgium, in July 2007.
Cover: An unprec-
edented number of
people are migrants —
individuals who live
outside of their home
country for at least
a year.
A
bout 200 million of the world’s 6.7 billion people live
outside of their home country. Many are refugees
fleeing violence and persecution, but many more
people move for economic opportunity and a better life. They
maintain ties with their native country, often returning home
for extended periods of time and sending money, called
remittances, to relatives.
International law governs the legal framework and institu-
tional response to refugees, but individual states determine how
to manage those who migrate by choice. And the dramatic
increase in migration in recent decades has made how to man-
age the flow of people across the globe a pressing international
policy issue.
The Global Forum on Migration and Development
4 | MacArthur/Fall ’08
Migration presents both advantages and
disadvantages to countries of origin and
countries of destination. Remittances to
developing nations are estimated at about
$300 billion annually, far outweighing the
global total in foreign aid.Yet the migration
of skilled and educated workers to devel-
oped nations has taken valuable expertise
from developing countries.And as devel-
oped nations recruit these high-skilled
workers to fill critical labor shortages, they
also are attempting to stem unsanctioned
migration.
These complex issues were at the center
of the first Global Forum on Migration
and Development in Brussels, Belgium, in
JulyJuly 2007.The Forum brought together 156
nations, placed development at the center of
the discussion of international migration, and
laid the groundwork for more cooperative
efforts between migrants’ countries of origin
and their countries of destination.
The MacArthur Foundation supported
the Brussels Forum and has awarded a grant
to the Philippines Department of Foreign
Affairs to host the second Global Forum
in Manila on October 27–30, 2008.The
Foundation’s support for this international
dialogue is part of its efforts to assist initia-
tives that have the potential to improve
global governance of migration and ensure
that people and nations benefit economically.
“The Forum enabled us to look at
migration as an opportunity instead of a
threat. In the Western world that is often the
danger,” said Regine De Clercq, currently
the Belgian ambassador to Switzerland, who
organized the Global Forum on behalf of
the Belgian government.
De Clercq said the Forum allowed
nations to look at migration as a tool for
development “without making develop-
ment aid a way to manipulate migration
flows, nor to use migration as a substitute
for development.”
Increasing International Coordination
The Brussels Forum followed years of
regional consultative processes (RCP),
informal dialogues between governments in
the same region to explore joint solutions
to migration.World leaders do not embrace
the idea of a global institution to govern
migration — many consider the concept
premature and a threat to national sover-
eignty — but they have been receptive to
the non-binding Global Forum.
“It created a mechanism for interna-
tional coordination,” said Peter Sutherland,
the UN special representative to the secre-
tary-general for international migration and
development. Sutherland said attendance at
the first Forum doubled expectations, and
the presence of UN secretary-general Ban
Ki-moon underscored the importance of
the event.
Several innovations and best practices
were shared at the Forum, such as a new
initiative by mobile phone companies to
help migrants send remittances at a greatly
reduced cost. Nations agreed to work on
proposals concerning critical issues such as
how countries of origin and destination can
benefit from circular migration, the back-
and-forth travel of workers. Some countries
of origin discussed their efforts to create
closer ties with migrants in the diaspora,
including programs to retain skilled workers
by establishing projects between expatriate
scientists and those at home, Sutherland said.scientists and those at home, Sutherland said.
With 10 percent of the Filipino popula-
tion living overseas, strengthening ties with
migrants in the diaspora is important to his
government, said Esteban Conejos, foreign
affairs undersecretary of the Philippines.
Filipinos abroad provide about $14 billion
in remittances, or about 10 percent of the
nation’s gross domestic product, Conejos
said. Many Filipinos are temporary workers
in the Middle East, but most come to the
United States where they become perma-
nent residents.
Migrants’ rights are a delicate issue in
many destination and transit nations.There
is a robust international legal regime gov-
erning refugees and asylum seekers, but the
major international agreement on the
rights of migrants — the International
Convention on the Protection of the
Rights of All Migrant Workers and
Members of Their Families — has not
been ratified by any major countries of
destination. Both Conejos and De Clercq
MacArthur
Foundation
Global
Migration
Below: A young boy
in an immigrant com-
munity in Chicago.
(continued on page 8)
Controlling remittances in El Salvador
Remittances — money
sent by migrants to their
home countries — are widely
considered an important
source of income for families in
developing nations, but there
is still limited information on
their impact on development.
Given that remittances are
private funds, their impact
depends on how they are used
by individuals and households.
Using remittances for daily
consumption helps alleviate
poverty, but economists
presume that the longer-term
effect of the funds on economic
growth is greater when they are
saved and invested, including
investment in family members’
education.
An innovative field study
of Salvadoran migrants in the
United States and their fami-
lies back home could provide
insights into how to better use
remittances to increase eco-
nomic growth in El Salvador
and other developing countries.
Supported by the MacArthur
Foundation and the Inter-
American Development Bank,
the experiment is the first of its
size to examine both senders
and receivers of remittances,
and reflects the Foundation’s
support for practical interven-
tions that can increase the
benefits of migration for indi-
viduals and societies.
The two-year study focuses
on 2,000 Salvadorans living
in Washington, D.C., among
the largest concentration of
Salvadorans in the United
States.The goal is to determine
if the migrants would save
more or invest in El Salvador if
they had greater control over
money sent to their families,
says DeanYang, an economics
professor at the University
of Michigan and co-author of
the study with Nava Ashraf,
of Harvard Business School,
Diego Aycinena, of Francisco
Marroquin University, and
Claudia Martinez, of the
University of Chile.
“International remittances
have not been subjected to
nearly the same amount of
critical examination” as for-
eign direct investments,Yang
said, adding that they are
also an important source of
funds for developing nations.
Remittances to developing
nations are estimated at about
$300 billion annually, far out-
weighing the global total in
foreign aid.
A baseline survey of the
migrants and their families
revealed significant differences
of opinion over how to use
remittances,Yang said. Families
wanted $65 of every $100 to
be used for daily expenses,
compared to about $45 of
every $100 for migrants. When
it came to savings, families
wanted to save about $2 for
every $100, compared to about
$18 for migrants.
To test their idea,
researchers worked with
Banco Agricola, a Salvadoran
bank with branches in
the United States, to set
up three different savings
accounts in El Salvador: one
for the migrants’ families;
an individual account for
migrants; and a joint account
for migrants and families.
Participants are being offered
one of the three savings
accounts, and results will be
monitored over 12–24 months.
In addition, researchers
established a control group
that received no support in
opening accounts.
So far, a majority of
migrants have selected joint
and individual accounts.
Researchers anticipate finishing
the current phase of the study
in summer 2008.
The average annual remit-
tances from the Salvadorans
in the field study are $2,775
annually, or about 18 percent
of their earnings. And the
remittances are about 72 per-
cent of the income of their
families at home. About 20
percent of El Salvador’s gross
domestic product comes from
overseas workers—a figure
that is among the highest in
the world.
In addition to giving the
migrants more control over
how remittances are used in
El Salvador,Yang said the field
experiment can also “stimu-
late financial innovation.” For
example, Banco Agricola is
now marketing the new sav-
ings accounts to Salvadoran
workers in U.S. cities other
than Washington.
A follow-up survey of
participants planned for early
2009 will examine the
effects of the study on remit-
tances, savings, and household
spending patterns in El
Salvador.
Countries with the largest international
migration stock, 2005
Number of migrants (in thousands)
1,843
1,959
2,048
2,225
2,371
2,502
2,661
3,212
3,254
4,097
4,709
5,408
5,700
6,106
6,361
6,471
6,833
10,144
12,080
38,355
Singapore
Iran
Japan
Jordan
Cote d’Ivoire
Kazakhstan
Israel
United Arab Emirates
Pakistan
Australia
Spain
United Kingdom
India
Canada
Saudi Arabia
France
Ukraine
Germany
Russian Federation
United States of America
Croatia
Ukraine
Austria
Estonia
Gambia
New Zealand
Kazakhstan
Gabon
Lebanon
Canada
Latvia
Australia
Switzerland
Oman
Saudi Arabia
Jordan
Israel
Singapore
Kuwait
United Arab Emirates
14.5
14.7
15.1
15.2
15.3
15.9
16.9
17.7
18.4
18.9
19.5
20.3
22.9
24.4
25.9
39.0
39.6
42.6
62.1
71.4
Countries with the highest percentage of
international migrant stock in total population
Percentage of total population
Source: UN Population Division
MacArthur
Foundation
Global
Migration
Migrant origin and
destination country pairs
Source: Migrant Origin Database, Development Research Centre on Migration,
Globalisation and Poverty at the University of Sussex.This database is itself
derived from statistics compiled by the UN Population Division.
1 Mexico United States 9.34 million
2 Russia Ukraine 4.87 million
3 Bangladesh India 3.81 million
4 Ukraine Russia 3.56 million
5 Kazakhstan Russia 2.58 million
6 Russia Kazakhstan 2.19 million
7 Afghanistan Iran 1.86 million
8 Bangladesh Pakistan 1.51 million
9 Turkey Germany 1.51 million
10 Philippines United States 1.45 million
11 Algeria France 1.33 million
12 Pakistan India 1.33 million
Rank
Country of
Origin
Country of
Destination
Number of
Migrants
1
10
1
10
The map shows the ten
largest migration “dyads” —
pairing countries of origin with
countries of destination.
Migrants are defined here as
foreign-born people as recorded
in the most recent census
round.This means the numbers
in this map are essentially
accumulated/historic migrant
populations. For example, many
Pakistan-born people in India
are those who moved at
partition in 1947; and flows
between Russia and Ukraine
relate in part to the breakup of
the Soviet Union.
4
2
3
5
6
7
9
10
12
8
11
4
2
3
5
6
7
9
10
12
8
11
4
2
3
5
6
7
9
10
12
8
11
Strengthening migration data
The relative scarcity of good
data on international migra-
tion is an impediment to
improved understanding
and international coop-
eration. The United Nations
Population Division has
compiled rather robust
cross-nationally comparable
data on migrant stocks
— that is, the number of
migrants in a given country
in a given year (migrants
being defined as those liv-
ing outside their country of
birth). However, for a variety
of technical and ultimately
political reasons, there is a
lack of good data on migrant
flows — the number of
migrants traveling from
one country to another in
a given year.
In an attempt to address
data shortcomings, the
MacArthur Foundation
is funding a Commission
on Migration Data for
Development Research. The
Commission is organized
by the Center for Global
Development and co-chaired
by Lawrence Summers and
Patricia Santo Tomás. Its
members include leading
migration data experts from
the United Nations, the
World Bank, the Organisation
for Economic Co-operation
and Development, the
International Organization
for Migration, and Eurostat,
as well as top university-
based specialists. The
Commission will issue a
report on its findings as well
as recommendations on
how to improve the quality
of international migration
data by instituting routine
collection of information on
entries and exits of migrants
and standardizing definitions
of temporary versus perma-
nent migrants.
