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One reason medical care in Mexico and other third world countries is less expensive is that the standard of living is so much lower. I don't think the doctors have to worry about malpractice to the extent they do in a first world country, either.
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That is kind of the point, these are American doctors who live in America, paying American living expenses. They drive across the border daily to go to work. They charge significantly less than they would have to if they were just north of the border because they don't have to pay exorbitant malpractice coverage and they work on a direct payment method.
As far as what they are paid, let me ask you: would you rather go to a doctor who is paid well, or one who is just squeaking by?
$150-200K/year isn't that much money when you consider the supply demand issue. You also might want to factor in the cost of servicing their student loans, too. The new guy at the dentist's office is currently sitting on $225,000 in student loans. Someone who takes on that debt isn't going to step out into a $50-60K job.
$150K seems like big money(and it's not peanuts), but consider this, car sales and mortgage sales make that. It's not that big a number any more.