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Medical Tourism Outlook

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Medical tourism

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• First Online: 01 January 2016
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• Hwansuk Chris Choi 3  

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Medical tourism goes by many names, depending on field: curative, health, wellness, and healthcare tourism. Each field (health professionals, tourism officials, economists, government statisticians, health service suppliers, hospitality service providers) has its preferred term. The healthcare sector prefers medical travel, but the tourism industry and its marketers favor medical tourism, and healthcare professionals do argue that tourism generally implies leisure , and thus “travel” should be preferred to “tourism” (Whittaker 2008 ).

Over the past three decades, however, tourism has evolved into more than merely a pleasure activity, converging with other sectors into specialty tourism (business, meetings, or convention tourism). The common characteristics of the definition of medical tourism, as published in technical reports and academic journals, show that it would be better defined as demand driven rather than supply driven. In this sense, as a subset of health tourism , medical...

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Choi, H. 2010 Promotion and Activation of Medical Tourism as a New Growth Engine in Jordan. Unpublished Internal Report. Seoul: Korean International Cooperation Agency.

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School of Hospitality, Food and Tourism Management, University of Guelph, 50 Stone Road East, N1G 2W1, Guelph, ON, Canada

Hwansuk Chris Choi

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Honggen Xiao

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Choi, H.C. (2016). Medical tourism. In: Jafari, J., Xiao, H. (eds) Encyclopedia of Tourism. Springer, Cham. https://doi.org/10.1007/978-3-319-01384-8_129

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Why Patients Are Turning to Medical Tourism

Statistics, Benefits, and Risks

Planning Ahead

Frequently asked questions.

Medical tourism is a term that refers to traveling to another country to get a medical or dental procedure. In some instances, medical tourists travel abroad seeking alternative treatments that are not approved in the United States.

Medical tourism is successful for millions of people each year, and it is on the rise for a variety of reasons, including increasing healthcare costs in the United States, lack of health insurance, specialist-driven procedures, high-quality facilities, and the opportunity to travel before or after a medical procedure.

According to a New York Times article from January 2021, pent-up demand for nonessential surgeries, as well as the fact that many Americans lost their health insurance during the coronavirus pandemic led to a surge in medical tourism once other countries re-opened.

However, there are specific risks that come with traveling overseas for surgery. If you're thinking of pursuing a medical procedure in another country, here's what to know about the benefits and the risks.

Medical Tourism Benefits

The most common procedures Americans go abroad for include dental care, cosmetic procedures , fertility treatments, organ transplants , and cancer treatment.

This is not to be confused with having an unplanned procedure in a foreign country due to an unexpected illness or injury.

Among the reasons a person might choose to go abroad for a medical procedure are:

Lower Costs

Medical tourists can save anywhere from 25% to 90% in medical bills, depending on the procedure they get and the country they travel to. There are several factors that play into this:

• The cost of diagnostic testing and medications is particularly expensive in the United States.
• The cost of pre- and post-procedure labor is often dramatically lower overseas. This includes labor costs for nurses , aides, surgeons , pharmacists, physical therapists , and more.
• High cost of malpractice insurance—the insurance that protects medical professionals against lawsuits—in the United States.
• Hospital stays cost far less in many overseas countries compared to the United States. In other words, quality care, hospital meals, and rehabilitation are far more affordable abroad for many people.

For someone who doesn't have insurance , or someone having a procedure that is not covered by insurance , the difference can be enormous.

Popular Countries for Medical Tourism

Dominican Republic

South Korea

Culture and Language

Many immigrants prefer to have treatments and procedures done in their country of origin—a sensible decision, considering just how much language barriers alone can affect the quality of their care.

Furthermore, at least 25% of immigrants and noncitizen residents in the United States are uninsured, compared to 9% of American citizens. Children with at least one noncitizen parent are also more likely to be uninsured.

Practicalities aside, many people choose to have their procedure done in their country of origin simply because it allows them to be close to family, friends, and caretakers who can assist them through their recovery .

Insurance Incentives

Some insurance companies have started promoting medical tourism. The reason behind this is simple: savings for the insured means savings for the insurance provider and vice versa.

Several insurance providers, including Aetna have programs specifically geared at promoting safe medical tourism. Some insurance providers even offer financial incentives for medical tourism, like discounts on medical bills .

That said, many insurance companies will not pay for surgery performed outside of the country unless it is an emergency.

