India for outsourced medical transcription and billing services alone. 77 In India today, healthcare is one of its largest sectors both in employment and revenue, expected to reach $280 billion by 2020. 78 Specifically, India's health information technology market was valued at $1 billion in 2016 and is expected to increase by 150% by 2020. 79 The main telemedicine services in India focus on cardiology, radiology, ophthalmology, and nephrology. 80 Due to India's large number of English speakers, proficiency in technology, and strong engineering and technical infrastructure, India stands to gain more of the U.S. telemedicine market than any other country worldwide. 81 India is unlikely to take any interest in the nighthawk model discussed above and will continue to gain a larger market share as their business model is the most cost-effective. 82 The Indian business model has significant advantages over competing telemedicine exporting countries, like Australia and Switzerland. 83 Indian service providers not only make less money, but also work under cheaper, less ideal conditions. 84 In addition to 76 Burute, supra note 24. 77 McClean, supra note 5, at 443.