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Development planners and policymakers increasingly recognize that migration is a central cause and consequence of development. In this paper, we explore one aspect of the relationship between migration and development: how global models of health and health care provision combine with the ideas and practices that migrants introduce on the ground. The organizations we studied and the people who work for them are each embedded in different kinds of networks. We expected, therefore, that each organization would vernacularize different pieces of what we call global health assemblages. We found instead that, over time, how health is defined and how health care is provided become increasingly similar. Despite our respondents' very different religious beliefs and philosophies of development, their approach to health took on increasing elements of the neo-liberal global health assemblage. It is so strong and so widely disseminated that most NGOs cannot ignore it. [ABSTRACT FROM AUTHOR]