Just like all the manufacturing, industrial jobs. Governmental largess and strangling regulations have made it necessary for these business’ to seek more inexpensive ways of doing things to stay in business and make a profit.
The fact that Obama orchestrated and is enforcing exposing your private health records and our entire medical industry (1/6 of the U.S. economy) to un-vetted foreigners should be criminal.
What are the onerous IT regulations forcing offshoring of these jobs? And if your answer involves privacy regulations, go sit in the corner.
Competition might have a little bit to do with it as well...