MacArthur
Foundation
Global
Migration
8 | MacArthur/Fall ’08
Left: People waiting at
the Polish-Ukrainian
border crossing.
said they hoped for deeper discussion
and exchange of best practices regarding
migrants’ rights in Manila.
They also would welcome more dis-
cussion on how governments can work to
ensure that trade or environmental policies,
for example, do not contribute to migration
problems.“It would be good that we look
at the impact of [trade] policies for migra-
tion,” De Clercq said.“If we continue to
subsidize certain commodities and export
them, what does it mean to the livelihood
of people in certain areas, and, therefore,
what does that mean for migration?”
Challenges to Cooperation
Organizers and supporters of the Forum
have been careful to prevent disagreements
over sovereignty from becoming an issue
during the dialogue.
“Sovereignty is still a defining para-
digm” when it comes to global migration,
said Susan Martin, executive director of
Georgetown’s Institute for the Study of
International Migration and former director
of the U.S. Commission on Immigration
Reform.The Institute received funding
from MacArthur to support the work of
both meetings of the Global Forum.
But Sutherland said sovereignty has not
been an issue at the Forum because it is
not a decision-making body.“The Forum
is a dialogue in finding proactive means for
countries of destination and origin,” he said.
“Sovereignty is not threatened in any way
by that.”
De Clercq said national sovereignty
is a given, so the discussion must move to
sharing best practices as a tool for man-
aging international migration.“Who comes
in and who remains is a decision of the
country concerned,” she said.“Migration
situations differ from country to country
and region to region.”
A greater challenge in Manila likely
will be how to improve the participation of
civil society organizations, De Clercq said.
In Brussels, the civil society groups had one
day to prepare their positions before pre-
senting them to the larger group. In Manila,
they will have two days, said De Clercq,
adding that the Forum needs to find more
ways to involve civil society groups, which
are sometimes at odds with governments
over policies.
Martin said the time allotted civil
society groups to present their recom-
mendations in Brussels was cut short by
government discussions on other issues.
“This time, there will be a half day for
dialogue between representatives of civil
society and representatives of government,”
she said, adding that both sides have much
to learn from each other.
The Ayala Foundation, a Philippine
nonprofit devoted to the eradication of
poverty, will organize the civil society par-
ticipation at the upcoming Manila Forum.
The Buildup to the Brussels Forum
Many factors have contributed to soaring
global migration in recent years.Aging pop-
ulations and declining birth rates in many
European nations have created opportuni-
ties for migrant workers. Meanwhile, a lack
of opportunities and political and other
crises in developing nations have prompted
an exodus of people.
The Cairo International Conference on
Population and Development in 1994 was
the first UN conference to place the issue
of global migration on the world agenda.
But developed nations were reluctant to
support international standards or institu-
tions to govern the movement of people
across the globe because they wanted to
maintain control over their boundaries.As
a result, several regional consultative pro-
cesses developed in response to migration
pressures.Among the early RCPs was the
1996 Regional Conference on Migration,
including Mexico, the United States,
Canada, and eight other countries in North
and Central America.The group has devel-
oped a joint database that tracks regional
migration flows.
Since Cairo, there also have been
several international endeavors, such
as the Berne Initiative and the Global
Commission for International Migration,
that encouraged more cooperation on
migration and proposed mechanisms and
Program focuses on migration in Africa
A new grant fromThe MacArthur
Foundation will help increase research
about migration across Africa.The
Foundation has awarded a three-year
grant to the International Migration
Institute at the James Martin 21st
Century School at the University of
Oxford to develop data and map migra-
tion networks through the “African
Perspectives on Human Mobility” pro-
gram.The research will focus on migra-
tion to and from Ghana, Morocco, the
Democratic Republic of Congo, and
Nigeria. In Nigeria MacArthur currently
focuses its efforts on reducing maternal
mortality and strengthening higher edu-
cation and the rule of law.
The work will be done in conjunction
with African researchers as part of a
long-term effort to help institutions in
Africa develop state-of-the art research
on migration. For more information, visit
the website at http://www.imi.ox.ac.uk/
research/african-perspectives-on-human-
mobility-1.
Understanding the development impact of migration
MacArthur-funded research
is breaking new ground
in our understanding of the
economic impact of migration
on countries of origin and
destination, and on migrants
themselves. Some examples of
this work follow.
Impact on countries of origin
Remittances have become a
crucial source of income for
many developing countries.
With MacArthur funds, the
Social Science Research Council
is organizing a website for
researchers who want to have
access to analytical perspec-
tives regarding remittances,
including articles that reflect
the latest theoretical and meth-
odological approaches on how
to design research on the topic.
Many observers assume
that highly skilled migrants
are more likely to send remit-
tances than migrants with
lower skill levels. But research
by the Institute for the Study
of International Migration at
Georgetown University shows
that income, not education per
se, is a better predictor of remit-
tance behavior, and that over
time well-educated migrants
become less likely to remit
compared with lesser-educated
migrants.This suggests that
remittances alone cannot
compensate for the negative
consequences of brain drain.
In a MacArthur-funded
policy paper, Dovelyn Rannveig
Agunias and Kathleen Newland
of the Migration Policy Institute
examine the prospects for
circular migration to have a
positive impact on migrants’
countries of origin. In “Circular
Migration and Development:
Trends, Policy Routes, and
Ways Forward,” Agunias and
Newland argue that circular
migration works best when
flexible and open working
arrangements are used in place
of traditional guest worker pro-
grams; and when disincentives
that discourage permanent
migrants from returning home
are removed.
Impact on migrants
The Center for Global
Development’s recent working
paper, “Income per Natural:
Measuring Development as if
People Mattered MoreThan
Places,” by Michael Clemens
and Lant Pritchett, introduced
a new indicator — income per
natural, which is defined as
the mean annual income of
persons born in a given coun-
try, regardless of where those
persons now reside. Clemens
and Pritchett argue that looking
at individuals, rather than their
home countries, provides a
new lens for understanding the
importance of migration for lift-
ing individuals out of poverty.
Almost 43 million people live
in a group of countries whose
income per natural collectively
is 50 percent higher than GDP
per resident, according to the
authors. And for 1.1 billion
people the difference exceeds
10 percent. For example, pov-
erty estimates differ between
residents of poor nations such
as Haiti and those citizens who
emigrated.The authors state
that 26 percent of Haitian natu-
rals who are not poor, defined
in Haiti as living on $2 a day,
live in the Untied States.
International migration has
been presented as an alterna-
tive to economic development,
but Clemens says it is a form of
economic development if one
defines development as raising
human well-being.
Impact on countries
of destination
A new MacArthur-supported
study suggests that foreign
workers in both high-education
and low-education occupa-
tions complement more than
compete with most Americans
in the workforce.While some
competition exists between
less-educated native-born
and immigrant workers, the
research finds that a majority of
Americans benefit from immi-
gration because it allows them
to move into better-paying posi-
tions requiring language skills
that migrants lack, according
to Giovanni Peri, an economics
professor at the University of
California, Davis.
Peri uses the example of the
construction industry, where
the hiring of foreign workers
has reduced wages.This decline
in labor costs has allowed the
industry to hire both more
“bricks and mortar” workers
and supervisors, he said.The
supervisory jobs go to native-
born workers because the
positions require more sophis-
ticated language skills than
immigrants possess.
Rising American educational
levels also help U.S.-born
workers in the labor market,
according to Peri. Native
workers with no high school
diploma have experienced a
small reduction in wages as
a result of competition with
immigrants, Peri noted. But
from 1960 to 2006, the per-
centage of Americans without
diplomas dropped dramatically
from 60 percent to 9 percent.
A complementary relation-
ship between American and
foreign workers also exists in
highly skilled science and tech-
nology occupations, Peri said.
Immigrants with advanced
degrees in math and science
have been filling research posi-
tions because of a shortage of
trained Americans in these
fields.
frameworks to manage it. In 2006, the UN
High Level Dialogue on Migration and
Development called for more regular
discussion of the issue, which led to the
first Forum.
Prior to the Forum, many of the
dialogues among nations occurred
under the umbrella of the International
Organization for Migration (IOM),
which works closely with the regional
consultative processes.With years of expe-
rience sharing information on migration,
the RCPs have valuable experience
to share with Forum participants, said
Robert Paiva, director of external rela-
tions for the IOM.
In“philosophy,structure,and procedure,”
he said the Forum follows a model similar
to that of the regional processes,which were
created and supported by some of the same
nations now participating in the Forum.
“There is no structural relationship between
the RCPs and the Global Forum.Since the
outset,however,there has been recognition by
states that the Forum should be able to draw
upon and benefit from the important work
being done by RCPs,”Paiva said.
For example, a key goal of the Colombo
Process, a regional consultative process ini-
tially involving ten Asian countries of origin,
(continued on back page)
MacArthur
Foundation
Global
Migration
10 | MacArthur/Fall ’08
MacArthur
Foundation
Global
Migration
M
ore than 11 million
Mexicans live in the United
States — the largest immi-
grant group in the country
and one-tenth of the entire population born
in Mexico. More than half of these immi-
grants reside in the United States illegally.
Migration between Mexico and the
United States has created a unique gov-
ernance challenge. Though Mexico and
the United States share a trade pact, the
North American Free Trade Agreement
(NAFTA), they do not agree on how to
manage the flow of people across their
shared border. And the United States deci-
sion to build a fence to attempt to stem
illegal immigration has exacerbated tensions
with Mexico.
With support from the MacArthur
Foundation, the Migration Policy Institute
(MPI) held a series of seminars in 2007
and 2008 to further understanding and
dialogue between the United States and
Mexico on migration-related issues. The
Foundation is funding MPI as part of its
efforts to encourage improved governance
of migration at an international, regional,
and national level. Mexico is also among
four nations, including Nigeria, Russia,
and India, that are focus countries for the
Foundation.
A seminar held in April 2008 helped
Mexican diplomats and ministers understand
migration policies and practices in the United
States and Canada (which is also a party
to NAFTA), including how each country
determines which immigrants to admit.The
seminar also examined how to better coordi-
nate migration policy among various Mexican
agencies. Demetrios Papademetriou, presi-
dent of MPI, said the seminar will become
a training model for Mexican officials in
the Foreign Service, and that the govern-
ment expressed an interest in holding similar
training for civil society organizations.
“People come, they are curious, they
ask questions,” Papademetriou said of
the seminars. “But everybody understands
that the tenor in the United States also has
to change.”
Papademetriou has encouraged
Mexican officials to decide which issues
they will present to the next U.S. president.
While immigration has been a central issue
on the bilateral agenda, Mexico is also
deeply concerned about arms trafficking
from the United States, and how drug use
in the United States affects the drug trade
and cartels in Mexico.
Other meetings among regional officials
have emphasized cooperation on technical
and practical information such as how to
maintain data on migrants apprehended
at the border and how to train border
officers on human rights practices. While
Mexico is a country of origin for millions
of migrants to the United States, it is also
an important transit and destination nation.