Luxury and Privacy

Medical tourism is a lucrative business for many countries, and much of the money brought in by medical tourists is reinvested into the local economy and health infrastructure.

The effect of this is apparent in the spa-like luxury that some foreign hospitals offer, providing medical tourists the opportunity to be pampered during their stay for a fraction of the cost they would pay at home.

Some facilities offer hospital rooms that are more like a hotel suite than a traditional hospital room. Other hospitals offer one-on-one private nursing care, which is far more generous and attentive than the staffing ratios that most hospitals allow.

Medical tourists who seek that added layer of privacy can find it abroad. Many can return home from their "vacation" without anyone knowing they had a procedure at all.

Vacation in a Foreign Country

Medical tourists often take advantage of their stay in a foreign country to travel for pleasure by scheduling a vacation before or after their procedure.

This is an especially inexpensive way to travel to a foreign country, especially if their insurance provider is paying for the flight and the cost of staying is low. 

While it seems logical to recover on a beach or in a chalet by the mountains, keep in mind that it's important not to jeopardize your recovery.

Swimming isn't recommended until your incisions are completely closed. You may not feel up to doing much more than napping in the days following your procedure, either.

Don't let your vacation disrupt your recovery. Any time you have a procedure done, especially a surgery, it's important to listen to your body, take your medications as directed, and follow your doctor's recommendations closely.

Bypassing Rules and Regulations

Some travelers seek surgery abroad to bypass rules that are set in place by their own government, insurance company , or hospital. These rules are typically in place to protect the patient from harm, so getting around them isn't always the best idea.

For example, a patient may be told that their weight is too low to qualify for weight loss surgery . A surgeon in a foreign country may have a different standard for who qualifies for weight loss surgery, so the patient may qualify overseas for the procedure they want.

Talented Surgeons

Surgeons in certain countries are known for their talent in a specific area of surgery. For example, Brazilian surgeons are often touted for their strong plastic surgery skills .

Whereas in the United States, insurance companies might only cover cosmetic procedures if it is medically necessary, cosmetic surgery is often free or low-cost in Brazil's public hospitals—giving cosmetic surgeons there ample practice.

Thailand is reported to be the primary medical tourism destination for individuals seeking gender reassignment . It is often easier to qualify for surgery and the cost is significantly reduced. Surgeons are performing the procedures frequently, and as a result, many have become quite specialized in them.

It is often surprising to many medical tourists that their physician was trained in the United States. Not all physicians are, of course, but a surprisingly high percentage of them working in surgery abroad are trained in English-speaking medical schools and residency programs and then return to their home country. These physicians often speak multiple languages and may be board certified in their home country and a foreign country, such as the United States.

Medical tourism isn’t limited to countries outside of the United States, either. Many people travel to the United States for medical care due to the country's cutting-edge technology, prescription medication supply, and the general safety of healthcare.

Medical Tourism Risks

The financial and practical benefits of medical tourism are well known, and you may even know someone who had a great experience. Nonetheless, the downsides of medical tourism can be just as great if not greater. Sometimes, they can even be deadly.

If you are considering a trip abroad for your procedure, you should know that medical tourism isn't entirely without obstacle and risks. These include:

Poorly Trained Surgeons

In any country—the United States included—there will be good surgeons and bad. And just as there are great surgeons abroad, there are also some surgeons who are less talented, less trained, and less experienced.

Regardless of what procedure you are getting or where, you should always do some preliminary research into the surgeon or physician who will be treating you as well as the hospital you will be treated at.

In the United States, it is fairly easy to obtain information about malpractice lawsuits , sanctions by medical boards, and other disciplinary actions against a physician.

Performing this research from afar can be challenging, especially if you don't speak the local language. Yet countless people take the risk anyway, without knowing whether the physicians who will treat them are reputable.

A physician should be trained in the specific area of medicine that is appropriate for your procedure. For example, you should not be having plastic surgery from a surgeon who was trained to be a heart doctor. It isn’t good enough to be a physician, the physician must be trained in the specialty .

Prior to agreeing to surgery, you should also know your surgeon’s credentials : where they studied, where they trained, and in what specialty(s) they are board-certified. Do not rely on testimonials from previous patients; these are easily made up for a website and even if they are correct, one good surgery doesn’t mean they will all be successful.

Quality of Staff

Nurses are a very important part of healthcare, and the care they provide can mean the difference between a great outcome and a terrible one.

