Typing up doctors' notes and reading scans for foreign hospitals, overnight, to their standard

The proof exists in Malabe. What is missing is a thousand small versions of it.

Start with transcription, the simpler half: contact the practice managers of 10 private clinics abroad and offer a free week of transcribing dictated letters, returned by the next morning in their format. Ask what they pay now and to what accuracy standard. A paid contract after the trial is the proof, and it becomes the reference a radiology service will need later.

Who pays first

A private clinic abroad whose doctors dictate letters at the end of the day and want them typed and checked by morning.

What leaves today

Medical staff trained here emigrate to do this work, while the overnight time difference would let them do it from home.

Whether the hospitals' own regulators allow overseas reading, which privacy rules govern patient records, and whether radiologists need registration in the hospital's country.

Costa Rica after Intel. Chapter Eleven

"But the trained technicians stayed, the suppliers stayed, and the skill of meeting the world's safety rules stayed."

Meeting a foreign standard is a skill that stays here and keeps earning after the first client.

Does it keep value that now leaves the island, or build the proof that lets somebody else do so?