Why do we assume that healthcare is a scarce resource? Sure, maybe some diagnostic/treatment equipment is not available everywhere, but the labor/cost issue seems to be created by regulatory capture, i.e. self-imposed barriers to entry. I agree that it is not in the best interest of the apex providers to change that. Telemedicine could be hugely disruptive if allowed to be practiced cross border between states. So would open collaboration of doctors between countries, e.g. I heard that some pathology operations are already utilizing labor in other countries, but having a domestic pathologist review the findings and signing off.