A well-trained nurse can identify a potential problem and fix it before it truly becomes an issue. A poorly trained nurse may not identify a problem until it is too late. The quality of the nursing staff will have a direct impact on your care.

Once again, it's important to research the hospital staff where you will be having your procedure done. Read the reviews but don't trust them blindly. If you can, seek out a recommendation from someone who can vouch for the medical staff where you will be going.

Quality of the Facility

While researching healthcare facilities for your procedure, you want to learn not just about the quality of the facilities themselves, but about the country's healthcare system as a whole.

In some countries, there is a marked distinction between public hospitals and private hospitals. In Turkey, for example, private hospitals are considered on-par with hospitals in the states, while many locals will advise you to steer clear of public hospitals if you can.

You will also want to seek out facilities that are internationally accredited. In the United States, the Joint Commission evaluates hospitals and certifies those that provide safe, quality care. The international division does the same for hospitals outside the United States.

Once you have a few options for potential facilities, you can start to investigate specifics. For one, you should find as many pictures and reviews of the facility as you can. Ask yourself whether the facility is state of the art or whether it seems dirty and outdated.

You will also need to find out if the facility has ICU level care available, in case something goes wrong. If not, there should be a major hospital nearby so that you can be transferred quickly.

To learn more about a healthcare facility, consider joining expat groups on social media for the city or country you will be traveling to. Ask the group for recommendations, or inquire about any positive or negative experiences they may have had at a particular facility.

Flying Home After Surgery

Any surgery comes with risks, including infection and blood clots . Flying home increases the risk of blood clots, especially on long-haul flights that are longer than four hours.

Try to avoid flying home in the days immediately after surgery; waiting a week will decrease the chances of developing a blood clot or another serious complication during the flight.

For longer flights, plan on getting up and walking up and down the aisles each hour to improve blood flow in your legs. You might also benefit from wearing compression socks with your doctor's approval.

If you are taking blood thinners or are at-risk of blood clots , be sure to talk to your doctor about how you can reduce your risk of blood clots after your procedure and while traveling.

Furthermore, you should know the symptoms of blood clots and stay alert.

Unplanned Illness

Any time you travel abroad, you run the risk of catching an illness that you have never been exposed to or that your body is not prepared to fight off. This is especially a concern when spending time in a foreign hospital.

If you have a sensitive stomach, you may also want to think long and hard about having surgery abroad. The food is often very different in foreign hospitals, and in some areas, there is a risk that even the water will be upsetting to your body.

Having diarrhea or postoperative nausea and vomiting makes for a miserable recovery experience, especially if you do not have a friend or family member nearby who can help you through it.

Before you travel abroad, check with your doctor to see if you need any vaccines to travel to your destination or if there are any foreign illnesses you should be aware of. Picking up an illness abroad, particularly after your surgery, can potentially be life-threatening.

Language Barriers

If you are having surgery in a country where English is not the primary language, you will need to make preparations in order to be able to communicate with the staff.

You may be pleasantly surprised to learn that the staff speaks your primary language well. If not, then you will need to consider how you will make your wishes and needs known to the surgeon, the staff, and others you will meet.

Whether you are at home or abroad, remember to speak up and advocate for yourself to make sure your needs are met. If you don't speak the local language, download a language translation app on your smartphone and don't hesitate to use it to communicate your needs. Hiring a translator is another option.

A Word About Transplant Tourism

Transplant tourism is one area of medical tourism that is strongly discouraged by organ and tissue transplant professionals in multiple countries. Most international transplants are considered “black market” surgeries that are not only poor in quality, but ethically and morally wrong.

China, for example, the country that is believed to perform more international kidney transplants than any other country, is widely believed to take organs from political prisoners after their execution.

In India, living donors are often promised large sums of money for their kidney donation, only to find out they have been scammed and never receive payment. Selling an organ in India is illegal, as it is in most areas of the world, so there is little recourse for the donor.

Then there is the final outcome: how well the organ works after the surgery is complete. With black market transplants, less care is often taken with matching the donor and recipient, which leads to high levels of rejection and a greater risk of death. Furthermore, the new organ may not have been screened for diseases such as cytomegalovirus , tuberculosis , hepatitis B , and hepatitis C . It is often the new disease that leads to death, rather than the organ rejection itself.

Finally, transplant surgeons are often reluctant to care for a patient who intentionally circumvented the donor process in the United States and received their transplant from an unknown physician.

