In theory, getting cheap surgery at well-regarded hospitals in India and elsewhere sounds like a good idea. The problem is, it's still something of a crap shoot, since American methods for measurement and accountability aren't uniformly in place. Before Americans begin a huge migration overseas, we should begin looking at how to compare outcomes there with outcomes in the U.S., according to Dr. Arnold Milstein, Dr. Mark Smith and Dr. Jerome Kassirer. Article [1]