As many of you are aware, many jobs (accounting, IT, etc.) are being outsourced to India. Companies, as well as government, want to reduce cost. Also, they have a rich pool of educated and hard-working people in India. This has led to job loss in America and high levels of unemployment. Now I?m hearing that certain specialties in medicine are threatened as well (radiology, pathology). What are your opinions on this topic? Should all physicians or certain specialties feel threatened? Are there any specialties that you feel are safe (and not safe) from outsourcing? On a side topic, I?ve read other posts that NPs are considered potential threats to primary care physicians, especially IM doctors. There are claims that NPs can perform almost every task that an IM doc can. They can also prescribe medicine as well. Also, the organization that looks over NPs is independent of organizations that look over MDs and DOs. So I have read that physician organizations cannot do anything. If this is the case, do you think IMs will be phased out by NPs, which earn lower salaries (hospitals can save money)?