It is important to arrange your follow-up care prior to leaving your home country.

Many physicians and surgeons are hesitant to take care of a patient who received care outside the country, as they are often unfamiliar with medical tourism and have concerns about the quality of care overseas.

Arranging for follow-up care before you leave will make it easier to transition to care at home without the stress of trying to find a physician after surgery .

Just be sure to inform your follow-up care physician where you are having your procedure done. After you return, they will also want to know what prescription medications you were given, if any.

What are popular countries for medical tourism? 

Mexico, India, Costa Rica, Turkey, Singapore, Canada, and Thailand are among the many countries that are popular for medical tourism.

How safe is medical tourism?

Medical tourism is generally considered safe, but it's critical to research the quality of care, physician training, and surgical specialties of each country. There are several medical tourism organizations that specialize in evaluating popular destinations for this purpose.

What countries have free healthcare? 

Countries with free healthcare include England, Canada, Thailand, Mexico, India, Sweden, South Korea, Israel, and many others.

A Word From Verywell

If you are considering medical tourism, discuss the risks and benefits with your doctor, and consider working with your insurance provider to arrange a trip that balances financial savings with safety. (Also, before you embark on a trip overseas for your procedure, make sure you are financially prepared for unexpected events and emergencies. Don't go abroad if you don't have enough money to get yourself home in a crisis.)

A medical tourism organization such as Patients Without Borders can help you evaluate the quality and trustworthiness of healthcare in various countries. Making sure a high level of care is readily available will lead to a safer, more relaxing experience.

Centers For Disease Control and Prevention. Medical Tourism: Getting medical care in another country . Updated October 23, 2017.

University of the Incarnate Word. Center for Medical Tourism Research .

Patients Beyond Borders. Facts and figures .

Kaiser Family Foundation. Health coverage of immigrants . Published July 2021.

Paul DP 3rd, Barker T, Watts AL, Messinger A, Coustasse A. Insurance companies adapting to trends by adopting medical tourism . Health Care Manag (Frederick). 2017 Oct/Dec;36(4):326-333. doi: 10.1097/HCM.0000000000000179

Batista BN. State of plastic surgery in Brazil .  Plast Reconstr Surg Glob Open . 2017 Dec;5(12):1627. doi:10.1097/GOX.0000000000001627

Johns Hopkins Bloomberg School of Public Health - Global Health Now. Brazilians' risky right to beauty . Published May 2018.

Chokrungvaranont P, Selvaggi G, Jindarak S, et al. The development of sex reassignment surgery in Thailand: a social perspective .  Sci World J . 2014 Mar;2014(1):1-5. doi:10.1155/2014/182981

The Joint Commission. For consumers .

Centers for Disease Control and Prevention. Blood clots and travel: what you need to know . Reviewed February 2021.

Hurley R. China harvested organs from political prisoners on substantial scale, says tribunal . BMJ . 2018 Dec;363(1):5250. doi:10.1136/bmj.k5250

Ambagtsheer F, Van Balen L. I'm not Sherlock Holmes: suspicions, secrecy, and silence of transplant professionals in the human organ trade . Euro J Criminol . 2019 Jan;17(6):764-783. doi:10.1177/1477370818825331

Centers for Disease Control and Prevention. Transplant Surgery. Key facts . Reviewed January 2019.

By Jennifer Whitlock, RN, MSN, FN Jennifer Whitlock, RN, MSN, FNP-C, is a board-certified family nurse practitioner. She has experience in primary care and hospital medicine.

Medical Tourism

Aug 07, 2014

320 likes | 881 Views

Medical Tourism . Guide : Dr.Bupendra Shah, Ph.D. Pranav Gadgil MS (Pharmacy Administration) Long Island University. Index. Objective. To study the upcoming form of tourism called as ‘Medical Tourism’

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• pharmacy administration
• first world service
• competitive cost
• alternative treatments
• operative care

Presentation Transcript

Medical Tourism Guide : Dr.Bupendra Shah, Ph.D. Pranav Gadgil MS (Pharmacy Administration) Long Island University

Objective • To study the upcoming form of tourism called as ‘Medical Tourism’ • To study why people are interested in medical treatment overseas and also risks involved in it • Why India is proved to be a global healthcare destination

Introduction • Medical tourism is defined as travelling across the borders to obtain healthcare for better qualities and lower cost or for some alternative treatment available • Medical tourism is classified as a. Outbound b. Inbound c. Intrabound

