You're missing the point - there is a company that has employees that can [ostensibly] do the job you need. It's a free market so you could directly employ those people, and in that case you get the same level of expertise and you aren't paying for the outsourcing company's overhead.
Obviously employing those exact people may not be possible, but theoretically a large enough city can draw others of similar skill.
Obviously employing those exact people may not be possible, but theoretically a large enough city can draw others of similar skill.