It’s common knowledge that US health care spending is an issue of concern and spiraling out of control. Voters rank health care as the single most important domestic issue. There’s growing awareness that the US doesn’t get the value of care for what it pays for either. The value of care that is realized for the amount spent is going down due to liability insurance and other costs. Furthermore, close to 50 million people in the US lack health insurance. The American healthcare system is the costliest in the world. Indeed, the high costs of American medicine have put many American businesses at a competitive disadvantage with foreign firms. In short, countries such as India, Thailand, Mexico, Dubai, and Costa Rica can provide healthcare treatment at much lower prices and better service than in the United States.