I wish each person could get access to an MRI each year it would be nice to track your health visually.
Labor costs are a biggie. In the US, you need to pay technicians high US salaries, in the $60-70k neighborhood from what I hear. In Pune, the technician is almost certainly poorer than 95% of Americans. The high ratio of capital costs/labor costs also causes higher utilization of the MRI - in the US, many MRI places are 9-6, I had my MRI done in Pune at 9:30pm, and someone went in after I finished.
Labor costs are actually a much bigger deal than GDP figures would suggest. High skill individuals get a much bigger premium in the US than most of the rest of the world. A top 1% person in the US gets $384k/year, in Canada only $181k.
http://www.statcan.gc.ca/pub/75-001-x/2007109/article/409688...
A nit, but is this actually true? I've had 7 MRI's (5 health-related, 2 research-related) and only one of them was during business hours. I've had MRIs done at 9pm, 11pm, 1am, 4:30am, 6am etc.
1) The trucks -- a lot of times MRI trucks are driven around to various hospitals, and scheduled in advance, for non-emergent studies. These obviously get scheduled during "working hours", and then the emergent off-hours MR studies are done by transporting the patient to a higher level facility and thus might get shot whenever.
2) The whole "doctor owned imaging center" scam or "perverse economic incentive", where doctors own imaging centers and then refer a lot of patients to them, increasing the use of the technology for basically no need. These are easy to schedule during working hours, too.
I imagine it would also be different for a hospital MRI (which needs to be available for emergencies) and outpatient MRI centers (which is where I've always gone).
If you want one yearly screening procedure available to anyone, there are many better choices than MRIs, especially considering their high costs (even in non-US countries.)