4.

Disrupting US Costs

Health City Cayman Islands

If there is a hospital on a ship, and it is parked outside US territorial waters, that’s going to be the most profitable hospital simply because you have different cost structures; you don’t have to deal with US regulations but you have the US price umbrella.

—Dr. Devi Shetty, Cofounder and Chairman, Narayana Health

Wayne Wright was sixty-eight when the pain in his knees reached the breaking point. Too many years of hopping on and off dragline excavators had left the six-foot-four, 250-pound Texas construction worker unable to walk more than thirty feet without stopping for a few seconds for the pain to subside. In March 2015, when it became clear that both knees would have to be replaced, Wright’s ...

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