Insourced: How Importing Jobs Impacts the Healthcare Crisis Here and Abroad

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Tulenko identifies the lack of coordination among different health professions as a contributing factor to this underproduction. What is the nursing skill set we actually need?

Insourcing Healthcare

How many physicians do we need? What is the real role of a physician? Actual health care needs are not driving the production or training of health workers: the various self-regulated health professions are. In the name of quality, students and faculty are compelled to meet ever-increasing requirements to practice or teach with no evidence that these requirements make better health workers or faculty. In fact, these requirements may be doing more harm than good. Tuition has increased for students—and the overall cost of training both nurses and physicians has soared.

America has priced itself out of higher education. And for students, high levels of personal debt may also be a contributing factor driving medical students to pursue lucrative specializations over primary care. A physician and global health specialist, Dr.

America’s Health Worker Mismatch

Kate Tulenko has worked at the highest levels of health workforce, health financing, and health policy development with institutions around the world. Tulenko has been an advisor to national governments on health policy and reform. Tulenko has published on a wide array of topics. August 29, Core functions are the major activities that these businesses should handle in a very sensitive manner.


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On the other hand, non-core functions tend to be less sensitive to businesses although still important. Fortunately, the growth of IT insourcing in most parts of the world has relieved businesses of the burden of handling these non-core activities from outside the country of their locations. Insourcing companies handle these non-core functions, whereas businesses have a mandate to meet the requirements of core functions. Let's see if we can help you!

Healthcare Stole the American Dream - Here’s How We Take it Back - Dave Chase - TEDxSunValley

Generally, insourcing has other benefits such as complementing the absence of highly skilled experts. Insourcing offers solution to the inadequacy of highly skilled labor. The outsourcing governments would lose considerable taxes if only the foreign countries were to carry out insourcing services. The outsourcing government cannot claim revenue on taxation because this benefit ends up with the foreign country that insources. In addition, there is great concern regarding the rate of unemployment of local countries that outsourcing some activities to the insourcing countries.

The situation became even more critical when developed countries compose the insourcing team. There is loss of control in running an international business in other countries because retailers tend to leave the insourcing company in control.

Kate Tulenko - Google Scholar Citations

Unfortunately, some of the policies for insourcing may be untrustworthy; hence, there is fear toward company failure when a third party fails to deliver as agreed in the insourcing contract. Sometimes insourcing may prove hectic in times when there is a boom period. The number of customers, depending on the service insourced, may be overwhelming, which may lead to slow response. This may turn to a frustrating moment for clients hence losing the loyalty given to a company.


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Another disadvantage of insourcing emanates from the language barrier between the retailers and the service vendors involved. This often creates misunderstanding between parties in the process. Mostly, this results from offshore insourcing. This is likely to create a communication breakdown that makes transactions impossible.

Kate Tulenko

As a result, there is a decrease in product sales and the market share. Last, insourcing contracts are likely to terminate immaturely because of misunderstanding between retailers and the service contractors that had earlier adopted the outsourcing option. The businesses may end up losing customers because of poor insourcing services.