Approximately 400,000 migrants, many of
them women from Latin America, travel
through Mexico each year in order to
reach the United States, MPI figures show.
And the United States is the largest single
country of origin for migrants to Mexico.
Mexico is grappling with how to
manage its southern border with Guatemala
to control migrants who are both passing
through en route to the United States
and attempting to settle there. And like
other nations faced with migration pres-
sures, Mexico is exploring how it can
economically benefit from voluntary migra-
tion. “A common goal [between Mexico
and the United States] is how to begin
to attract better qualified immigrants,”
Papademetriou said.
There is a need for more frank discus-
sions among the United States, Mexico,
and Canada away from the heated spotlight
in which the immigration debate often
occurs, he said. Issues have to include
border security, but also how to increase
legal migration.
“Illegal immigration doesn’t serve any-
body well,” Papademetriou said, “and it
actually reduces the opportunities to think
more creatively about legal immigration.”
Learning from Mexico about governance
and global migration
Left: Mexico is an
important transit and
destination nation for
many people from
Central America.
MacArthur/Fall ’08 | 11
I
n the past decade, a spike in the
number of nurses and doctors
migrating to places like the United
States and the United Kingdom to
meet the growing demand for healthcare
workers has created a significant brain drain
in their native countries. The migration of
highly skilled workers from developing to
developed nations was an important topic
at the first Global Forum on Migration and
Development in July 2007. The healthcare
industry in particular has been dramatically
affected by this trend.
While migrants help their countries’
economies by sending money home
to relatives, the exodus of healthcare
workers from developing countries com-
plicates efforts to provide quality health
services in areas of the world that are
already overwhelmed by diseases like
HIV and AIDS. At the same time, some
health professionals who come to work in
the United States are finding themselves
the victims of questionable practices by
recruiting companies that frequently alter
the terms of their employment agree-
ments without consent.
With support from the MacArthur
Foundation, AcademyHealth and the Aspen
Institute’s Realizing Rights: The Ethical
Globalization Initiative are developing ideas
and programs to prevent abuse of foreign
healthcare workers and strike a balance
between these workers’ right to migrate
and the healthcare needs of their countries
of origin.
“It’s a huge issue, and it’s an interesting
one because it’s being felt by countries all
over the world, both by wealthy developed
countries and developing ones,” said Peggy
Clark, managing director of Realizing
Rights. “It’s a really interesting globaliza-
tion issue because countries have to work
together on it.”
Frameworks for Health
Worker Migration
The World Health Organization (WHO)
estimates there is a nearly 4.5 million short-
fall in healthcare workers globally, and 57
countries, most of which are in Africa, have
a severe shortage. Concrete data on the
global movement of healthcare workers is
difficult to obtain, but some estimates for
nurses, for example, show that the number
migrating to the United States jumped
to more than 20,000 last year from about
6,000 in 1983.
The influx of workers has helped offset
a demand in the United States where med-
ical advances and an aging population have
significantly increased the need for health-
care workers. But the migration is having
a huge impact in African countries where
medical resources are limited. In Ethiopia,
for example, there is one doctor for about
every 30,000 people, compared with the
United States, where the ratio is about one
doctor for every seven people, Clark said.
The result is a healthcare crisis in
many developing countries, said Patricia
Pittman, executive vice president of
AcademyHealth.
“You have health systems (in those
countries) that were historically weak and
Addressing the brain drain
of healthcare workers
Patients wait to be
treated at a clinic
in Dar Es Salaam,
Tanzania.
MacArthur
Foundation
Global
Migration
12 | MacArthur/Fall ’08
underserved and (now are overburdened)
with the epidemic from AIDS and HIV
and other diseases linked to AIDS,” she
said. “You have not only nurses dying of
AIDS themselves, you have nurses fleeing
those areas where you have unsafe working
conditions and conditions that are increas-
ingly stressful.”
As part of its efforts to address these
issues, Realizing Rights was chosen by
WHO to take a lead role as secretariat
for the Global Health Workforce
Alliance Advisory Council, which is
developing a framework for a global
code of practice for health worker
migration. Scheduled to be finished next
year, the framework will include a set of
principles, including the right of people
to migrate in search of a better life. It
also will include a review of some of
the existing agreements between sending
and receiving countries.
AcademyHealth, meanwhile, has
studied the practices of nurse recruit-
ment companies and is developing
voluntary ethical guidelines for U.S.-
based companies to follow as they seek
to hire foreign healthcare workers.
While the work is in its preliminary
stages, it will likely include minimum
standards of how nurses should be
treated, Pittman said. One proposal
requires recruiters to give foreign nurses
sufficient time to review employment
contracts and to consult an attorney
before signing them.
“There will also be best practices,”
she said. “Ways you can recruit that
would help countries manage the flow
and ways you can give back to source
countries. Innovative ways to share the
knowledge either of training programs
or opportunities for some nurses to
come here temporarily or to go back to
countries for home leave and provide
instruction to their home countries.”
While the demand for healthcare
workers in industrialized countries has
grown in recent years, until recently
many of these wealthier nations have
not emphasized the training of home-
grown healthcare workers. Norway, the
United Kingdom and Canada have taken
recent steps to do so, but the United
States continues to look overseas for
nurses and doctors to meet the demand.
Issues Surround Recruitment
Indeed, the number of companies that
recruit nurses to work in the United
States has soared in recent years. From
the 1960s to 2000, there were 30 or 40
U.S.-based international nurse-recruiting
companies, but in the past seven years
the number jumped to 267, according to
AcademyHealth’s research.
“It’s almost a ten-fold increase since
2000, which was the point at which there
was a serious nursing shortage in the
United States,” Pittman said.
While many firms say they don’t
recruit from countries that are experiencing
a severe nursing shortage, AcademyHealth
found that at least 25 firms were recruiting
from countries facing significant shortages.
Many hospitals tend to recruit directly
from countries, but a growing number
of nursing homes appear to be relying on
recruitment companies. AcademyHealth
found that nursing home workers were
most often the victims of questionable
recruiting practices. For instance, some
recruitment firms have refused to give for-
eign nurses a copy of their signed contracts,
and others have later altered the terms of
the contract without a nurse’s consent.
That has led to situations where recruits
come to the United States expecting
to work in one city, where they might
have relatives, only to learn they will be
employed in another location. Many stay
in cities where they do not want to work
because they would have to pay tens of
thousands of dollars if they broke their
employment contracts.
“We don’t know how widespread
the abuses are,” Pittman said. “But from
the focus groups we held, there was a
consensus among the nurses in the focus
groups that this was not uncommon.”
AcademyHealth is now working to
help develop guidelines that would prevent
similar questionable practices from occur-
ring in the future. A task force including
labor unions, recruiters, and hospital organi-
zations is supporting this effort.
Balancing Needs Between Countries
Meanwhile, Realizing Rights is working
with foreign officials from throughout
the world to develop a framework to
help balance the needs of the sending and
receiving countries. As part of its work,
MacArthur
Foundation
Global
Migration
Below: Many Filipino
nurses work in the
healthcare industry in
the United States.
Realizing Rights is assessing recent agree-
ments between countries that are trying
to address the issue. For instance, a 2003
memorandum of understanding between
the United Kingdom and South Africa
requires the UK to send grants, along
with health administrators and teachers,
to South Africa to help improve the infra-
structure and to train healthcare workers.
The agreement also allows South African
workers to return home for a month to
help teach and train their fellow citizens,
a popular policy for workers who want to
maintain contact with their homeland.
Under a hospital “twinning” pro-
gram, healthcare facilities in the United
Kingdom are paired with South African
counterparts, to whom they offer tech-
nical assistance.
Critics say the agreement has limited
opportunities for South African nurses in
the United Kingdom, but British officials
say that wasn’t the intent, according to
Realizing Rights. And the South African
healthcare facilities and medical schools
involved in the program have benefited
from the external assistance. Hospitals in
the United Kingdom, for example, have
sent South African nurses and doctors
home to train healthcare workers.
A similar agreement between Norway
and Poland is in the process of being
finalized, Clark said.
“So they are very new, all of these
kinds of policy instruments, but they are
about sending and receiving countries
starting to talk to one another about what
some of the solutions might be.”
While the framework of a code of
practice is just the beginning of a lengthy
process to create binding agreements
between countries, Clark is optimistic
about what it could achieve.
“It feels like we could really have an
impact,” she said. “It feels like we could
propose some solutions that would model
a way to talk about migration that
would respect those who leave for a
better life and recognize the responsibili-
ties of receiving countries.”
Right:The demand for
healthcare workers in
industrialized countries
has grown in recent
years.
Highlights of the voluntary recruitment code for foreign nurses
The code applies to organizations that
recruit and employ foreign-educated
nurses in the United States, and attempts
to balance the interests of nurses,
countries of origin, and employers in
the destination countries.
Following are highlights of recruiters’
responsibilities under the voluntary agree-
ment:
• Comply with U.S. labor and civil rights• Comply with U.S. labor and civil rights•
laws that prevent discrimination based on
age, gender, race, disability, and participa-
tion in union-related activities.
• Practice transparency and honesty in• Practice transparency and honesty in•
advertising and recruiting literature aimed
at nursing applicants, including licens-
ing and the location, nature and terms of
employment.
• Provide sufficient opportunity for nurse• Provide sufficient opportunity for nurse•
applicants to review and consider written
contracts before signing is required, includ-
ing time to consult with an attorney.
• Establish an internal administrative pro-• Establish an internal administrative pro-•
cess to facilitate review of disputes regard-
ing alleged breach of contracts by nurses
or recruiters/employers.
• Consider the healthcare needs of countries• Consider the healthcare needs of countries•
of origin in deciding where to recruit to
limit the impact on health services.
Source: AcademyHealth
Initiative on Global Migration and Human Mobility Grants
Leading Institutions
Center for Global Development (Washington,
D.C.)
$1,200,000 for general support to advance research
and policy development on the impacts of migration
on development and on helping poor countries attain
the benefits of globalization (over three years). (2006)
Migration Policy Institute (Washington, D.C.)
$960,000 in support of research and translation
efforts for policymakers on the impacts of migration
on development and on international governance of
migration (over three years). (2006)
Georgetown University, Institute for the
Study of International Migration (Washington,
D.C.)
$750,000 for general operating support that will
advance work on the governance of international
migration and on the relationship between migration
and development (over three years). (2006)
$40,000 in support of an expert workshop to inform
discussions at the second meeting of the Global
Forum on Migration and Development. (2008)
Organisation for Economic Co-operation
and Development (Paris, France)
$900,000 in support of policy relevant research to
build partnerships on migration governance and
development (over three years). (2007)
University of Oxford, International
Migration Institute (Oxford, United Kingdom)
$900,000 in support of a program of research and
capacity building on African migration (over three
years). (2007)
Governance
Ayala Foundation U.S.A. (Redwood City, Calif.)
$400,000 in support of civil society participa-
tion at the 2008 Global Forum on Migration and
Development. (2007)
Business for Social Responsibility Education
Fund (San Francisco, Calif.)