Why is it popular ? • High cost of treatment in home country • Long waiting for certain procedures • Improvement in both techniques and standard of care in many countries • Procedures not available in home country • Privacy and confidentiality • Treatment not included in Insurance coverage • Easy and affordable international travel • Role of JCI – Inspect healthcare outside US

Comparison of Costs

Medical Tourism Destinations

Destination India • India is now a global healthcare destination • According to CII approx. 450,000 patients arrived in 2009 and expected growth rate was 15% each year • Monetary value - $333 million in 2004 and expected growth is $2 billion by 2012 • Many NRI invest in Indian healthcare • Indian Ministry of Tourism – Medical ‘M’ Visas

Why India? • Well trained health practitioners • Good English speaking medical staff • Good mix of allopathic and alternative treatments • High tech centers with ultra modern facilities • Premium service at competitive cost Ex. Heart bypass cost in US - $100,000-$130,000 and India - $10,000-$12,000 with no compromise on quality

Why India? Contd… • Cities – Specialty Treatment a. New Delhi – Cardiac treatments b. Chennai – Ophthalmic treatments c. Kerala & Karnataka – Ayurveda Hospital chains – Apollo Hospitals, Fortis healthcare, Wockhardt, Lotus eye care, seven hills, MIOT hospitals Some also provide a vacation after surgery

Risks in Medical Tourism • Patients Health • Travel • Pre and Post operative care • Cleanliness and Hygiene at destination • No follow up arrangement

Summary • Patients are interested in overseas treatment due to lower costs, better treatment, confidentiality criteria etc. • Asian countries like Singapore, India are proved to be global health care destination • Patient opt for medical tourism for treatments like dental surgery, cosmetic surgery which are not included in insurance coverage • Medical tourism is now a globally used term and it’s a growing industry today

Implication • Ministry of health and tourism • Hospitals • Society • World Health Organization • Joint Commission International

Conclusion • First world service at third world cost

References 1. Export of health services from developing countries: Tunisia, Social science and medicine journal (2008) page no.101-110 2. Patients experience about medical tourism by Valorie Crooks, Paul Kingsburg, BMC health research 2010. Page no.1-13 3. Medical tourism: Sun, sea, sand and surgery by John Connell, tourism management 27(2006), Elsevier publication Page no. 1093 - 1100 4. Medical Tourism – potential impact on health system in India, Indrajit Hazarika, publication: oxford university press, Page no. 248-251

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• Medical Tourism
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The History of Medical Tourism

Medical tourism history - ancient times.

• The Sumerians (circa 4000 BC) constructed the earliest known health complexes that were built around hot springs. These healthcare facilities included majestic elevated temples with flowing pools.
• During the Bronze Age (circa 2000 BC), hill tribes in what is now known presently as St. Moritz, Switzerland recognized the health benefits in drinking and bathing in iron-rich mineral springs. The same bronze drinking cups that they used were found in thermal springs in France and Germany, which could signify health pilgrimages within these cultures.
• The Ancient Greeks were the first to lay a foundation for a comprehensive medical tourism network. In honor of their god of medicine, Asclepius, the Greeks erected the Asclepia Temples, which became some of the world's first health centers. People from all over, traveled to these temples to seek cures for their ailments.
• By the year 300 BC, other therapeutic temples flourished under the Greek domain. One facility called the Epidaurus was the most famous and included services like a gymnasium, a snake farm, a dream temple, and thermal baths. Other temple spas included the Sanctuary of Zeus in Olympia and the Temple of Delphi.
• In India, the history of medical tourism was also slowly unfolding with the popularity of yoga and Ayurvedic medicine. As early as 5000 years ago, constant streams of medical travelers and spiritual students flocked to India to seek the benefits of these alternative-healing methods.
• When Rome became a global power, several hot-water baths and springs called thermae came into existence and gained popularity among the elite. These baths were not only healthcare facilities, but became commercial and social networking centers for the rich and the elite.

Medical Tourism History - The Middle Ages

• In Medieval Japan, hot mineral springs called onsen became popular throughout the nation due to their healing properties. The warrior clans soon took notice of these springs and began using them to alleviate pain, heal wounds, and recuperate from their battles.
• Many early Islamic cultures established health care systems that also catered for foreigners. In 1248 AD, the Mansuri Hospital was built in Cairo and became the largest and most advanced hospital in the world of that time. With the capacity to accommodate 8,000 people, this hospital became a healthcare destination for foreigners regardless of race or religion.

