Quality high quantity printing is really cheap from Japan and China. Even considering freight. Not quite as affordable, but still very low priced, Canada has some good printers and turnaround and delivery can be had in just a few weeks. With the Canadian sources, you can do everything, design, graphics, proofs, seperations, payment, ... everything ... over the internet. No tarrifs, taxes, import laws, etc. to hassle with.
Ross Perot and Pat Buchannan can tell you that american voters do not care about all the american factories closing and all the american jobs that are being replaced by foreigners. Buchannan made losing jobs his number one issue, and he got 1% of the vote.