Pros
Good Salary from US but torturous working conditions & HR-Mgmnt politics is not worth any penny. Lots of scope for improvement, but then, who is willing to improve or change except for the pressure on ground level clinical engineers to change? US team showcase to care about India team, but do not accept that problems are created by their 'trusted' 'tenured''favorites' sitting at the top in the form of directors & HRs.
Cons
Immensely political in nature where people are threatened,mocked, hostile work conditions created against them,reputation tarnished- all with the help from HR ! Managers forced to write fake complain emails against others as per directors' instructions,whom he chooses to 'remove from his path'. Obey the 'orders' until slavery or get fired. Who cares for anyone's career anyways here? Definitely not your manager or his manager & surely not HR.