"Why Should You be a Medical Tourist?
For most people needing medical care, the last thing on their minds is travel but a growing number of people worldwide are setting out for surgery overseas. Everything from dental work to breast implants to major heart surgery. Rising health care costs in the many western countries push people to seek medical treatments elsewhere, while medical facilities in developing countries have not only caught up to western standards but also in many ways exceeded them. These tourists are usually surprised to find brand new facilities and equipment as hospitals and medical tourism hubs around the world join in the fierce competition for this fast growing market.
While price is the major factor that first leads patients to look overseas for health care, there are a number of other benefits that often escape notice, though the price difference remains the prime motivator for most people. Medical tourism has its perils, however, and the aspiring tourist should be familiar with possible problems and have a good idea about which hub is right for them long before planning the details of a trip. 5 Reasons to Go Overseas
1. Price
This is the main reason most people initially cite for their decision to go overseas for medical treatment, but the situation is actually even better than the bare numbers suggest. Figures that are normally thrown out range from one third to fifty percent of the price of US care, with dental work firmly occupying the one-tenth corner.
Dental work is the biggest saver with medical tourism – 50% savings across the board are standard in Malaysia with excellent facilities. As a rule of thumb, minor work on one tooth will pay for your plane ticket and a second pays for a week on the beach afterwards. Major surgery will pay for your entire family. Imaging and diagnostics are a large part of medical fees, and many US hospitals now contract with Indian laboratories to interpret X-rays and MRI images, where the physician time to analyze the image often costs as much or more than the image itself. Unfortunately, many patients aren’t able to travel if they need an MRI, but if it is a component of a surgery or checkup it is widely available at most high-end hospitals that medical tourists frequent, along with more advanced diagnostic equipment in some of the best facilities.
Beyond having a lower price, however, foreign hospitals are far more willing to provide upfront prices and quotes than western hospitals, which will generally equivocate and, if pressed, give only a rough estimate. More complicated surgeries will still be estimates at foreign clinics, but they are consistently more forthcoming about the cost of past procedures and for minor procedures they will often offer set packages that cap the total cost, barring complications. These caps are excellent for planning purposes and comparing options in various countries. This openness is a product both of intense competition for foreign patients and a confidence that regardless of how high a foreign clinics’ price may be, it will still be much lower than their Western competition. Medical tourism reverses the trend of many businesses and the tourism industry in general in that those looking overseas can expect more honesty up-front and fewer hidden costs than those considering a US hospital.
Table: Comparing Medical Treatment Pricing USD | Procedure | USA
| MALAYSIA
| | Hip Replacement | $24,000 | $15,000 | Breast Augmentation
| $10,000
| $5,500 | | Spinal Fusion | $62,000 | $9,000 | | Coronary Angioplasty | $41,000 | $11,250 | | DENTAL | | | | Standard Cleaning | $300 | $40
| Root Canal
| $1500 per tooth
| $150-$300 per tooth | Ceramic or Metal Crown
| $2000 - $3000
| $400-$500 | | Full Denture | $500 - $1000
| $300-$450 | Dental Implant
| $5000 (per Implant | $2400 (per Implant) |
2. Service
If staying overnight in the hospital, the benefits of medical tourism are overwhelming. A deluxe suite at Malaysia's private hospitals include modern, well equiped private rooms with complete bathrooms and a city view for $200 a night, ultimately $400 including nursing, equipment, flat panel TVs, Wifi and meals for three. This should be compared to a single room in the US, which will run upwards of $800 for the room, not including services and other charges. For the price of a basic single in the United States, a medical tourist could rent an Imperial or Royal Suite at these Thai hospitals, including guest bedrooms, a living room and a dining room. These are especially popular with wealthy Arabs and are often booked weeks or months in advance.
