One important explanation for the flow of health care workers across national borders is the growing demand and expectation in affluent countries, including Western welfare states, for affordable, quality long-term care services (OECD 2005: 10). This is one part of a global trend. Foreign-trained health care workers are increasingly likely to move from low-income countries with an inadequate number of care workers and high disease burdens to more prosperous and healthy parts of the world, especially North America, Western Europe, and the high-income countries in the Gulf and the Western Pacific (Polsky et al. 2007). This migration is skewing the distribution of the global health workforce and deepening health inequities, creating a global “crisis in health” (WHO 2006).