There are two key differences: * You can't outsource your doctoring from another country easily. * People can get hurt or die from a bad doctor, but that does

There are two key differences: * You can't outsource your doctoring from another country easily. * People can get hurt or die from a bad doctor, but that doesn't apply to the vast majority of software development. This puts doctors (and many healthcare professionals / companies) in an excellent negotiation position that we don't have. I also think that doctors aren't the only stakeholders. I think doctor's offices hardly compete with each other and can still have terrible hours, fewer working days, and still make you wait after showing up for an appointment because the supply is so constrained. I wouldn't want "software developed in the US" to be similarly non-competitive.