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This article begins by identifying a range of factors that contribute to the movement of health care workers around the globe, specifically from low and middle-income countries to affluent ones.  From there it explores ethical issues that arise concerning the deepening of global health inequalities; the status and treatment of migrant health workers, the implications for their families and communities; and the structure of human health resource planning. There is further consideration of the range of agents who might be said to have responsibilities to address these concerns, and what could be said to ground them. Noted are key efforts made to date as well as ideas for further reform.