The project is being overseen and coordinated by Dr. Shetty of India. Building will begin in January of next year. There are certainly many other countries in fact vying for a portion of the US healthcare expenses. One other reason cited for the agreement was to also spike the Cayman economy as did the financial services 
investment back in the 60s.
Dr. Shetty is the chairman of a group of hospitals in Bangalore, India. The plan also calls for building a medical university. BD
Excitement seemed to crackle among the words of Premier McKeeva Bush as he announced at a press conference Wednesday, 7 April, that the Cayman Islands Government has entered into an agreement with renowned surgeon, Dr. Devi Shetty of India, to build a major medical facility here.
“This development will bring a third leg to our economy,” said Mr Bush. “What we have signed here today is the start of something new,” comparing it to the launch of the financial services industry in the 1960s that transformed the Cayman economy.Dr Shetty signed the agreement during the press conference with senior government ministers present, including Minister of Health Mark Scotland, who assured the gathering that the planned facility would “complement, not replace” primary health care facilities already in Cayman.
After six months of negotiations, representing “a significant investment by Dr. Shetty and his group,” said Mr Scotland, “the potential economic benefits are immense, and social benefits are significant as well.” Dr Shetty and his partner investors have personally inspected several potential sites, he said, but the final location of the proposed facility has not yet been decided.Dr Shetty, chairman of the Narayana Hrudayalaya group of hospitals in Bangalore, India, revolutionized medical care in that country by implementing business practices that resulted in high-quality, yet cost-effective care at state-of-the-art facilities.