History of Medical Tourism - The Renaissance Period

• A village known as Ville d'Eaux or Town of Waters, became famous throughout Europe in 1326 when iron-rich hot springs were discovered within the region. Prominent visitors like Peter the Great and Victor Hugo visited these wellness resorts. The word “spa”, derived from the Roman term “salude per aqua” or health through waters, was first used here.
• During the 16 th century, the rich and the elite of Europe rediscovered Roman baths and flocked to tourist towns with spas like St. Mortiz, Ville d'Eaux, Baden Baden, Aachen and Bath in England. Bath or Aquae Sulis enjoyed royal patronage and was famous throughout the known world. It became the center of fashionable wellness and became a playground for the rich and famous.
• The most noteworthy traveler in the history of Medical Tourism was Michel Eyquem de Montaigne. He was the French inventor of the essay, and was believed to be the father of luxury travel. He helped write the earliest documented spa guide in medical tourism history.

History of Medical Tourism - The Post-Renaissance Period

• In the 1720s, Bath became the first city in England to receive a covered sewage system and was ahead of London for several years. The city also received technological, financial, and social benefits. Roads were paved, streets had lights, hotels, and restaurants were beautified – all because of Medical Tourism.
• The discovery of the New World brought new destinations for European medical travelers. During the 1600s, English and Dutch colonists started building log cabins near mineral springs rich with medicinal properties. During this time, it was noted that the Native Americans in the New World were adept in the healing arts. Knowledge in herbal medicine was exceptional and rivalled those in Europe, Asia or Africa.
• During the 18 th and 19 th century, several Europeans and Americans continued to travel to remote areas with spas and health retreats hoping to cure various ailments like tuberculosis.

Medical Tourism History from the 1900s to 1997

• In 1933, the American Board of Medical Specialties (ABMS) was established and became the umbrella organization for the medical specialist boards in the United States. The ABMS established educational and professional policies, which became the blueprint of standards around the world.
• In 1958, the European Union of Medical Specialties (UEMS) was formed. The UEMS is made up of different National Medical Associations from member nations of the European Unions.  
• During the 1960s, India became a destination of choice for pilgrims when the New Age movement began in the USA. The flower child movement, which drew the elite and socialites of America and the UK, eventually developed into a fully-fledged medical tourism industry, with yoga and Ayurvedic medicine rediscovered.
• With the cost of healthcare rising in the 1980s and 1990s, American patients started considering offshore options, like dental services in Central America. Whilst US doctors were appalled at the idea of seeking healthcare in foreign hospitals during these periods, Cuba started programs luring foreigners for eye surgeries, heart and cosmetic procedures.

History of Medical Tourism from 1997 to 2001

Medical tourism from 2001 to 2006, medical tourism in 2007 and beyond, medical tourism information:, browse by specialty.

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Industry News

Doctors hospital chief: medical tourism better in bahamas.

At the corner of Collins Avenue and Shirley Street with palm trees at his back, Barry Rassin stands outside Doctors Hospital and watches the Caribbean sun set on realities of the day.

Rassin, president of The Bahamas-based Doctors Hospital Health System Ltd. , has big dreams that, he believes, medical tourism can help fulfill.

With plans to launch a stem cell treatment center, an in vitro fertilization facility, a cochlear implant center and an international spine surgery program, as well as expanded high-intensity-focused ultrasound treatment for prostate cancer, Rassin wants both feet firmly planted for when the promise of medical tourism comes ashore on the more than 700 islands, cays, and inlets that make up the commonwealth. The last thing Rassin wants is to miss the boat on a potential new revenue stream through The Bahamas.

