The Nepali doctor versus the American doctor reminds me of driving in Nepal compared to driving in the US. No matter how good a driver you are in the US, boy you will need special skills to be driving in Nepal. The streets are different crowded, more people, cows, dogs, and a lot of chaos. Same thing with doctors, the diseases of Nepal are very typical to Nepal. Maybe US has more high tech equipments but when it comes to doctor - patient style treatments of regular diseases, Nepali doctors can treat nepali people and nepali common diseases better than US doctors. Look at simple case of skin disease in the US versus Nepal. A US doctor would probably think everyone is sick by looking at the skin because most people don't even take showers for ages. It's like comparing apples to oranges.