THE FUSE

Last year, my wife and I hired a sleep coach for our 1-year-old daughter. She was excellent. She also lived in Mexico, worked over video calls, and cost a fraction of what we would have paid in California. We've done the same with a personal trainer. I've had LASIK in India and a second-opinion consultation in Mexico that uncovered a health issue my U.S. doctors had missed. We are not unusual. Millions of American families have quietly built lives that depend on outsourcing parts of their care, work, and expertise to economies cheaper than their own.