Meeting a similar demand are companies like Wipro and Infosys, which also have large remote radiology services. If there is a shortage of radiologists in the U.S., X-rays are sent overseas, where an American-trained radiologist can evaluate them. Although they're paid around $50,000 US a year in India, compared with the $300,000 they'd make in the U.S., the money can go further there, allowing them to live a more luxurious lifestyle than they would have in the U.S.

There is such a rapid development of capital markets in other countries that even small discrepancies in salary and the cost of labor are significant. These billionaires have capitalized on the fact that developing countries are growing two to three times as quickly as countries like the U.S., essentially fueling an offshore outsourcing trend whose expansion appears to have few boundaries.

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