BS”D
Medical tourism is just the free market at its best. It is not ironic at all that the US could price itself out of non-emergency medical treatment as it has in everything else from software development to TV manufacturing.
EY doctors, especially US olim, also welcome patients from abroad in private centers to supplement or supplant their meager (but improving) Kupat Cholim compensation. British, Swiss and German doctors and clinics welcome wealthy patients from this part of the world (as do EY facilities since many of those patients are Jewish) and India is getting into the business now for the middle class. If insurance companies are squeezed more and more in the US and doctors refuse the lower and lower capitation payments then insurance companies will find it worthwhile to send patients abroad for non emergency treatment, and I could easily see Indian doctors from the US going back home to open clinics for that sole purpose.
Give the left enough time, and your average US emergency room will be as clean as a certain Rockland County poultry plant. And the doctors who aren’t good enough for the new Indian outsourcing clinics will be the ones staffing US emergency rooms.