Duro Oni’s recent article captures an increasingly evident pattern within Nigeria’s healthcare system as the sustained exit of doctors places mounting pressure on already strained institutions. His analysis captures the urgency of the moment and the human cost embedded in the statistics. Rather than restate those concerns and the solutions he has already proposed, it may be more useful to ask a different question: what would it mean for Nigeria to approach medical migration not merely as a haemorrhage to be halted, but as a structural phenomenon to be managed, negotiated, and strategically leveraged?