Further, I don't know whether this guy is from the US or not originally, but the general idea that bringing in foreign docs is going to reduce costs is just ridiculous.
This is what happens with ALL Government-funded (aka, Taxpayer-funded) Programs, INCLUDING wherever there is UNION Public Employees. There's Overtime Abuse, Sick Time Abuse, OVERSTAFFED abuse, UNDER-PRODUCTION Abuse, etc.
The Taxpayers are to Government what DEEP POCKETS are to Civil Trial Lawyers: UN-LIMITED, UN-ABATED income.