One of the things corporations do a lot to save money is outsource to other countries to reduce cost.  Nike has made a fortune doing just that.....finding cheap labor in another country.  With regard to health care costs, it is likely essential that the providers remain in country and that they remain available to actually interact with patients.  Healthcare management, on the other hand, could be outsourced and dealt with via the internet (we could have a scandinavian country manage).  We could also purchase our drugs from countries that would negotiate prices (Canada).  Why does that not happen in the healthcare industry?