Stanford Medical Center has been approached by the government of Vietnam to develop an affiliation with its major national hospital in Saigon. The government would like Stanford to develop a co-branding arrangement whereby Stanford would manage the facility and send some of its clinicians over to train and educate the facility’s doctors and nursing staff, as well as to help improve and monitor its quality programs. Additionally, the government hopes it can continue to improve and develop more sophisticated business practices to develop as a medical tourism center, capitalizing on the country’s beauty. Stanford administrators are considering the venture because Asia is a major growth opportunity and many other tertiary centers in the United States, such as the Mayo Clinic, the Cleveland Clinic, and Johns Hopkins, have similar models in other countries. What are the trade-offs that should be considered?