The clinical trials for new medications take place all over the world, but developing countries often serve as cost effective locations.  The developing country has a lot of people who are more likely to want to be in a trial. It’s getting harder to recruit people in America to trials.In United States is just more costly to try to find subjects, in terms of buying media and talking with doctors. High levels of poverty and illiteracy, combined with an almost blind faith in Western medicine, provide an almost endless supply of volunteers in countries .In developing countries injury or death as a result of misconduct is hard to prove and even harder to prosecute. clinical trials costs are largely driven by labour, much of these savings are from lower salaries to physicians, nurses, and trial coordinators.The time and cost of developing drugs influences the final product cost and return on investment, so the logic of reducing trial costs is clear and reasonable.