It hasn't happened yet, but with outsourcing to lower wage countries, it really could happen in healthcare. It's happened. It's also called "medical tourism". <a href="http://www.time.com/time/magazine/article/0,9171,1196429-2,00.html" target="_blank">http://www.time.com/time/magazine/article/0,9171,1196429-2,00.html</a>