Reciprocity Isn't Real

Reciprocity is a core tenet of global health. Does it play out in practice? Not really, writes Madhukar Pai in this 2-part series.
For every 10 US-based students hosted in an African University, just 1 African travels the other way. The barriers to entry are many.
Students from low- and middle income countries struggle to get visas. Government funding is often earmarked for home institutions. Many exams exclude non-English speaking candidates. The list goes on.
As for Pai himself? “I was lucky, and had professors who took a chance on me.” He’s now wondering how to shift the balance.
In the next installment: solutions—and Pai, director of the McGill Global Health Programs, is open to suggestions.

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