From the article it's not clear what the major drivers are in bringing down the costs. What I've gathered from the piece and another link posted in the comment

From the article it's not clear what the major drivers are in bringing down the costs. What I've gathered from the piece and another link posted in the comments: * No air conditioning * Buying used scrubs * Buying in bulk, directly from manufacturers [1] * Surgeons that work "typically work 60 to 70 hours a week" [1] The additional link [1] seems to indicate that the innovation is simply volume. The highly-trained surgeons perform more surgeries, the expensive equipment is utilized more hours of the day, etc. [1] http://m.theaustralian.com.au/archive/business-old/the-henry-ford-of-heart-surgery-devi-shettys-business-model-delivers-cheap-medical-care/story-e6frg90x-1225801548287 http://m.theaustralian.com.au/archive/business-old/the-henry...