The industrialized world bears a major responsibility for having created this state of affairs and a comparable duty to change it. The West has suffi cient resources to provide aid to mitigate suffering. We must transform ourselves from consumers of trained professionals in low income countries into providers of training and care. Opportunities for our trainees to work abroad as trainers and carers in low income countries will enlarge their understanding and make them better practitioners when they return. The “brain drain” is not a cliché; it is a reality visible every day when we make rounds in Western institutions.
