[Gaffer]

What he meant is "the cost of litigation is so high" that many feel it necessary to specialize to limit the pool of potential litigants (and weasel lawyers) to those absolutely having serious medical problems (look at it this way - smaller pool (no deadbeats), probably likely to die, if they get to you they got insurance or papa G coverin' em no questions aksed, it goes on)......

Makes a whole lotta damns sense to me.

[Oldexpat]

India, Thailand and Singapore will just build more for profit hospitals to service those with money from the West.
They will attract US trained Dr. who will make a lot of money inspite of lower rates. Very little insurance, lower operating costs, more cash payment with less paper work and accounts receivable.
Our out is Singapore. We would go there if treatment was unavailable in the US.
One of our friends is preparing for a kidney transplant. Under the UK or Canadian system she would not qualify..too old.