$250,000 in support of a project to enhance the role
of the private sector in promoting responsible inter-
national labor migration. (2008)
Center for Ethnopolitical and Regional
Studies (Moscow, Russia)
$240,000 in support of a project on the social inte-
gration of migrants in Russia (over two years). (2006)
Federal Public Service for Foreign Affairs
(Brussels, Belgium)
$50,000 in support of preparations for the Global
Forum on Migration and Development. (2007)
George Mason University, Center for
Global Studies (Fairfax, Va.)
$200,000 in support of research on global migration
and transnational politics (over two years). (2007)
Harvard University Center for Middle East
Studies (Cambridge, Mass.)
$195,000 in support of a study on the civil and polit-
ical participation of Muslims in the Greater Boston
area (over two years). (2007)
International Organization for Migration
(Geneva, Switzerland)
$100,000 in support of the World Migration Report
2007. (2006)
King Baudouin Foundation (Brussels, Belgium)
$152,000 in support of civil society participation at
the Global Forum on Migration and Development.
(2007)
Migration Policy Institute (Washington, D.C.)
$240,000 in support of educational seminars on
migration for American and Mexican policymakers.
(2007)
Oxford University (Oxford, United Kingdom)
$500,000 in support of research and policy dialogue
on the global governance of migration (over 33
months). (2007)
Migration Research Center (Moscow, Russia)
$210,000 in support of research and policy analysis
on managing migration under conditions of demo-
graphic crisis in Russia (over three years). (2007)
Rockefeller College, University of Albany
(Albany, N.Y.)
$200,000 in support of a study of global mobility
regimes (over two years). (2008)
Sin Fronteras (Mexico City, Mexico)
$250,000 to educate government participants and
develop policy recommendations regarding the
regional governance of migration in Mexico and
Central America (over three years). (2006)
United Nations Department of Economic
and Social Affairs (New York, N.Y.)
$152,000 in support of participation in the Global
Forum on Migration and Development by the
office of the Special Representative of the Secretary-
General for Migration. (2008)
United Nations Executive Office of the
Secretary General (New York, N.Y.)
$239,000 in support of activities by the Special
Representative for Migration related to the first
Global Forum on Migration and Development.
(2006)
United Nations Institute for Training and
Research (New York, N.Y.)
$172,000 in support of workshops and a training pro-
gram on key migration issues (over two years). (2006)
University of Illinois at Urbana-Champaign
(Champaign, Ill.)
$55,000 in support of a conference on the role of
human mobility in Russian history and contempo-
rary Russia. (2008)
Woodrow Wilson Center, Latin American
Program (Washington, D.C.)
$300,000 in support of a project on civic and politi-
cal participation by Latin American migrants (over
two years). (2006)
Development
AcademyHealth (Washington, D.C.)
$350,000 in support of research about the brain drain
of healthcare professionals from poor countries and
to develop standards for ethical recruitment (over
two years). (2006)
$552,000 in support of efforts to implement a volun-
tary code of practice for the recruitment of foreign
nurses to the U.S. (over two years). (2008)
Aspen Institute, Realizing Rights:The
Ethical Globalization Initiative (Washington,
D.C.)
$200,000 in support of the development of policies
and bilateral agreements to address the movement of
healthcare workers from the developing world to the
United States, United Kingdom, and other receiving
nations (over two years). (2006)
$200,000 in support of developing a global code of
practice for the international movement of health work-
ers from the developing world to the United States,
United Kingdom,and other receiving nations.(2007)
El Colegio De La Frontera Norte, Centro
de Estudios Fronterizos del Norte de
Mexico (Tijuana, Mexico)
$120,000 in support of a survey of households in
Oaxaca on the economic and social causes and con-
sequences of migration. (2006)
Federal Ministry of Health, Nigeria (Abuja,
Nigeria)
$242,000 to research the magnitude and impact of
migration of health professionals and to develop poli-
cies to improve retention (over two years). (2008)
Migration Dialogue (Davis, Calif.)
$250,000 in support of research on circular migration
and the impacts of free trade agreements on migra-
tion (over two years). (2007)
Princeton University (Princeton, N.J.)
$120,000 in support of a longitudinal survey of
Mexican migrants in the United States (over one
year). (2007)
Red Internacional de Migracion y
Desarrollo (Zacatecas, Mexico)
$200,000 for support of the network and its col-
laborative research efforts on migration and develop-
ment (over three years). (2006)
Social Science Research Council (New York,
N. Y.)
$350,000 in support of an effort to assess the state of
research on migration and development in order to
strengthen future research and its links to policy. (over
15 months). (2006)
University of California, Davis, Department
of Economics (Davis, Calif.)
$166,000 in support of research on the economic
gains from migration in North America and Europe
(over two years). (2007)
University of Michigan (Ann Arbor, Mich.)
$590,000 in support of research to test the impact of
novel financial products on the use of remittances for
development (over two years). (2007)
$50,000 in renewed support of research on the use
of remittances for development (over 22 months).
(2008)
Other
Grantmakers Concerned with Immigrants
and Refugees (Sebastopol, Calif.)
$20,000 in support of general operations (over two
years). (2006)
$40,000 in support of general operations and their
2008 National Convening (over three years). (2008)
World Policy Institute, New School
University (New York, N. Y.)
$15,000 in support of a conference on immigration
and security. (2006)
MacArthur
Foundation
Global
Migration
MacArthur/Fall ’08 | 15
T
he Initiative on Global
Migration and Human Mobility
began in January 2006, making
it the youngest international
program area at MacArthur. However, the
Foundation’s engagement in this field has
broad antecedents — including funding for
The New Americans and other immigration-The New Americans and other immigration-The New Americans
themed documentary films, support for
regional economic development and the
State of Illinois’s New Americans Initiative,
and grants to Refugees International and
other organizations working on immigrant
and refugee rights. In the recent past, the
Foundation has also funded studies of global
economic governance, as well as individual
research projects on migrants and refugees.
These threads have come together to
bring what we hope is a multidimensional
and transnational approach to MacArthur’s
engagement with migration issues.As with
all of the Foundation’s grantmaking, we
believe that our migration work benefits
from MacArthur being a global founda-
tion firmly rooted in a specific place — the
city of Chicago. Our hometown is one of
the world’s great cities of immigration and
a key destination for the Great Migrations
of the 20th century that brought millions
of African Americans from the South to
the industrial cities of the North, Midwest,
and West.The movement of people, both
within the United States and across national
borders, has inscribed itself into Chicago’s
streets and neighborhoods and made this
city a rich tapestry of peoples from around
the world.
This newsletter has provided glimpses
into how researchers, policymakers, and
practitioners are beginning to understand
migration as a global phenomenon. In the
years ahead, we hope that MacArthur’s
efforts will contribute to a deepening of
this understanding and its implications.This
work is dedicated to the dozens of indi-
viduals who have so generously shared their
insights and expertise as we developed this
Initiative — and to the world’s 200 million
migrants.
John Slocum
Director, Global Migration and Human Mobility
For more information, please call
(312) 726-8000 or
email 4answers@macfound.org
Jonathan F. Fanton
President
Barry F. Lowenkron
Vice President, Global Security and
Sustainability
John W. Slocum
Director, Global Migration and Human Mobility
Milena Novy-Marx
Program Officer
Gabriela Suarez
Program Administrator
LauraYoung
Program Assistant
Cordia Pugh
Executive Secretary
The John D. and Catherine T. MacArthur
Foundation supports creative people
and effective institutions committed
to building a more just, verdant, and
peaceful world. In addition to selecting
the MacArthur Fellows, the Foundation
works to defend human rights, advance
global conservation and security, make
cities better places, and understand
how technology is affecting children and
society. With assets of $7 billion, the
Foundation makes approximately $300
million in grants annually.
For more information about the
Foundation or its migration grantmaking,
visit www.macfound.org.
Director’s Message
Global migration and human mobility
JohnD.andCatherineT.MacArthurFoundation.©2008Allrightsreserved.ProducedbyLipmanHearne,Chicago/Washington
About the Foundation
MacArthur
Foundation
Community
Change
The Global Forum on Migration and Development
The John D. and Catherine T.
MacArthur Foundation
www.macfound.org
140 South Dearborn Street
Suite 1200
Chicago, Illinois 60603 USA
PRESORTED
FIRST-CLASS MAIL
U.S. POSTAGE PAID
CHICAGO IL
PERMIT NO. 8732
The Global Forum on Migration and Development
Global Migration
For more information about the
Foundation or to sign up to
receive MacArthur’s free monthly
electronic newsletter, please
visit www.macfound.org.
’08.1
MacArthur
Foundation
is to promote improved management of
labor migration.The group first met in 2003
in Sri Lanka, and has expanded to include
countries of destination for Asian migrants,
including Bahrain, Italy, Kuwait, and Saudi
Arabia, to participate in its meetings to
help strengthen management of migration
beyond Asia.Among the achievements of the
Colombo Process are the development of a
training curriculum for labor attachés and
administrators and implementation of joint
training courses.
Conejos said a chief goal of the Manila
Forum is to strengthen the link between
RCPs and the Forum, so recommenda-
tions and ideas from the international event
can be pursued on a regional basis. He also
wants to emphasize sharing experiences
and best practices among nations, especially
in the three areas of focus for the Forum:
migration, development, and human rights;
how to secure legal migration; and how to
build institutional and policy coherence and
partnerships between governments.
The Future of the Forum
Greece is scheduled to host the Forum in
2009.And other nations have expressed an
interest in hosting the gathering as well.
“The most important sign of the Forum’s
success is that numerous states have now
volunteered to host in future years,” said
Sutherland, adding that Argentina, Spain,
and Morocco have inquired about hosting.
But what form the Forum should take
will continue to be a topic of discussion.
While most nations do not want a perma-
nent UN-type agency to oversee migration,
Conejos said “there has to be some support
group to carry forward” the Forum process.
As it now stands, the Forum has a rotating
chair-in-office, no permanent secretariat,
and depends on contributions, primarily
from host countries and governments.
“We should think about how to make
it more stable,” De Clercq said.“We have
created hopes that the Forum will look at
concrete ways forward, so we have to make
sure that happens.”