Right now, 18 percent of our revenue is coming from medical tourism, said Rassin. That includes tourists who happen to come here, and the HIFU (high-intensity-focused ultrasound) program, and there are handfuls that come for all odds and ends. I'd like to take that to 50 percent. ‍

Doctors Hospital Health System Ltd., a member of the Medical Tourism Association, Rassin says, could bear witness to — sooner, rather than later that possibility if he could get The Bahamas Medical Council to relax stringent requirement that insist doctors who come to the commonwealth a few times a year to be covered by an annual $10,000 work authorization permit. ‍

One Price Fits All

In the meantime, Rassin is promoting the ability of Doctors Hospital to offer aftercare therapies, something that medical tourism patients may not be able to get in nearby locations in the Caribbean or as far away as India. ‍

It's part of a Doctors Hospital strategy to bundle costs of service into one fixed price at about 35 percent less than those for similar treatments in the United States — aimed at attracting American employers who are looking at medical tourism as a means to offer their employees quality care without compromising the company's bottom line. ‍

Renée-Marie Stephano , president of the Medical Tourism Association, said U.S. employers who take advantage of bundled case rates can reduce the cost of providing their employees with top-notch care. ‍

Hospitals that negotiate preset, consolidated prices for planned medical procedures including fees for surgeons, anesthesiologists all care up until a patient is discharged are very attractive to U.S. employers who aren't content to sit around and wait for the full implications of the Affordable Care Act to surface, said Stephano, who encouraged hospital administers, doctors and clinician, employers and insurance executives and travel and tourism interest to meet, discuss and form partnerships at the 7th World Medical Tourism & Global Healthcare Congress, Sept. 20-24, 2014, in Washington, D.C.

Strategies designed to reduce costs without yielding on the quality of care provided are moving U.S. companies of all sizes to take a long, hard look at medical tourism and what better place to do so than in The Bahamas. ‍

Leveling Playing Field

Stephano said that while reduced costs may be enough to entice a patient to act on travel, the potential to bring along a personal choice of physician could make all the difference in a decision to seek medical tourism procedures or treatments abroad. ‍

We can't compete with Costa Rica, Mexico, India, Thailand or Singapore, their cost structure is so much less, said Rassin. We are creating a model in which we want to bring surgeons from the U.S. here with their patients. We believe it's very important to do post-op follow up so that a patient coming to The Bahamas with their surgeon will come here and get the surgery and then they'll go back and have all the follow up care. ‍

Surgeons who work in the Canadian public healthcare system have gained noticed for accompanying their patients to the Caribbean, where they can get a license for a fee and perform shoulder, knee, hip and other operations at local facilities. Most of these Canadian patients return home for post-op care. ‍

Rassin hopes a collaborative approach with the Ministry of Tourism can be taken to overcome roadblocks — like costly doctor permits that limit access to overseas patients and medical tourism revenues. ‍

It's really more beneficial for (The Bahamas) than it is for Doctors Hospital Health System, said Rassin. We get out-patient surgery out of most of them; they're in for a few hours. (Doctors Hospital) will get a few dollars, but (the patients) are going to stay in a hotel for anywhere from three nights to 14 nights. On average, a medical tourism patient travels with three other people just do the math. I think the country will benefit a whole lot. ‍

Roads from China

Rassin should be encouraged by recent talks between Bahaman business leaders and the Chinese government to establish the commonwealth as a global tourism base. These meetings focused on development of an airlift from cities in mainland China that would enable easier access to travel for healthcare consumers, among other tourists between the two countries. ‍

At the end of last year, The Bahamas and China signed a mutual visa exemption agreement in the hopes that one less trip to the consulate may make more Chinese travelers consider a trip to the tropical island chain. ‍

The agreement catapults The Bahamas among top destinations including North America, Europe and Australia for more than 70 million Chinese tourists who frequently travel internationally.

China, which a new study by the 2011 International Comparison Program predicts is poised to overtake the United States as the world's number one economy, sends more than 60,000 medical tourism patients abroad — particularly to Thailand, India, South Korea and Singapore for procedures and treatments. ‍

Rassin says Doctors Hospital Health System Ltd., which includes Bahamas Medical Center and Doctors Hospital in Nassau, the first Joint Commission International-accredited facility in the Caribbean, is positioned to service Chinese or any other world travelers contemplating medical tourism opportunities in a tropical island paradise. ‍

For each of the international programs that Doctors Hospital hopes to create, Rassin said that local professionals specialized in those areas will be involved. ‍

Doctors Hospital is already receiving a lot of calls about IVF in The Bahamas, Rassin said, while noting that as many as 15-20 cochlear implant procedures will soon be conducted at the proposed facility. ‍

Korea: Turning the Focus to an Emerging Global Leader in Medical Tourism

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The Medical Tourism Magazine (MTM), known as the “voice” of the medical tourism industry, provides members and key industry experts with the opportunity to share important developments, initiatives, themes, topics and trends that make the medical tourism industry the booming market it is today.

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