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Perspective
Volume 354:661-665 February 16, 2006 Number 7
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The "Dis-location" of U.S. Medicine — The Implications of Medical Outsourcing
Robert M. Wachter, M.D.

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 by Wachter, R. M.
-PubMed Citation
When a patient in Altoona, Pa., needs an emergency brain scan in the middle of the night, a doctor in Bangalore, India, is asked to interpret the results. Spurred by a shortage of U.S. radiologists and an exploding demand for more sophisticated scans to diagnose scores of ailments, doctors at Altoona Hospital and dozens of other American hospitals are finding that offshore outsourcing works even in medicine. . . . Most of the doctors are U.S.-trained andlicensed — although there is at least one experiment using radiologists without U.S. training.

—Associated Press, December 6, 2004

Until recently, the need to . . . [Full Text of this Article]


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Dr. Wachter is associate chairman of the Department of Medicine, University of California, San Francisco.

An interview with Dr. Wachter can be heard at www.nejm.org.


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