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Adam Smith, the renowned economist, in his The Wealth of Nations says, of self-sufficiency vs.outsourcing, "Rather than having each household produce most of its own food and supplies, specializing and exchanging with other individuals would give access to more and better produce. Likewise, international free trade would enable each nation to specialize in what its citizens could produce relatively better and more cheaply."Effectively, outsourcing is the modern day progression of an idea that has always existed in trade, but has found new application with the advancement and adoption of new technologies. Applied to the area of medical services, as healthcare organizations and providers grow in size and operations, it becomes imperative that their focus be directed to their core activities (patient care) while non-core functions (like transcription and billing) are contracted out or outsourced to organizations which specialize in that particular function. direct loans for students citadel car loans personal loans fair credit student loan consolidation law school quicken loans arena seating chart