RT Journal A1 Boyd JB, McGrath MH, Maa J T1 EMerging trends in the outsourcing of medical and surgical care JF Archives of Surgery JO Archives of Surgery YR 2011 FD January 1 VO 146 IS 1 SP 107 OP 112 DO 10.1001/archsurg.2010.308 UL http://dx.doi.org/10.1001/archsurg.2010.308 AB As total health care expenditures are expected to constitute an increasing portion of the US gross domestic product during the coming years, the US health care system is anticipating a historic spike in the need for care. Outsourcing medical and surgical care to other nations has expanded rapidly, and several ethical, legal, and financial considerations require careful evaluation. Ultimately, the balance between cost savings, quality, and patient satisfaction will be the key determinant in the future of medical outsourcing.