MarketWatch India can teach the U.S. how to slash health-care costs by 40% — without rationing care Vijay Govindarajan, a Dartmouth College professor who focuses on innovation, and Ravi Ramamurti, the director at the Center for Emerging Markets at Northeastern University, contend the U.S. could slash its $3.3 trillion annual health-care tab by 30% to 40% over the next decade without making us sicker and without rationing care.