You're right - cannot be outsourced. Then it'll fall to US labor which is more expensive.
Now, on the other hand, if I was running Congress or the Executive branch I'd do a Consumer reports on steroids for "eds, meds, and beds" (a nice rhyme BTW - borrowing it) which would,
* publish medical costs (now mandated to be available I believe) and ranking them
* publish costs of 4 year education by basic degree category vs. expected income and ranked so student loans are NOT forgiven while students are helped and advised to not spend stupid amounts of money on dumb degrees with no ROI.
* While theoretically government student loans help the borrower not the school, there may be a perverse incentive for some schools to raise tuition and board if they think students can afford with loans
* And good lord, would it kill us for the Fed to negotiate prices down on pills? Not it would not! I'm annoyed that private companies threaten the public with higher prices and/or less innovation. I say, let's see where it goes!
* Maybe the federal government should make generics. I mean if the private sector doesn't play nice, take competition to them.
The larger point is that in meds the consumer has fundamentally less control than say a customer purchasing a service. In a typical setting the consumer knows more about the price and price spectrum going into the sale, and the servicer needs the client to pay. So they both gotta get along. In meds the billing prices are less clear and the paperwork for billing goes between the servicer and insurance company. I do not like that. I want the medical provider to know I have the money, and if I don't know or like what's going on, prompt payment is a question.