de Vries Bouke
Ghent University.
Nurs Ethics. 2025 Aug;32(5):1332-1342. doi: 10.1177/09697330251315938. Epub 2025 Feb 16.
Many higher-income countries have shortages of care-workers, which is unlikely to change in the foreseeable future as virtually all of these societies are ageing. The philosophical literature on this problem has concentrated mostly on the merits and demerits of different policy solutions, especially on the recruitment of foreign care-workers and on investments in care robots and other relevant technologies. However, the question of what moral duties, if any, have to help address care-worker shortages has been entirely neglected. In this article, I help to fill this lacuna by arguing that some inhabitants of higher-income countries have moral duties to age abroad in order to reduce the pressure on the aged care-systems of their current societies, whereby 'ageing abroad' is defined narrowly as moving to a foreign country to receive residential or non-residential aged care. As I show, these duties are dependent on a number of conditions being met, including the requirement that the host populations not be made worse off.
许多高收入国家都面临护理人员短缺的问题,而且由于几乎所有这些社会都在老龄化,在可预见的未来这种情况不太可能改变。关于这个问题的哲学文献大多集中在不同政策解决方案的优缺点上,特别是招募外国护理人员以及对护理机器人和其他相关技术的投资。然而,关于是否有道德义务帮助解决护理人员短缺问题这一问题却完全被忽视了。在本文中,我认为高收入国家的一些居民有道德义务到国外养老,以减轻他们当前所在社会的老年护理系统的压力,从而填补这一空白,其中“到国外养老”被狭义地定义为搬到外国接受住宿或非住宿老年护理。正如我所表明的,这些义务取决于一些条件的满足,包括东道国人口不会因此变得更糟的要求。