David McCoy and colleagues,1 and the related Comment,2 show the diversity of factors related to low wages of sub-Saharan health professionals. In Peru, physicians' salaries have decreased to a quarter of 1976 salary levels, from S/.7974 to S/.1919 in 2004, adjusted for 2001 Peruvian nuevos soles.3 Physicians end up having two or more jobs to secure a decent income.4
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