Oh my! You are right: http://www.businessweek.com/table/08/0305_h1b.htm (business week) shows that the H-1B is used mostly by Indian Outsourcing companies. It's the "outsourcing visa".

If companies want to outsource there is little capital controls preventing them. There doesn't need to be these "inexepensive labor" U.S. government provided subsidies for big companies in the form of guest workers.

I'd recommend vaccinations for expatriate managers and not more "outsourcing visas".