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Tyler Cowen at Marginal Revolution is an economist blogger but not a wacko. He quotes a commenter...
"Why not open up a Medical Free Trade Zone in, say, Detroit? Health care workers in the zone would not be required to get US visas or licenses, and any malpractice claims would be resolved in the courts of the worker's home country."
...and then comments himself:
"Of course in principle we could combine this with a single-payer system or other reforms. That'll cure those rationing blues and those long waits for hip replacement surgery. Or you might favor a single-payer system but be willing to do this in the meantime, for the many millions of uninsured, at least some of whom are waiting in agony. How about it, people? But let's make it geographically central, I say Memphis not Detroit. Or would you feel better if it were a floating pavilion in the Caribbean? A floating pavilion in the Indian Ocean? Bangalore?"
The point being that it's already happening, as people fly to places like Bangalore to get cheaper medical help than they can in the US.
Over at CounterPunch, Vijay Prashad quotes Alan Blinder: "We have so far barely seen the tip of the offshoring iceberg, the eventual dimensions of which may be staggering.... Eventually, the number of service-sector jobs that will be vulnerable to competition from abroad will likely exceed the total number of manufacturing jobs."