We exploit modifications in U.S. visa insurance policies for nurses to measure mind drain versus acquire. Combining information on all migrant departures and postsecondary establishments within the Philippines, we present that nursing enrollment and commencement elevated considerably in response to larger U.S. demand for nurses. The provision of nursing packages expanded to accommodate this enhance. Nurse high quality, measured by licensure examination go charges, declined. Regardless of this, for every nurse migrant, 10 further nurses had been licensed. New nurses switched from different diploma varieties, however graduated at increased charges than they’d have in any other case, thus rising the human capital inventory within the Philippines.