Workers in Ghana process U.S. health insurance data at an office in the capital Accra. The operators process huge volumes of U.S. medical insurance documents every day, but their plush air-conditioned office in West Africa is a long way from the suburban Americans whose claims they handle. The operation in Ghana's capital Accra is seen as a role model as the country once known as the Gold Coast rises to promote hi-tech development and reduce its dependence on minerals and farming. Picture taken September 2001.