For years, opponents of outsourcing have argued that offshoring American jobs destroys our local industries, lays waste to American job creation, and gives foreigners the good jobs and income that would otherwise remain on our shores. Yet few Americans realize that a parallel dynamic is occurring in the healthcare sector-previously one of the most consistent sources of stable, dependable living-wage jobs in the entire nation.
Instead of outsourcing high-paying jobs overseas-as the manufacturing and service sectors do-hospitals and other healthcare companies insource healthcare labor from developing countries, giving the jobs to people who are willing to accept lower pay and worse working conditions than U.S. healthcare workers. As Dr. Tulenko shows, insourcing has caused tens of thousands of high-paying local jobs in the healthcare sector to effectively vanish from the reach of U.S. citizens, weakened the healthcare systems of developing nations, and constricted the U.S. health professional education system. She warns Americans about what she's seeing-a stunning story they're scarcely aware of, which impacts all of us directly and measurably-and describes how to create better American health professional education, more high-paying healthcare jobs, and improved health for the poor in the developing world.
Publisher: University Press of New England
Number of pages: 192
Weight: 369 g
Dimensions: 216 x 140 x 22 mm
"Tulenko, a physician and director of clinical services for a global health nonprofit, pursues a new angle in the ongoing healthcare debates in this intriguing and lucid study. . . . Those interested in healthcare management or public policy will find plenty of cogent information in this well-researched treatise."-- "Publishers Weekly"
"Tulenko proposes some strategies the U.S should consider as it revamps its healthcare system. Strengthening training facilities for health workers, especially in rural areas would not only produce more workers but also support development of minority groups. One doctor from India accounts for only 0.0001 percent of its physicians but recruiting a physician from Liberia denies it one percent of its physicians. So becoming more cognizant of where the health workers are being imported from could go a long way in enabling poor countries to serve its people better."--Smisha Agarwal "Huffington Post"