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Re:Is a trillion dollars’ worth of programming lying on the ... by specialist on Wednesday June 03, 2020 @11:03AM (#23404126)
Yup.

Worked in healthcare IT in the USA. Beans counters were utterly determined to send our work overseas. Old story of training our replacements.

We could teach them programming, testing, our stack.

But we couldn't teach them our healthcare system. Stupid small stuff that challenged us were completely opaque to our colleagues. Stuff like definitions of "visit" vs "episodes of care" and how each customer had different rules. (Made worse by sharing data between orgs.)

(My billion dollar idea was to help our counterparts adapt our stack for their local markets. India, Malaysia, and Vietnam have healthcare too, right? Get in on the ground floor of those emerging markets. Alas.)

Re:Is a trillion dollars’ worth of programming lying on the ... by p_l on Wednesday June 03, 2020 @06:02PM (#23409392)
I suspect that, fortunately, USA is pretty unique in terms of healthcare billing. Even in places with no singlepayer or the like.