the world are much lower in >the case of IT as in other cases. Not to
mention that for certain jobs presence close to the market is simply a
requirement (how is a doctor on the other side of the world going to fix
your broken leg?).
In the case of doctors, in Canada at least (and I'm fairly certain the US),
only people who get their education in North America (and some other western
countried, IIRC) can practice medicine in Canada. Foreign doctors cannot
practice here. That's your barrier to entry right there. If foreign
doctors were recognized, there would be a ton of doctors vying for visas to
come over here. And if it were cost effective, rest assured companies would
fly you over to India for medical treatment.
Many engineering degrees are not recognized here either. Thus, most
companies avoid using overseas firms for much of this work here because
they're used to working with accredited engineers. Another barrier to
entry.
In accounting, it's even worse. The Canadian Chartered Accountant
designation is only partially recognized in the US. Effectively, the US
accounting industry has made it all but impossible for foreign workers to
take business away from them.
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