This paper is a contribution to the discussion of Gillian Brock and Michael Blake’s book “Debating Brain Drain.” It argues with Gillian Brock and against Michael Blake that a liberal state may make access to medical education conditional on public service of a reasonable duration after the completion of state supported education. Blake rejects this position on grounds that are broadly Rawlsian. This paper argues that such conditionality can be a reasonable limitation on liberty pursuant to the general satisfaction of a lexically prior basic needs principle, which includes a human right to health. Therefore such conditionality can be consistent with Rawlsian egalitarian liberalism generally.
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