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MIGRATION08_FINAL

  • 1. Global Migration A newsletter from The John D. and Catherine T. MacArthur Foundation ’08.1 FALL  VOLUME   President’s Message  The Global Forum on Migration and Development  Learning from Mexico about governance and global migration  Addressing the brain drain of healthcare workers  Director’s Message
  • 2. MacArthur Foundation Global Migration 2 | MacArthur/Fall ’08 T he movement of people across borders is a fundamental aspect of international and domestic affairs, yet one which has until recently received surprisingly little attention. What does migration reveal about the shape of contemporary global economics and politics? How does migration affect coun- tries that send and receive migrants — and migrants themselves? In our new grantmaking arena, MacArthur takes an explicitly global view on population movement. Our core con- cern is international migration, but we acknowledge migration as a subset of the much larger category of global human mobility — a term that encompasses migrants, refugees, students, business travel- ers, tourists, and all others who cross inter- national boundaries. The Foundation’s Initiative on Global Migration and Human Mobility is moti- vated by the observation that migration is one of the least well understood and most poorly governed aspects of globaliza- tion. Our grantmaking seeks to contribute to improved governance of international migration and better understanding of the relationship of migration to economic development. We are inspired by a new generation of researchers who emphasize how com- munications and transportation technolo- gies have transformed the migration expe- rience. Under the old view, migration was understood to be a one-way process, from a country of origin to a country of des- tination, ending in assimilation.The new paradigm acknowledges that migratory paths are often back-and-forth, or circular, and that migrants retain ties to their home countries that lend their existence a trans- national character. This understanding influences the words we use to describe the phenomena. Our use of the term migration is intended to emphasize the global, back-and-forth nature of human mobility.The more com- mon term — immigration — is always used relative to a receiving country — but practically every country on earth, includ- ing the United States, is at once a country of origin, a country of destination, and a country of transit.And while the United States remains the largest single destination for immigrants, other countries, includingfor immigrants, other countries, including Russia, Germany, and Saudi Arabia, each host millions of migrants. Migration is an extraordinarily complex phenomenon — intertwined with econom- ics and politics, gender and culture, society and religion, race and poverty, climate and conflict.At MacArthur, we are cognizant of our status as newcomers in the areas of migration research and policy, to which many individuals have devoted lifelong careers. Our ambition is not to find and promote the one best theory of migration. Neither is MacArthur entering the field of global migration in order to enter into pres- ent-day debates over immigration policy in the United States. Rather, we hope to con- tribute to building a flexible, adaptive frame- work for understanding migration processes around the world and to help capture the benefits of migration for individual migrants as well as countries of origin and destination. The international movement of people is here to stay. Migration — and flows of people more broadly — is likely, in its total- ity, a global public good. But specific flows of migrants bring costs as well as benefits for countries of origin and destination, and for individual migrants and their families. These costs and benefits — some measur- able, others very hard to quantify — tend to be unequally distributed among groups of people, within localities and sectors in a country, and across countries. Few countries do a good job of dealing with these distri- butional effects of migration. While there are fairly robust interna- tional regimes in such fields as environment and trade, the international community is just beginning to grapple with migration as a global policy issue. MacArthur seeks to advance international migration policy dis- cussions through its support for the Global Forum on Migration and Development, which met in Brussels in July 2007, and meets in Manila in October 2008.The Forum is a voluntary, non-binding consulta- tive process that brings together representa- tives of more than 150 countries for frank and productive conversations and sharing of best practices for improving the impact of migration on development. The Global Forum is helping shift the way governments view migration — from threat to opportunity.The Brussels Forum generated new partnerships and specific projects, including a feasibility study forprojects, including a feasibility study for mobilizing the private sector to reduce the up-front costs of migration.The next meet- ing of the Forum, in Manila, focuses on pro- tecting migrants’ rights and enabling them to become agents of development. The Forum is a key vehicle for focus- ing global attention on migration, but most pragmatic policy coordination takes place at the bilateral or regional level.Through a grant to the Organisation for Economic Co-operation and Development, MacArthurCo-operation and Development, MacArthur is funding research on regional migration governance institutions in West Africa and Central America.And since effective policy- making depends on accurate empirical data, the Foundation is supporting a commission at the Center for Global Development that brings together top migration data special- ists with the aim of improving international migration statistics. Through a grant to the Social Science Research Council, the Foundation has sup- ported an anthology of research on the developmental impact of remittances — the funds that migrants send to households in their countries of origin. Several other projects on the migration/development nexus are aimed at affecting specific migra- tion practices.The migration of healthcare workers to the United States is addressed by MacArthur grantee AcademyHealth, which has assembled a health sector task force to develop a code of conduct for the inter- national recruitment of nurses.And work undertaken at the University of Michigan by researcher DeanYang uses an innovative experimental design to see how new bank- ing products can help migrants and their families make better use of remittances. Global migration cuts across a broad range of issues of concern to MacArthur — from regional economic development to conservation, human rights, and international security. I am pleased by the prospect of MacArthur’s further engagement in this field, and welcome your thoughts on this work. Jonathan F. Fanton President President’s Message Global migration
  • 3. Above:The first meeting of the Global Forum on Migration and Development was held in Brussels, Belgium, in July 2007. Cover: An unprec- edented number of people are migrants — individuals who live outside of their home country for at least a year. A bout 200 million of the world’s 6.7 billion people live outside of their home country. Many are refugees fleeing violence and persecution, but many more people move for economic opportunity and a better life. They maintain ties with their native country, often returning home for extended periods of time and sending money, called remittances, to relatives. International law governs the legal framework and institu- tional response to refugees, but individual states determine how to manage those who migrate by choice. And the dramatic increase in migration in recent decades has made how to man- age the flow of people across the globe a pressing international policy issue. The Global Forum on Migration and Development
  • 4. 4 | MacArthur/Fall ’08 Migration presents both advantages and disadvantages to countries of origin and countries of destination. Remittances to developing nations are estimated at about $300 billion annually, far outweighing the global total in foreign aid.Yet the migration of skilled and educated workers to devel- oped nations has taken valuable expertise from developing countries.And as devel- oped nations recruit these high-skilled workers to fill critical labor shortages, they also are attempting to stem unsanctioned migration. These complex issues were at the center of the first Global Forum on Migration and Development in Brussels, Belgium, in JulyJuly 2007.The Forum brought together 156 nations, placed development at the center of the discussion of international migration, and laid the groundwork for more cooperative efforts between migrants’ countries of origin and their countries of destination. The MacArthur Foundation supported the Brussels Forum and has awarded a grant to the Philippines Department of Foreign Affairs to host the second Global Forum in Manila on October 27–30, 2008.The Foundation’s support for this international dialogue is part of its efforts to assist initia- tives that have the potential to improve global governance of migration and ensure that people and nations benefit economically. “The Forum enabled us to look at migration as an opportunity instead of a threat. In the Western world that is often the danger,” said Regine De Clercq, currently the Belgian ambassador to Switzerland, who organized the Global Forum on behalf of the Belgian government. De Clercq said the Forum allowed nations to look at migration as a tool for development “without making develop- ment aid a way to manipulate migration flows, nor to use migration as a substitute for development.” Increasing International Coordination The Brussels Forum followed years of regional consultative processes (RCP), informal dialogues between governments in the same region to explore joint solutions to migration.World leaders do not embrace the idea of a global institution to govern migration — many consider the concept premature and a threat to national sover- eignty — but they have been receptive to the non-binding Global Forum. “It created a mechanism for interna- tional coordination,” said Peter Sutherland, the UN special representative to the secre- tary-general for international migration and development. Sutherland said attendance at the first Forum doubled expectations, and the presence of UN secretary-general Ban Ki-moon underscored the importance of the event. Several innovations and best practices were shared at the Forum, such as a new initiative by mobile phone companies to help migrants send remittances at a greatly reduced cost. Nations agreed to work on proposals concerning critical issues such as how countries of origin and destination can benefit from circular migration, the back- and-forth travel of workers. Some countries of origin discussed their efforts to create closer ties with migrants in the diaspora, including programs to retain skilled workers by establishing projects between expatriate scientists and those at home, Sutherland said.scientists and those at home, Sutherland said. With 10 percent of the Filipino popula- tion living overseas, strengthening ties with migrants in the diaspora is important to his government, said Esteban Conejos, foreign affairs undersecretary of the Philippines. Filipinos abroad provide about $14 billion in remittances, or about 10 percent of the nation’s gross domestic product, Conejos said. Many Filipinos are temporary workers in the Middle East, but most come to the United States where they become perma- nent residents. Migrants’ rights are a delicate issue in many destination and transit nations.There is a robust international legal regime gov- erning refugees and asylum seekers, but the major international agreement on the rights of migrants — the International Convention on the Protection of the Rights of All Migrant Workers and Members of Their Families — has not been ratified by any major countries of destination. Both Conejos and De Clercq MacArthur Foundation Global Migration Below: A young boy in an immigrant com- munity in Chicago. (continued on page 8)
  • 5. Controlling remittances in El Salvador Remittances — money sent by migrants to their home countries — are widely considered an important source of income for families in developing nations, but there is still limited information on their impact on development. Given that remittances are private funds, their impact depends on how they are used by individuals and households. Using remittances for daily consumption helps alleviate poverty, but economists presume that the longer-term effect of the funds on economic growth is greater when they are saved and invested, including investment in family members’ education. An innovative field study of Salvadoran migrants in the United States and their fami- lies back home could provide insights into how to better use remittances to increase eco- nomic growth in El Salvador and other developing countries. Supported by the MacArthur Foundation and the Inter- American Development Bank, the experiment is the first of its size to examine both senders and receivers of remittances, and reflects the Foundation’s support for practical interven- tions that can increase the benefits of migration for indi- viduals and societies. The two-year study focuses on 2,000 Salvadorans living in Washington, D.C., among the largest concentration of Salvadorans in the United States.The goal is to determine if the migrants would save more or invest in El Salvador if they had greater control over money sent to their families, says DeanYang, an economics professor at the University of Michigan and co-author of the study with Nava Ashraf, of Harvard Business School, Diego Aycinena, of Francisco Marroquin University, and Claudia Martinez, of the University of Chile. “International remittances have not been subjected to nearly the same amount of critical examination” as for- eign direct investments,Yang said, adding that they are also an important source of funds for developing nations. Remittances to developing nations are estimated at about $300 billion annually, far out- weighing the global total in foreign aid. A baseline survey of the migrants and their families revealed significant differences of opinion over how to use remittances,Yang said. Families wanted $65 of every $100 to be used for daily expenses, compared to about $45 of every $100 for migrants. When it came to savings, families wanted to save about $2 for every $100, compared to about $18 for migrants. To test their idea, researchers worked with Banco Agricola, a Salvadoran bank with branches in the United States, to set up three different savings accounts in El Salvador: one for the migrants’ families; an individual account for migrants; and a joint account for migrants and families. Participants are being offered one of the three savings accounts, and results will be monitored over 12–24 months. In addition, researchers established a control group that received no support in opening accounts. So far, a majority of migrants have selected joint and individual accounts. Researchers anticipate finishing the current phase of the study in summer 2008. The average annual remit- tances from the Salvadorans in the field study are $2,775 annually, or about 18 percent of their earnings. And the remittances are about 72 per- cent of the income of their families at home. About 20 percent of El Salvador’s gross domestic product comes from overseas workers—a figure that is among the highest in the world. In addition to giving the migrants more control over how remittances are used in El Salvador,Yang said the field experiment can also “stimu- late financial innovation.” For example, Banco Agricola is now marketing the new sav- ings accounts to Salvadoran workers in U.S. cities other than Washington. A follow-up survey of participants planned for early 2009 will examine the effects of the study on remit- tances, savings, and household spending patterns in El Salvador. Countries with the largest international migration stock, 2005 Number of migrants (in thousands) 1,843 1,959 2,048 2,225 2,371 2,502 2,661 3,212 3,254 4,097 4,709 5,408 5,700 6,106 6,361 6,471 6,833 10,144 12,080 38,355 Singapore Iran Japan Jordan Cote d’Ivoire Kazakhstan Israel United Arab Emirates Pakistan Australia Spain United Kingdom India Canada Saudi Arabia France Ukraine Germany Russian Federation United States of America Croatia Ukraine Austria Estonia Gambia New Zealand Kazakhstan Gabon Lebanon Canada Latvia Australia Switzerland Oman Saudi Arabia Jordan Israel Singapore Kuwait United Arab Emirates 14.5 14.7 15.1 15.2 15.3 15.9 16.9 17.7 18.4 18.9 19.5 20.3 22.9 24.4 25.9 39.0 39.6 42.6 62.1 71.4 Countries with the highest percentage of international migrant stock in total population Percentage of total population Source: UN Population Division
  • 6. MacArthur Foundation Global Migration Migrant origin and destination country pairs Source: Migrant Origin Database, Development Research Centre on Migration, Globalisation and Poverty at the University of Sussex.This database is itself derived from statistics compiled by the UN Population Division. 1 Mexico United States 9.34 million 2 Russia Ukraine 4.87 million 3 Bangladesh India 3.81 million 4 Ukraine Russia 3.56 million 5 Kazakhstan Russia 2.58 million 6 Russia Kazakhstan 2.19 million 7 Afghanistan Iran 1.86 million 8 Bangladesh Pakistan 1.51 million 9 Turkey Germany 1.51 million 10 Philippines United States 1.45 million 11 Algeria France 1.33 million 12 Pakistan India 1.33 million Rank Country of Origin Country of Destination Number of Migrants 1 10 1 10 The map shows the ten largest migration “dyads” — pairing countries of origin with countries of destination. Migrants are defined here as foreign-born people as recorded in the most recent census round.This means the numbers in this map are essentially accumulated/historic migrant populations. For example, many Pakistan-born people in India are those who moved at partition in 1947; and flows between Russia and Ukraine relate in part to the breakup of the Soviet Union.