3. Quality
One of the major issues that prospective medical tourists grapple with is accepting a reduction in quality, not just in facilities but also in the physicians themselves. It is natural to assume that if something is cheaper then it must be of lower quality, but for a well-planned medical tour the situation is the opposite. When going to the average facility in the US, you will almost certainly have an average doctor – it not being possible, after all, that every doctor available be “above-average.” If you plan your trip carefully, however, it is possible to ensure that you will have eminent, very experienced physicians – effectively the best that country has to offer.
Many people assume that if a doctor is any good he will immediately leave a developing country for a promising career of wealth and prestige in a western country, and many do this with considerable ease in terms of finding a job or getting a visa.
The majority of foreign doctors trained in the US or Western Europe are under various foreign government programs that require they return at the completion of their education and serve the public for a period of several years. Most stay after their indentured labor expires, however, both for the desire to stay in their home country and because apart from the monetary incentive, being a physician in the United States is not a particularly enticing position. By staying in their home country, these physicians will receive far more respect for their position than they would in the United States, work fewer hours with less stress, and not have to worry about the frivolous litigation that plagues US doctors. Further, while by US standards they are paid scraps, by local standards they are very well to do and their lifestyles are as comfortable in their native countries as they would be in the US.
With that in mind, a properly selected doctor for your medical tour will have been trained in the US , Australia or Western Europe and, after years of college, med school and residency abroad, they will speak flawless English (many patients prefer a charming English accent, finding it comforting, luxurious or both). With some support from a good agent, you can generally get a doctor that is known as one of the country’s best in the field. This leads to one of the common points critics of medical tourism make: that medical tourists use up a country’s best doctors and facilities, leaving only the lower quality doctors for the local population. This is absolutely true. There are few cancer patients, however, so concerned with social justice that they would willingly see an inferior physician when a better doctor was available. Medical care is about getting the absolute best treatment that can be gotten and is inherently a selfish pursuit. Medical tourism effectively allows a middle-class patient from the developed world to receive upper-class treatment. Quality goes up, not down.
4. Availability
Medical tourists also have greater access to different treatment types than those who choose not to travel. Stem cell-based therapies are the most common treatments that are not available to Americans, often because of restrictive government regulations. Most stem cell therapies are frauds, both within the US and without, however there are several legitimate programs that offer a high-tech alternative to painful or dangerous therapies. Two major programs are the use of adult stem cells to repair damaged heart tissue in Bangkok and the use of undifferentiated immune cells to create personalized cancer therapies in Singapore, both of which have considerable academic and government support and strong track records.
Another factor is not only the availability of cutting edge treatments but also the availability of common surgeries. In state-run health programs like those in Canada or the UK, waiting lists can extend to more than a year for essential surgery and past three for non-essential surgery. With a well-planned tour, most surgeries can be conducted within days of landing and consultation in any of the medical tourism hubs. If payment for the treatment is covered by the state program, as most medically essential operations are, medical tourism is the obvious choice for Canadians and Britons.
5. Tourism
Medical tourism is often as much about the tourism as the medicine. For those undergoing major surgery, there is no better place to recover than a bungalow with a view of the beach while receiving your physical therapy (or massage). Similarly, for family accompanying a patient a week at the beach or a shopping spree can clear up a lot of stress following a surgery.
For those not going under the knife, there is even more incentive to be a medical tourist. Given the cost of dentistry, the savings for even minor work can cover the cost of the trip. Many regular medical tourists will plan their physical exams, dental work and other minor services, like cosmetic surgery, and bundle them in with a weeklong beachside vacation in the tropics. Overall, their vacation is still cheaper that having the services in the US. Many companies are also appreciating this strategy, sending employees on vacations to save on medical costs and saving on health insurance while giving their workers care they otherwise might not have access to.
Medical tourism can be complicated if you make your plans yourself or simple using an agent though with a premium for their planning services. Either way, it offers strong advantages both in the lower cost and in the superior service of the medical care while the opportunity to travel and vacation should not be underestimated. With few exceptions, medical tourism should be considered for any non-emergency procedure, from a filling to a hip replacement. Once the decision to go abroad has been made, the next step it to choose the destination…
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