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> I don't think his domain knowledge delivering medicine in Ghana is of very high value. It is probably easily attained. That means that all the value of his going back to Ghana is provided on the basis of his education. This means that anyone with his education is a good candidate for the job.

I disagree. It's much easier to give a person a 4-year education in something like Public Health Policy, than to give someone a 25-year education in language, culture, politics, etc. etc.

And in the end, regardless of how hard you try, if you're a foreigner trying to do that job, you will never be trusted as "one of us" by the locals.




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