  • 7. 4 2 3 5 6 7 9 10 12 8 11 4 2 3 5 6 7 9 10 12 8 11 4 2 3 5 6 7 9 10 12 8 11 Strengthening migration data The relative scarcity of good data on international migra- tion is an impediment to improved understanding and international coop- eration. The United Nations Population Division has compiled rather robust cross-nationally comparable data on migrant stocks — that is, the number of migrants in a given country in a given year (migrants being defined as those liv- ing outside their country of birth). However, for a variety of technical and ultimately political reasons, there is a lack of good data on migrant flows — the number of migrants traveling from one country to another in a given year. In an attempt to address data shortcomings, the MacArthur Foundation is funding a Commission on Migration Data for Development Research. The Commission is organized by the Center for Global Development and co-chaired by Lawrence Summers and Patricia Santo Tomás. Its members include leading migration data experts from the United Nations, the World Bank, the Organisation for Economic Co-operation and Development, the International Organization for Migration, and Eurostat, as well as top university- based specialists. The Commission will issue a report on its findings as well as recommendations on how to improve the quality of international migration data by instituting routine collection of information on entries and exits of migrants and standardizing definitions of temporary versus perma- nent migrants.
  • 8. MacArthur Foundation Global Migration 8 | MacArthur/Fall ’08 Left: People waiting at the Polish-Ukrainian border crossing. said they hoped for deeper discussion and exchange of best practices regarding migrants’ rights in Manila. They also would welcome more dis- cussion on how governments can work to ensure that trade or environmental policies, for example, do not contribute to migration problems.“It would be good that we look at the impact of [trade] policies for migra- tion,” De Clercq said.“If we continue to subsidize certain commodities and export them, what does it mean to the livelihood of people in certain areas, and, therefore, what does that mean for migration?” Challenges to Cooperation Organizers and supporters of the Forum have been careful to prevent disagreements over sovereignty from becoming an issue during the dialogue. “Sovereignty is still a defining para- digm” when it comes to global migration, said Susan Martin, executive director of Georgetown’s Institute for the Study of International Migration and former director of the U.S. Commission on Immigration Reform.The Institute received funding from MacArthur to support the work of both meetings of the Global Forum. But Sutherland said sovereignty has not been an issue at the Forum because it is not a decision-making body.“The Forum is a dialogue in finding proactive means for countries of destination and origin,” he said. “Sovereignty is not threatened in any way by that.” De Clercq said national sovereignty is a given, so the discussion must move to sharing best practices as a tool for man- aging international migration.“Who comes in and who remains is a decision of the country concerned,” she said.“Migration situations differ from country to country and region to region.” A greater challenge in Manila likely will be how to improve the participation of civil society organizations, De Clercq said. In Brussels, the civil society groups had one day to prepare their positions before pre- senting them to the larger group. In Manila, they will have two days, said De Clercq, adding that the Forum needs to find more ways to involve civil society groups, which are sometimes at odds with governments over policies. Martin said the time allotted civil society groups to present their recom- mendations in Brussels was cut short by government discussions on other issues. “This time, there will be a half day for dialogue between representatives of civil society and representatives of government,” she said, adding that both sides have much to learn from each other. The Ayala Foundation, a Philippine nonprofit devoted to the eradication of poverty, will organize the civil society par- ticipation at the upcoming Manila Forum. The Buildup to the Brussels Forum Many factors have contributed to soaring global migration in recent years.Aging pop- ulations and declining birth rates in many European nations have created opportuni- ties for migrant workers. Meanwhile, a lack of opportunities and political and other crises in developing nations have prompted an exodus of people. The Cairo International Conference on Population and Development in 1994 was the first UN conference to place the issue of global migration on the world agenda. But developed nations were reluctant to support international standards or institu- tions to govern the movement of people across the globe because they wanted to maintain control over their boundaries.As a result, several regional consultative pro- cesses developed in response to migration pressures.Among the early RCPs was the 1996 Regional Conference on Migration, including Mexico, the United States, Canada, and eight other countries in North and Central America.The group has devel- oped a joint database that tracks regional migration flows. Since Cairo, there also have been several international endeavors, such as the Berne Initiative and the Global Commission for International Migration, that encouraged more cooperation on migration and proposed mechanisms and Program focuses on migration in Africa A new grant fromThe MacArthur Foundation will help increase research about migration across Africa.The Foundation has awarded a three-year grant to the International Migration Institute at the James Martin 21st Century School at the University of Oxford to develop data and map migra- tion networks through the “African Perspectives on Human Mobility” pro- gram.The research will focus on migra- tion to and from Ghana, Morocco, the Democratic Republic of Congo, and Nigeria. In Nigeria MacArthur currently focuses its efforts on reducing maternal mortality and strengthening higher edu- cation and the rule of law. The work will be done in conjunction with African researchers as part of a long-term effort to help institutions in Africa develop state-of-the art research on migration. For more information, visit the website at http://www.imi.ox.ac.uk/ research/african-perspectives-on-human- mobility-1.
  • 9. Understanding the development impact of migration MacArthur-funded research is breaking new ground in our understanding of the economic impact of migration on countries of origin and destination, and on migrants themselves. Some examples of this work follow. Impact on countries of origin Remittances have become a crucial source of income for many developing countries. With MacArthur funds, the Social Science Research Council is organizing a website for researchers who want to have access to analytical perspec- tives regarding remittances, including articles that reflect the latest theoretical and meth- odological approaches on how to design research on the topic. Many observers assume that highly skilled migrants are more likely to send remit- tances than migrants with lower skill levels. But research by the Institute for the Study of International Migration at Georgetown University shows that income, not education per se, is a better predictor of remit- tance behavior, and that over time well-educated migrants become less likely to remit compared with lesser-educated migrants.This suggests that remittances alone cannot compensate for the negative consequences of brain drain. In a MacArthur-funded policy paper, Dovelyn Rannveig Agunias and Kathleen Newland of the Migration Policy Institute examine the prospects for circular migration to have a positive impact on migrants’ countries of origin. In “Circular Migration and Development: Trends, Policy Routes, and Ways Forward,” Agunias and Newland argue that circular migration works best when flexible and open working arrangements are used in place of traditional guest worker pro- grams; and when disincentives that discourage permanent migrants from returning home are removed. Impact on migrants The Center for Global Development’s recent working paper, “Income per Natural: Measuring Development as if People Mattered MoreThan Places,” by Michael Clemens and Lant Pritchett, introduced a new indicator — income per natural, which is defined as the mean annual income of persons born in a given coun- try, regardless of where those persons now reside. Clemens and Pritchett argue that looking at individuals, rather than their home countries, provides a new lens for understanding the importance of migration for lift- ing individuals out of poverty. Almost 43 million people live in a group of countries whose income per natural collectively is 50 percent higher than GDP per resident, according to the authors. And for 1.1 billion people the difference exceeds 10 percent. For example, pov- erty estimates differ between residents of poor nations such as Haiti and those citizens who emigrated.The authors state that 26 percent of Haitian natu- rals who are not poor, defined in Haiti as living on $2 a day, live in the Untied States. International migration has been presented as an alterna- tive to economic development, but Clemens says it is a form of economic development if one defines development as raising human well-being. Impact on countries of destination A new MacArthur-supported study suggests that foreign workers in both high-education and low-education occupa- tions complement more than compete with most Americans in the workforce.While some competition exists between less-educated native-born and immigrant workers, the research finds that a majority of Americans benefit from immi- gration because it allows them to move into better-paying posi- tions requiring language skills that migrants lack, according to Giovanni Peri, an economics professor at the University of California, Davis. Peri uses the example of the construction industry, where the hiring of foreign workers has reduced wages.This decline in labor costs has allowed the industry to hire both more “bricks and mortar” workers and supervisors, he said.The supervisory jobs go to native- born workers because the positions require more sophis- ticated language skills than immigrants possess. Rising American educational levels also help U.S.-born workers in the labor market, according to Peri. Native workers with no high school diploma have experienced a small reduction in wages as a result of competition with immigrants, Peri noted. But from 1960 to 2006, the per- centage of Americans without diplomas dropped dramatically from 60 percent to 9 percent. A complementary relation- ship between American and foreign workers also exists in highly skilled science and tech- nology occupations, Peri said. Immigrants with advanced degrees in math and science have been filling research posi- tions because of a shortage of trained Americans in these fields. frameworks to manage it. In 2006, the UN High Level Dialogue on Migration and Development called for more regular discussion of the issue, which led to the first Forum. Prior to the Forum, many of the dialogues among nations occurred under the umbrella of the International Organization for Migration (IOM), which works closely with the regional consultative processes.With years of expe- rience sharing information on migration, the RCPs have valuable experience to share with Forum participants, said Robert Paiva, director of external rela- tions for the IOM. In“philosophy,structure,and procedure,” he said the Forum follows a model similar to that of the regional processes,which were created and supported by some of the same nations now participating in the Forum. “There is no structural relationship between the RCPs and the Global Forum.Since the outset,however,there has been recognition by states that the Forum should be able to draw upon and benefit from the important work being done by RCPs,”Paiva said. For example, a key goal of the Colombo Process, a regional consultative process ini- tially involving ten Asian countries of origin, (continued on back page)
  • 10. MacArthur Foundation Global Migration 10 | MacArthur/Fall ’08 MacArthur Foundation Global Migration M ore than 11 million Mexicans live in the United States — the largest immi- grant group in the country and one-tenth of the entire population born in Mexico. More than half of these immi- grants reside in the United States illegally. Migration between Mexico and the United States has created a unique gov- ernance challenge. Though Mexico and the United States share a trade pact, the North American Free Trade Agreement (NAFTA), they do not agree on how to manage the flow of people across their shared border. And the United States deci- sion to build a fence to attempt to stem illegal immigration has exacerbated tensions with Mexico. With support from the MacArthur Foundation, the Migration Policy Institute (MPI) held a series of seminars in 2007 and 2008 to further understanding and dialogue between the United States and Mexico on migration-related issues. The Foundation is funding MPI as part of its efforts to encourage improved governance of migration at an international, regional, and national level. Mexico is also among four nations, including Nigeria, Russia, and India, that are focus countries for the Foundation. A seminar held in April 2008 helped Mexican diplomats and ministers understand migration policies and practices in the United States and Canada (which is also a party to NAFTA), including how each country determines which immigrants to admit.The seminar also examined how to better coordi- nate migration policy among various Mexican agencies. Demetrios Papademetriou, presi- dent of MPI, said the seminar will become a training model for Mexican officials in the Foreign Service, and that the govern- ment expressed an interest in holding similar training for civil society organizations. “People come, they are curious, they ask questions,” Papademetriou said of the seminars. “But everybody understands that the tenor in the United States also has to change.” Papademetriou has encouraged Mexican officials to decide which issues they will present to the next U.S. president. While immigration has been a central issue on the bilateral agenda, Mexico is also deeply concerned about arms trafficking from the United States, and how drug use in the United States affects the drug trade and cartels in Mexico. Other meetings among regional officials have emphasized cooperation on technical and practical information such as how to maintain data on migrants apprehended at the border and how to train border officers on human rights practices. While Mexico is a country of origin for millions of migrants to the United States, it is also an important transit and destination nation. Approximately 400,000 migrants, many of them women from Latin America, travel through Mexico each year in order to reach the United States, MPI figures show. And the United States is the largest single country of origin for migrants to Mexico. Mexico is grappling with how to manage its southern border with Guatemala to control migrants who are both passing through en route to the United States and attempting to settle there. And like other nations faced with migration pres- sures, Mexico is exploring how it can economically benefit from voluntary migra- tion. “A common goal [between Mexico and the United States] is how to begin to attract better qualified immigrants,” Papademetriou said. There is a need for more frank discus- sions among the United States, Mexico, and Canada away from the heated spotlight in which the immigration debate often occurs, he said. Issues have to include border security, but also how to increase legal migration. “Illegal immigration doesn’t serve any- body well,” Papademetriou said, “and it actually reduces the opportunities to think more creatively about legal immigration.” Learning from Mexico about governance and global migration Left: Mexico is an important transit and destination nation for many people from Central America.
