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

Kate Tulenko

Dartmouth College Press, 2012
Copyright © 2012 Trustees of Dartmouth College

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About the Book

Instead of outsourcing high-paying jobs overseas, as the manufacturing and service sectors do, hospitals and other healthcare companies insource healthcare labor from developing countries, giving the jobs to people who are willing to accept lower pay and worse working conditions than U.S. healthcare workers. As Dr. Tulenko shows, insourcing has caused tens of thousands of high-paying local jobs in the healthcare sector to effectively vanish from the reach of U.S. citizens, weakened the healthcare systems of developing nations, and constricted the U.S. health professional education system. She warns Americans about what she’s seeing—a stunning story they’re scarcely aware of, which impacts all of us directly and measurably—and describes how to create better American health professional education, more high-paying healthcare jobs, and improved health for the poor in the developing world.


About the Author

Dr. Kate Tulenko is a physician with degrees from Harvard University, Cambridge University, and the Johns Hopkins School of Medicine. The former coordinator of the World Bank’s Africa Health Workforce Program, she currently serves as director of clinical services for a global health nonprofit and resides in Washington, D.C.


About the Electronic Publication

This electronic publication of Insourced was made possible with the permission of the author. University Press of New England created the PDF file from a scanned copy of the book.


Rights Information

Published with permission of Kate Tulenko.

Dartmouth College Library assigns a Creative Commons BY-NC license to the digital work and associated web site.

Creative Commons License


Bibliographic Information

Published by Dartmouth College Press Hanover, NH, 2012. ISBN 9781611682274 , xxiii, 210 pages.
Print edition: R697.F6 T85 2012


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