"Obviously you don't know American business," said Comstock haughtily.
"Megabucks/U.S. closes its auxiliary operations, and then contracts with Mexican companies for a fifth of the cost in the U.S. They do the work, ship it back to the U.S., and Megabucks bills Blue Cross the full rate as if it was done locally."
"So where do you fit in?" I asked.
"Just as before. Nose jobs. Breast augmentations. Tummy tucks. All the important medical procedures. But this time, I do it in Cancun."
"To rich Mexicans," I said disgusted.
"To rich Americans!" said Comstock. "If they want the best care, they'll take their private jets to Mexico and then deduct the trip as a necessary business expense."
"And what about the impoverished and middle-class Americans?"
"If they can sneak across the border, they can also get medical care."
"What about prescriptions?"
"Megabucks contracted with some of the best drug dealers--I mean pharmacists and chemists--in Mexico. Quality is just as good and it'll only be four or five times production costs. Unlike the U.S. there's no TV advertising and six-figure MBAs and lawyers that require drugs to be 30 or 40 times production costs."
"With prices that low, how do you know there won't be mass rushes by Americans to grab everything they can?"
"Because there's security! Every hospital and pharmacy has armed guards with the best automatic weapons smuggled through the God-fearing 2nd Amendment patriotic Southern states."
"Is Megabucks outsourcing all its operations?"
"Keeping the ER. After tummy tucks and butt lifts, that's the hospital's "cash cow.'"
"So, then, it'll have to keep some services like X-Ray and the lab," I said. "Maybe even a doctor or two."
"Too expensive," said Comstock. "Megabucks will hire more residents and foreign-educated doctors, and work them 18 hours a day. More work, less time to complain. Residents will do anything to get experience to pass their boards. May even hire a couple of hospitalists. You know, the ones who graduated at the bottom of their class and can't even get work in a Free Clinic."