  • 11. MacArthur/Fall ’08 | 11 I n the past decade, a spike in the number of nurses and doctors migrating to places like the United States and the United Kingdom to meet the growing demand for healthcare workers has created a significant brain drain in their native countries. The migration of highly skilled workers from developing to developed nations was an important topic at the first Global Forum on Migration and Development in July 2007. The healthcare industry in particular has been dramatically affected by this trend. While migrants help their countries’ economies by sending money home to relatives, the exodus of healthcare workers from developing countries com- plicates efforts to provide quality health services in areas of the world that are already overwhelmed by diseases like HIV and AIDS. At the same time, some health professionals who come to work in the United States are finding themselves the victims of questionable practices by recruiting companies that frequently alter the terms of their employment agree- ments without consent. With support from the MacArthur Foundation, AcademyHealth and the Aspen Institute’s Realizing Rights: The Ethical Globalization Initiative are developing ideas and programs to prevent abuse of foreign healthcare workers and strike a balance between these workers’ right to migrate and the healthcare needs of their countries of origin. “It’s a huge issue, and it’s an interesting one because it’s being felt by countries all over the world, both by wealthy developed countries and developing ones,” said Peggy Clark, managing director of Realizing Rights. “It’s a really interesting globaliza- tion issue because countries have to work together on it.” Frameworks for Health Worker Migration The World Health Organization (WHO) estimates there is a nearly 4.5 million short- fall in healthcare workers globally, and 57 countries, most of which are in Africa, have a severe shortage. Concrete data on the global movement of healthcare workers is difficult to obtain, but some estimates for nurses, for example, show that the number migrating to the United States jumped to more than 20,000 last year from about 6,000 in 1983. The influx of workers has helped offset a demand in the United States where med- ical advances and an aging population have significantly increased the need for health- care workers. But the migration is having a huge impact in African countries where medical resources are limited. In Ethiopia, for example, there is one doctor for about every 30,000 people, compared with the United States, where the ratio is about one doctor for every seven people, Clark said. The result is a healthcare crisis in many developing countries, said Patricia Pittman, executive vice president of AcademyHealth. “You have health systems (in those countries) that were historically weak and Addressing the brain drain of healthcare workers Patients wait to be treated at a clinic in Dar Es Salaam, Tanzania.
  • 12. MacArthur Foundation Global Migration 12 | MacArthur/Fall ’08 underserved and (now are overburdened) with the epidemic from AIDS and HIV and other diseases linked to AIDS,” she said. “You have not only nurses dying of AIDS themselves, you have nurses fleeing those areas where you have unsafe working conditions and conditions that are increas- ingly stressful.” As part of its efforts to address these issues, Realizing Rights was chosen by WHO to take a lead role as secretariat for the Global Health Workforce Alliance Advisory Council, which is developing a framework for a global code of practice for health worker migration. Scheduled to be finished next year, the framework will include a set of principles, including the right of people to migrate in search of a better life. It also will include a review of some of the existing agreements between sending and receiving countries. AcademyHealth, meanwhile, has studied the practices of nurse recruit- ment companies and is developing voluntary ethical guidelines for U.S.- based companies to follow as they seek to hire foreign healthcare workers. While the work is in its preliminary stages, it will likely include minimum standards of how nurses should be treated, Pittman said. One proposal requires recruiters to give foreign nurses sufficient time to review employment contracts and to consult an attorney before signing them. “There will also be best practices,” she said. “Ways you can recruit that would help countries manage the flow and ways you can give back to source countries. Innovative ways to share the knowledge either of training programs or opportunities for some nurses to come here temporarily or to go back to countries for home leave and provide instruction to their home countries.” While the demand for healthcare workers in industrialized countries has grown in recent years, until recently many of these wealthier nations have not emphasized the training of home- grown healthcare workers. Norway, the United Kingdom and Canada have taken recent steps to do so, but the United States continues to look overseas for nurses and doctors to meet the demand. Issues Surround Recruitment Indeed, the number of companies that recruit nurses to work in the United States has soared in recent years. From the 1960s to 2000, there were 30 or 40 U.S.-based international nurse-recruiting companies, but in the past seven years the number jumped to 267, according to AcademyHealth’s research. “It’s almost a ten-fold increase since 2000, which was the point at which there was a serious nursing shortage in the United States,” Pittman said. While many firms say they don’t recruit from countries that are experiencing a severe nursing shortage, AcademyHealth found that at least 25 firms were recruiting from countries facing significant shortages. Many hospitals tend to recruit directly from countries, but a growing number of nursing homes appear to be relying on recruitment companies. AcademyHealth found that nursing home workers were most often the victims of questionable recruiting practices. For instance, some recruitment firms have refused to give for- eign nurses a copy of their signed contracts, and others have later altered the terms of the contract without a nurse’s consent. That has led to situations where recruits come to the United States expecting to work in one city, where they might have relatives, only to learn they will be employed in another location. Many stay in cities where they do not want to work because they would have to pay tens of thousands of dollars if they broke their employment contracts. “We don’t know how widespread the abuses are,” Pittman said. “But from the focus groups we held, there was a consensus among the nurses in the focus groups that this was not uncommon.” AcademyHealth is now working to help develop guidelines that would prevent similar questionable practices from occur- ring in the future. A task force including labor unions, recruiters, and hospital organi- zations is supporting this effort. Balancing Needs Between Countries Meanwhile, Realizing Rights is working with foreign officials from throughout the world to develop a framework to help balance the needs of the sending and receiving countries. As part of its work, MacArthur Foundation Global Migration Below: Many Filipino nurses work in the healthcare industry in the United States.
