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I have been a teaching attending for over 30 years. I do not practice any longer so I do not have a dog in the hunt. I have trained (still train) physicians from all parts of the globe and seen medicine in many parts of the globe. It would terrify me if I knew one of my families X rays were being read in India. This is not to say that some foreign physicians are not superior, it is only to say that, on average, we really do have the best. I am shocked that MGH is doing this!

It would terrify me if I knew one of my families X rays were being read in India.

Also think about the security difficulties in controlling a lab thousands of miles away whose employees make 1/3rd of what they do here.

A lobbying firm for outsourcing dismissed these concerns as xenophobic, somehow equating concerns about medical privacy with a distrust of hindus. Its nothing like that -- its about remote control of assest (very difficult) and with them earning much less and questionable IP laws, a modest amount of money here can be a king's ransom there.