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User: dotsbir

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Comments · 6

  1. Re:Outsourcing Quality of Medical Care on Indian Techies Answer About 'Onshore Insourcing' · · Score: 1

    Missed that story 'cause I wasn't here yet. Thanks for the link.

  2. Re:architects and builders on Indian Techies Answer About 'Onshore Insourcing' · · Score: 1

    i'm a yahoo.

  3. Re:Quality of Medical Care on Indian Techies Answer About 'Onshore Insourcing' · · Score: 1

    Interestingly, the Etats-Unis has had this in place for a long time. Saudi Arabians and South Americans have long been coming to the U.S.A. for major surgical procedures. These people pay cash, rent out (or buy) entire hotels or apartment complexes for their entourage, keep flying back for follow-up care, and often purchase second (third, seventeenth...) homes in the area. This is very common not just in Los Angeles and Miami and Boston, but even places like Cleveland (but then again, they've got the Cleveland Clinic.) A lot of these places have been hit very badly by the changes in visa regulations limiting travel into the USA and have seen severe cashflow disruptions. I tried to find the link I read about the Cleveland Clinic, but can't right now. International patients like to come to the USA (warning tripod popup link ) but when they can't easily do it, Indian medical centers can easily jump up, especially since they have US trained doctors available too.

  4. Re:Chills up my spine on Indian Techies Answer About 'Onshore Insourcing' · · Score: 2, Insightful

    I don't know if the situation is brains ... becoming a very cheap commodity so much as it is a situation of having a larger pool of applicants to pick from. Example: High School Valedictorians may be very smart relative to their classmates, but put bunches of them together at a top-tier college or university and suddenly you've got people who had gotten used to being the head of the class suddenly in the middle of the back or even the bottom third! Well, imagine that instead of taking SATs and filling out college application forms and sending in small checks for the applications to get into university, you actually had to sit down and take a competitive exam to get into college. Now imagine that this competitive exam is taken not just by your high-school mates but by the top-tier of high-school graduates-to-be from your whole state. If you're applying to IIT, your competition is the top-tier from throughout the country. So we're talking about the cream of the crop of a billion bodies and brains, hustling just as hard, if not harder, to get into the coveted educational slots in engineering or medicine or law. And possible speculation: having to continue your education amidst these very competitive students might make you learn more.

  5. Quality of Medical Care on Indian Techies Answer About 'Onshore Insourcing' · · Score: 5, Interesting

    Wow, was that medical care comment a blunder. If you've got money (and in the same vein as the food comments, having money really only means having 5-10% of the equivalent in US dollars) then the medical care is superb and includes ICU care and hospital day stays that are UNHEARD OF in the USA nowadays. The valve hardware itself would cost $10k more in the US to cover litigation / malpractice costs.

    A friend of mine's aunt ended up having open heart surgery for a valve replacement in Baroda India. She had it at a private surgicenter with excellent Indian U.S. trained physicians with follow-up and post-op ICU care for less than $8000. The equivalent cost in the USA would have been $50k minimum with ICU days costing another $9k-$15k per DAY, with additional costs for the anesthesiologists and for the surgeons.

    Have you noticed how many Indian doctors there are in the USA? A lot of them were fully trained and board certified in India before even coming to the united states. A lot of Indians who go to the US for medical training (medical school, residency, fellowships) often come back to India to open their own hospitals and clinics.

    Their is very little insurance hassle in India because there is very little insurance. Major med procedures are often paid for with cash. I don't know about the mortgage situation currently but more than ten years ago, mortgages were unheard of. You'd buy houses when you had the cash to afford one and most often had them built to your own specifications.

  6. Re:Owning a PDR indicates hypochondria on Cyberchondria · · Score: 1

    Actually, a PDR is just filled with the text from the inserts included on the medications. Have you ever looked at those inserts? They list ALL possible complications, including worsening of the symptoms or of the disease being treated. The primary purpose of the PDR seems to be avoiding litigation since the manufacturer can claim that their insert (included with the meds) and the publication of the insert in the PDR (often provided as a free copy to most practicing physicians) thus both the patient and the doctor have already been prewarned about ANY possible complications.