Steve Morrison, head of Global IT outsourcing at GE, has been looking at offshore industry since 1995.
"We have people helping the execution of deals, data gathering, helping to build financial models, writing research, and doing scenario analysis," said Vineet Nagrani, head of knowledge process outsourcing at the bank.
Accenture, the global consulting giant, has its worldwide head of business-process outsourcing in Bangalore; by December it expects to have more employees in India than in the United States.
In the developing world, argued Azim H. Premzi, head of the Indian outsourcing company Wipro, there may be too many people pursuing a moderate amount of education, which will leave them overqualified for low-skilled jobs in agriculture or other areas, but not qualified enough to take part in an increasingly high-tech economy.
"Our strategy is to take one of the centipede's legs," says Lynn Blodgett, 45, head of ACS' business-process outsourcing unit.
But the AMA head, Dr Michael Gannon, said of outsourcing the payment system: "In no way would it undermine our universal healthcare system," and that in fact the system needed to be modernised.
Barbara Young, former NHS senior manager, now head of Diabetes UK, says outsourcing their many different services is breaking the diabetic care pathway.
After leaving his native India for America, Arjun Mehta, a shy young computer programmer and the protagonist of this fast-paced novel, discovers that the jobs he wants are heading east on a wave of outsourcing.
Villagers still herd goats along its streets; pigs snuffle in the rubbish.Mr Bhasin, who heads a firm called Genpact, speaks of outsourcing as a dentist might of flossing.
An outspoken champion of outsourcing, Nandan Nilekani, a former head of Infosys, the Indian technology giant, is well known for promoting India as a place to corral young workers in an otherwise aging world.