  • 13. Realizing Rights is assessing recent agree- ments between countries that are trying to address the issue. For instance, a 2003 memorandum of understanding between the United Kingdom and South Africa requires the UK to send grants, along with health administrators and teachers, to South Africa to help improve the infra- structure and to train healthcare workers. The agreement also allows South African workers to return home for a month to help teach and train their fellow citizens, a popular policy for workers who want to maintain contact with their homeland. Under a hospital “twinning” pro- gram, healthcare facilities in the United Kingdom are paired with South African counterparts, to whom they offer tech- nical assistance. Critics say the agreement has limited opportunities for South African nurses in the United Kingdom, but British officials say that wasn’t the intent, according to Realizing Rights. And the South African healthcare facilities and medical schools involved in the program have benefited from the external assistance. Hospitals in the United Kingdom, for example, have sent South African nurses and doctors home to train healthcare workers. A similar agreement between Norway and Poland is in the process of being finalized, Clark said. “So they are very new, all of these kinds of policy instruments, but they are about sending and receiving countries starting to talk to one another about what some of the solutions might be.” While the framework of a code of practice is just the beginning of a lengthy process to create binding agreements between countries, Clark is optimistic about what it could achieve. “It feels like we could really have an impact,” she said. “It feels like we could propose some solutions that would model a way to talk about migration that would respect those who leave for a better life and recognize the responsibili- ties of receiving countries.” Right:The demand for healthcare workers in industrialized countries has grown in recent years. Highlights of the voluntary recruitment code for foreign nurses The code applies to organizations that recruit and employ foreign-educated nurses in the United States, and attempts to balance the interests of nurses, countries of origin, and employers in the destination countries. Following are highlights of recruiters’ responsibilities under the voluntary agree- ment: • Comply with U.S. labor and civil rights• Comply with U.S. labor and civil rights• laws that prevent discrimination based on age, gender, race, disability, and participa- tion in union-related activities. • Practice transparency and honesty in• Practice transparency and honesty in• advertising and recruiting literature aimed at nursing applicants, including licens- ing and the location, nature and terms of employment. • Provide sufficient opportunity for nurse• Provide sufficient opportunity for nurse• applicants to review and consider written contracts before signing is required, includ- ing time to consult with an attorney. • Establish an internal administrative pro-• Establish an internal administrative pro-• cess to facilitate review of disputes regard- ing alleged breach of contracts by nurses or recruiters/employers. • Consider the healthcare needs of countries• Consider the healthcare needs of countries• of origin in deciding where to recruit to limit the impact on health services. Source: AcademyHealth
  • 14. Initiative on Global Migration and Human Mobility Grants Leading Institutions Center for Global Development (Washington, D.C.) $1,200,000 for general support to advance research and policy development on the impacts of migration on development and on helping poor countries attain the benefits of globalization (over three years). (2006) Migration Policy Institute (Washington, D.C.) $960,000 in support of research and translation efforts for policymakers on the impacts of migration on development and on international governance of migration (over three years). (2006) Georgetown University, Institute for the Study of International Migration (Washington, D.C.) $750,000 for general operating support that will advance work on the governance of international migration and on the relationship between migration and development (over three years). (2006) $40,000 in support of an expert workshop to inform discussions at the second meeting of the Global Forum on Migration and Development. (2008) Organisation for Economic Co-operation and Development (Paris, France) $900,000 in support of policy relevant research to build partnerships on migration governance and development (over three years). (2007) University of Oxford, International Migration Institute (Oxford, United Kingdom) $900,000 in support of a program of research and capacity building on African migration (over three years). (2007) Governance Ayala Foundation U.S.A. (Redwood City, Calif.) $400,000 in support of civil society participa- tion at the 2008 Global Forum on Migration and Development. (2007) Business for Social Responsibility Education Fund (San Francisco, Calif.) $250,000 in support of a project to enhance the role of the private sector in promoting responsible inter- national labor migration. (2008) Center for Ethnopolitical and Regional Studies (Moscow, Russia) $240,000 in support of a project on the social inte- gration of migrants in Russia (over two years). (2006) Federal Public Service for Foreign Affairs (Brussels, Belgium) $50,000 in support of preparations for the Global Forum on Migration and Development. (2007) George Mason University, Center for Global Studies (Fairfax, Va.) $200,000 in support of research on global migration and transnational politics (over two years). (2007) Harvard University Center for Middle East Studies (Cambridge, Mass.) $195,000 in support of a study on the civil and polit- ical participation of Muslims in the Greater Boston area (over two years). (2007) International Organization for Migration (Geneva, Switzerland) $100,000 in support of the World Migration Report 2007. (2006) King Baudouin Foundation (Brussels, Belgium) $152,000 in support of civil society participation at the Global Forum on Migration and Development. (2007) Migration Policy Institute (Washington, D.C.) $240,000 in support of educational seminars on migration for American and Mexican policymakers. (2007) Oxford University (Oxford, United Kingdom) $500,000 in support of research and policy dialogue on the global governance of migration (over 33 months). (2007) Migration Research Center (Moscow, Russia) $210,000 in support of research and policy analysis on managing migration under conditions of demo- graphic crisis in Russia (over three years). (2007) Rockefeller College, University of Albany (Albany, N.Y.) $200,000 in support of a study of global mobility regimes (over two years). (2008) Sin Fronteras (Mexico City, Mexico) $250,000 to educate government participants and develop policy recommendations regarding the regional governance of migration in Mexico and Central America (over three years). (2006) United Nations Department of Economic and Social Affairs (New York, N.Y.) $152,000 in support of participation in the Global Forum on Migration and Development by the office of the Special Representative of the Secretary- General for Migration. (2008) United Nations Executive Office of the Secretary General (New York, N.Y.) $239,000 in support of activities by the Special Representative for Migration related to the first Global Forum on Migration and Development. (2006) United Nations Institute for Training and Research (New York, N.Y.) $172,000 in support of workshops and a training pro- gram on key migration issues (over two years). (2006) University of Illinois at Urbana-Champaign (Champaign, Ill.) $55,000 in support of a conference on the role of human mobility in Russian history and contempo- rary Russia. (2008) Woodrow Wilson Center, Latin American Program (Washington, D.C.) $300,000 in support of a project on civic and politi- cal participation by Latin American migrants (over two years). (2006) Development AcademyHealth (Washington, D.C.) $350,000 in support of research about the brain drain of healthcare professionals from poor countries and to develop standards for ethical recruitment (over two years). (2006) $552,000 in support of efforts to implement a volun- tary code of practice for the recruitment of foreign nurses to the U.S. (over two years). (2008) Aspen Institute, Realizing Rights:The Ethical Globalization Initiative (Washington, D.C.) $200,000 in support of the development of policies and bilateral agreements to address the movement of healthcare workers from the developing world to the United States, United Kingdom, and other receiving nations (over two years). (2006) $200,000 in support of developing a global code of practice for the international movement of health work- ers from the developing world to the United States, United Kingdom,and other receiving nations.(2007) El Colegio De La Frontera Norte, Centro de Estudios Fronterizos del Norte de Mexico (Tijuana, Mexico) $120,000 in support of a survey of households in Oaxaca on the economic and social causes and con- sequences of migration. (2006) Federal Ministry of Health, Nigeria (Abuja, Nigeria) $242,000 to research the magnitude and impact of migration of health professionals and to develop poli- cies to improve retention (over two years). (2008) Migration Dialogue (Davis, Calif.) $250,000 in support of research on circular migration and the impacts of free trade agreements on migra- tion (over two years). (2007) Princeton University (Princeton, N.J.) $120,000 in support of a longitudinal survey of Mexican migrants in the United States (over one year). (2007) Red Internacional de Migracion y Desarrollo (Zacatecas, Mexico) $200,000 for support of the network and its col- laborative research efforts on migration and develop- ment (over three years). (2006) Social Science Research Council (New York, N. Y.) $350,000 in support of an effort to assess the state of research on migration and development in order to strengthen future research and its links to policy. (over 15 months). (2006) University of California, Davis, Department of Economics (Davis, Calif.) $166,000 in support of research on the economic gains from migration in North America and Europe (over two years). (2007) University of Michigan (Ann Arbor, Mich.) $590,000 in support of research to test the impact of novel financial products on the use of remittances for development (over two years). (2007) $50,000 in renewed support of research on the use of remittances for development (over 22 months). (2008) Other Grantmakers Concerned with Immigrants and Refugees (Sebastopol, Calif.) $20,000 in support of general operations (over two years). (2006) $40,000 in support of general operations and their 2008 National Convening (over three years). (2008) World Policy Institute, New School University (New York, N. Y.) $15,000 in support of a conference on immigration and security. (2006) MacArthur Foundation Global Migration
  • 15. MacArthur/Fall ’08 | 15 T he Initiative on Global Migration and Human Mobility began in January 2006, making it the youngest international program area at MacArthur. However, the Foundation’s engagement in this field has broad antecedents — including funding for The New Americans and other immigration-The New Americans and other immigration-The New Americans themed documentary films, support for regional economic development and the State of Illinois’s New Americans Initiative, and grants to Refugees International and other organizations working on immigrant and refugee rights. In the recent past, the Foundation has also funded studies of global economic governance, as well as individual research projects on migrants and refugees. These threads have come together to bring what we hope is a multidimensional and transnational approach to MacArthur’s engagement with migration issues.As with all of the Foundation’s grantmaking, we believe that our migration work benefits from MacArthur being a global founda- tion firmly rooted in a specific place — the city of Chicago. Our hometown is one of the world’s great cities of immigration and a key destination for the Great Migrations of the 20th century that brought millions of African Americans from the South to the industrial cities of the North, Midwest, and West.The movement of people, both within the United States and across national borders, has inscribed itself into Chicago’s streets and neighborhoods and made this city a rich tapestry of peoples from around the world. This newsletter has provided glimpses into how researchers, policymakers, and practitioners are beginning to understand migration as a global phenomenon. In the years ahead, we hope that MacArthur’s efforts will contribute to a deepening of this understanding and its implications.This work is dedicated to the dozens of indi- viduals who have so generously shared their insights and expertise as we developed this Initiative — and to the world’s 200 million migrants. John Slocum Director, Global Migration and Human Mobility For more information, please call (312) 726-8000 or email 4answers@macfound.org Jonathan F. Fanton President Barry F. Lowenkron Vice President, Global Security and Sustainability John W. Slocum Director, Global Migration and Human Mobility Milena Novy-Marx Program Officer Gabriela Suarez Program Administrator LauraYoung Program Assistant Cordia Pugh Executive Secretary The John D. and Catherine T. MacArthur Foundation supports creative people and effective institutions committed to building a more just, verdant, and peaceful world. In addition to selecting the MacArthur Fellows, the Foundation works to defend human rights, advance global conservation and security, make cities better places, and understand how technology is affecting children and society. With assets of $7 billion, the Foundation makes approximately $300 million in grants annually. For more information about the Foundation or its migration grantmaking, visit www.macfound.org. Director’s Message Global migration and human mobility JohnD.andCatherineT.MacArthurFoundation.©2008Allrightsreserved.ProducedbyLipmanHearne,Chicago/Washington About the Foundation
  • 16. MacArthur Foundation Community Change The Global Forum on Migration and Development The John D. and Catherine T. MacArthur Foundation www.macfound.org 140 South Dearborn Street Suite 1200 Chicago, Illinois 60603 USA PRESORTED FIRST-CLASS MAIL U.S. POSTAGE PAID CHICAGO IL PERMIT NO. 8732 The Global Forum on Migration and Development Global Migration For more information about the Foundation or to sign up to receive MacArthur’s free monthly electronic newsletter, please visit www.macfound.org. ’08.1 MacArthur Foundation is to promote improved management of labor migration.The group first met in 2003 in Sri Lanka, and has expanded to include countries of destination for Asian migrants, including Bahrain, Italy, Kuwait, and Saudi Arabia, to participate in its meetings to help strengthen management of migration beyond Asia.Among the achievements of the Colombo Process are the development of a training curriculum for labor attachés and administrators and implementation of joint training courses. Conejos said a chief goal of the Manila Forum is to strengthen the link between RCPs and the Forum, so recommenda- tions and ideas from the international event can be pursued on a regional basis. He also wants to emphasize sharing experiences and best practices among nations, especially in the three areas of focus for the Forum: migration, development, and human rights; how to secure legal migration; and how to build institutional and policy coherence and partnerships between governments. The Future of the Forum Greece is scheduled to host the Forum in 2009.And other nations have expressed an interest in hosting the gathering as well. “The most important sign of the Forum’s success is that numerous states have now volunteered to host in future years,” said Sutherland, adding that Argentina, Spain, and Morocco have inquired about hosting. But what form the Forum should take will continue to be a topic of discussion. While most nations do not want a perma- nent UN-type agency to oversee migration, Conejos said “there has to be some support group to carry forward” the Forum process. As it now stands, the Forum has a rotating chair-in-office, no permanent secretariat, and depends on contributions, primarily from host countries and governments. “We should think about how to make it more stable,” De Clercq said.“We have created hopes that the Forum will look at concrete ways forward, so we have to make sure that happens.”