It’s estimated that more than 4,000 Nigerian doctors practice in the US; over 5,000 in the UK and 568 in Canada (a 200 percent increase in 10 years). Poor pay and lack of opportunities are the primary reasons doctors are leaving the country.
Who benefits or loses when Nigerian doctors emigrate? A lot is lost: the skills and knowledge, the cost of training (it costs $5,000 to $10,000 a year to train doctors in Africa, according to one estimate), lives (2,300 children and the 145 women die every day from preventable diseases and causes), savings and taxes?
There are benefits too. A 2011 survey of 1,759 African doctors based in the US and Canada found that half were trained in their country of origin, had worked for at least five years before emigrating and sent home on average more than $6,500 a year. These African doctors had been in the US or Canada for an average of 21 years. In summary, the survey found that African doctors born and trained in their country of origin but now based in the US and Canada had each sent home roughly $130,000 (N47 million).
Do the benefits outshine the costs? According to data on remittances i.e. money Nigerians living abroad send home, has outstripped what the country earned from oil for the past four years.
According to PwC, a consultancy, the $25 billion Nigerians living overseas sent home in 2018 represents 6 percent of all the goods and services Nigeria produced that year. PwC further notes that the figure is equivalent to 83 percent of the 2018 budget and 11 times the amount foreign companies invested in the same period.
Nigeria exports human capital not oil.
For the President, his advisers and the heads of ministries, departments and agencies this is an afterthought. Nothing is done to harness this immense gift. On the contrary, their comments, attitudes, and actions come across as a deliberate effort to frustrate Nigerians out of the country. You’re free to go, they say. And so they leave.
Either legally; Nigerians are among the fastest-growing immigrants in the UK and do well at school. In the US, they are among the best-educated, or illegally; every year thousands risk their lives (knowingly and unknowingly) across the Mediterranean in order to work as prostitutes or at manual jobs in Europe. In 2016 and 2017, the most common nationality of people that arrived Italy by sea from Libya was Nigerian – 37,550 of them in 2016. They send money home too.
If the conditions causing Nigerians to emigrate continue, Nigeria will run out of talent to export. The state of our public schools and hospitals and roads does not suggest we intend to be the talent factory of the world, exporting brainpower wherever it is needed.
Ironically, this surplus makes up for shortages. The money sent home pays for the things government is meant to provide. Retirees battling with hypertension or cancer without any hope of receiving their pensions rely on money sent from abroad to buy their drugs. The chances of young children getting a decent education depend on the euros an aunt sends from Italy.
Over four years ago, bright young Nigerians returned either to work for multinationals or to found start-ups in the flourishing technology sector. Their alumni network from some of the best schools in the world opened doors to foreign investors. The influx has reversed.
We ask, rewording the Pauline rhetoric: What then? Is the government to make things more difficult in order to force more bright young Nigerians abroad? By no means. At home or abroad, Nigeria’s true asset is human capital, her population.