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Not all practicing health workers hold recognised qualifications, and many holders of formal qualifications migrate to foreign countries with Haïti an extreme case exporting an estimated 80% of its freshly graduated doctors.
When it comes to reserving activities to holders of professional qualifications, Germany acts more like a stodgy southerner than a nimble northerner.
This was also observed by the practice of absorbing not only holders of recognised qualifications but also self-appointed health workers, as well as "volunteers" who sometimes charged a fee for service in the absence of salaried workers.
Furthermore, the directive lays down harmonised minimum training requirements for certain professions including five health professions: doctor, dentist, midwife, general care nurse and pharmacist, allowing holders of compliant qualifications to obtain automatic recognition within the European Economic Area.
Having achieved an educational qualification usually confers some explicit opportunity or entitlement to the holder of the qualification, e.g. the opportunity to enroll in a university or (further qualify to) practice a specific occupation.
This is often irrespective of qualifications.
It's her remarkable lack of qualifications.
That means the availability of qualifications.
I distinguish two types of qualifications.
This is quite a list of qualifications.
But there are a lot of qualifications.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com