This article investigates whether the methods by which states implement citizens’ human rights possess serious weaknesses for ensuring migrant health professionals’ rights. Stemming from the discipline of normative philosophy, the moral approach to human rights sees rights as implemented through multiple waves of duties delivered by state-managed integrity systems. We argue that this otherwise comparatively reliable method can fail to deliver adequate outcomes to migrant health professionals. These professionals can encounter problems stemming from the following: their lack of political priority as non-citizens; the challenges to effective monitoring of migrant health professional pathways and outcomes; the incapacity of federal lawmakers to impact on key policy levers; the ever-present threat of “pathways to nowhere”; and state-enabled employee exploitation. The findings provide a philosophically grounded foundation for acknowledging the human rights concerns of even high-skilled migrants, and show why special regimes for rights protection, facilitation and monitoring are necessary for migrant health professionals.

中文翻译：

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移民卫生专业人员的系统性人权脆弱性

本文探讨了国家实施公民人权的方法是否在保障移民卫生专业人员的权利方面存在严重缺陷。源于规范哲学的学科，人权的道德方法认为权利是通过国家管理的诚信系统交付的多波义务来实施的。我们认为，这种相对可靠的方法可能无法为移民卫生专业人员提供足够的结果。这些专业人士可能会遇到以下问题：他们作为非公民缺乏政治优先权；有效监测移民健康专业途径和结果的挑战；联邦立法者无法影响关键政策杠杆；“无处可去”的威胁无处不在；和国家支持的员工剥削。调查结果为承认即使是高技能移民的人权问题提供了哲学基础，并说明了为什么移民卫生专业人员需要特殊的权利保护、便利和监督制度。