Tribal sovereignty 101: Skating Obamacare

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By William Sellers

The Economic Times of India this week reports that Dr. Devi Shetty, the “Indian cardiac surgeon renown for making cutting-edge medical care affordable to the masses,” is creating a new $70 million startup, deliberately designed by its nearby location, to skate the United States regulatory nightmare, while delivering reduced cost, and advanced healthcare to American citizens.
Located in the Cayman Islands in a British protectorate, “Health City Cayman” just became operational with a 104-bed, multi-specialty hospital and a team of some 70 Indian doctors, technicians and nurses. Shetty said the facility will begin with costs some 30 percent-plus, lower than U.S. rates on healthcare services, while shooting for a 2000-bed facility, a 50 percent cost reduction, and an additional $2 billion invested within 10 years. A web search shows dozens of U.S. flights daily to the Caymans, many from originating airports, as well as the 90 minute puddle-jumpers from Miami.
Shetty’s corporate global enterprise, Narayana Health, already controls some 6,300 beds in several countries, including a state-of-the-art facility I used when we lived in Abu Dhabi.

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