That's been my experience as well. Our US based contractors write better code. It seems cheaper to hire the Indian guys, but it never is. You either have to pay them to go back an optimize or you get stiffed with no reciprocity.

Shooting someone in the heart IS oxygen deprivation... that's the purpose of the heart, to pump oxygen throughout your body. You'd have to destroy all 4 chamber at once, and they'd still have oxygen in their brain for a while, and you don't die from oxygen deprivation for up to 5 minutes. Cut out the bullets, and just remove the oxygen. It's a helluva lot cleaner.