Many countries have world-renowned healthcare systems in terms of quality and technology but have not adopted the legal systems completely as in Western countries. For instance, doctors in the US are required to pay medical malpractice insurance that typically costs over $100,000 annually. Foreign doctors also need to pay medical malpractice insurance, but their costs are as low as $4,000 annually. Additionally, certain economies are at different stages of development compared to the US. However, this does not imply that their healthcare technologies and institutions lag behind those in the US. In fact, most private hospitals in India use exactly the same machines and instruments as the most advanced hospitals in the West.