The issue of elites can be investigated in different political, cultural, economic, social, and sociological dimensions. In this context, the phenomenon of elite migration (brain drain) is one of the most important issues and problems of developing countries, especially Iran. The purpose of this study was to investigate solutions and find appropriate policies to improve conditions and deal with the challenges of the elites. Despite the decisions made and the work done regarding the elites, we are facing many challenges in the elitism. It is better to suggest institutions to identify the best talents and elites of the country from a younger age. With respect to the migration of the elites, it is imperative to prevent the exodus of the elites without their eventual return by implementing appropriate policies and acknowledging the contributions of the elites within the country. Additionally, we must harness the expertise of the migrated elites to mitigate the negative impact of migration on the economy. The portion of elite immigration has an inverse relationship with the gross domestic product (GDP) index, and for every 1 percent increase in elite immigration, GDP will decrease by 5.7 percent. Cooperation between different public and private sectors with the participation of elite society should be strengthened and solutions should be provided to facilitate their participation in the development of the country.  Elites in health systems play important roles in improving health ecosystem. for this reason, special attention of the most important cases mentioned in this study.