news about medical tourism and patients travelling to foreign countries for medical treatment

Medical Tourism

news about medical tourism and patients travelling to foreign countries for medical treatment

Thursday, October 19, 2006

Sending sick workers overseas could save millions, officials says


Sending sick workers overseas could save millions, officials says

Delegate Ray Canterbury has an idea he says could save the state millions: send sick workers overseas.

Not on a vacation, but as part of a growing worldwide industry known as health tourism: by taking advantage of lower medical costs in foreign countries, Canterbury, R-Greenbrier, hopes state employees can save large sums on costly medical procedures.

"We're talking deep discounts here,'' he said, pointing to studies that show medical procedures in countries like Singapore and Costa Rica routinely cost 20 to 80 percent less than in the United States.

Depending on how many state employees would use the plan, Canterbury estimates it could save between $1 million and $2 million annually.

Canterbury believes his plan is the first in the country to focus on state employees, but health tourism is already gaining popularity.

About 500,000 Americans traveled outside the country last year for medical care, according to the National Coalition on Health Care. While the vast majority of such health travelers are private individuals paying their own way, the idea is catching on in the private sector and, if Canterbury has his way, in government.

But how can Americans be sure they'll get the same level of care in Kuala Lumpur or Budapest that they would in the U.S.?

"The boundaries around health care are starting to really blur,'' said Anne Mooney, executive director of International Services for Joint Commission International, an Illinois-based group that provides accreditation to overseas hospitals. "You can now get good health care outside the borders of your country.''

JCI is a subsidiary of the Joint Commission on Accreditation of Healthcare Organizations, which reviews more than 18,000 U.S. hospitals. JCI has accredited about 100 hospitals in foreign countries.

Under Canterbury's plan, the state would assemble a list of JCI-accredited hospitals for procedures ranging from dental implants to knee replacements.

State workers would then be given the option to go overseas for a necessary procedure. In return, they'd be given two plane tickets, additional sick time and a cash bonus worth 20 percent of the savings.

The additional money saved on the procedure would go into a fund to reduce state employees' health care premiums.

"The important thing is that you give consumers choice, you give them options and you put pressure on the health industry here at home to do something about rising costs,'' Canterbury said.

Although his proposal is only being studied now, he plans to introduce it as legislation in the 2007 session.

Health tourism, though, is a two-way street. Besides saving money in the U.S., some countries around the world are making aggressive efforts to boost the number of patients coming to their country.

Dr. Jason Yap is the director of SingaporeMedicine, part of the Singapore Tourism Board. He was in West Virginia this week meeting with lawmakers, trying to sell them on the benefits of health travel.

About 374,000 people came to Singapore last year for medical procedures, Yap said, with most coming from nearby Asian countries. Singapore, with a life expectancy rate higher than the United States, has long been a health tourism destination.

But the nation, with only 4.2 million people, doesn't have the native base it needs to sustain a rapidly evolving, cutting-edge healthcare industry.

"In order to treat our own people, we need to maintain a larger pool of patients,'' Yap said.

So far, the proposal has been met with cautious approval by state employee unions.

Ed Hartman, state director of the West Virginia Association of Federal, State, County and Municipal Employees -- which represents about 4,000 government workers in the state -- said the plan deserves to be looked at.

"We normally oppose contracting out things that should take place in our country,'' he said, noting the union hasn't taken an official position on it. "It's a shame this sort of procedure has to be seriously considered, but it does have to be looked at, with the high cost of health care.''

Wednesday, October 18, 2006

Basking on the Beach, or on the Operating Table |


Basking on the Beach, or Maybe on the Operating Table

SO you have a bad hip that needs surgery, but you dont have health insurance. What to do? Go on vacation.

A growing number of Americans are taking that path, traveling to countries like Thailand, Costa Rica and Malaysia for cosmetic, orthopedic and heart surgeries and other medical and dental treatments that cost 20 to 80 percent less than at home.

The number of these travelers varies, depending on whom you ask, but there is no doubt that health travel is growing, hastened by the fact that 46 million Americans are uninsured and that health insurance costs are soaring.

In Bangkok, Bumrungrad International Hospital counts 55,000 American patients a year. It describes itself online to visitors much the way a hotel would, with photographs of rooms, lists of surgery prices and amenities for patients, like laptop computer rentals and secretarial services.

In Costa Rica, construction is under way on new medical retreats basically hotels with nurses and medical amenities to help patients recuperate from surgery. In India, hospitals are sprouting that offer foreigners fine dining, marble bathrooms and manicured lawns. The hospitals promote the fact that they have credentialed physicians and a one-to-one ratio of nurses and patients.

Yet going overseas for medical care is not without risks. Life-threatening complications, possible with any surgery anywhere, can arise far from home, and medical travel brochures dont always adequately inform consumers of standards for hospitals, medical providers and post-operative care.

Its so hard to judge the quality overseas, said Dr. Kenneth Ouriel, chief of surgery at the Cleveland Clinic. The reporting standards are different. The language is different. Its hard enough in the U.S.

Still, medical tourism has spawned a cottage industry of travel agencies willing to book hotels and air travel, find doctors and arrange surgeries. Often, they provide concierges who pick up patients at the airport, provide them with cellphones and wait with them at the hospital, consulting with doctors and keeping relatives apprised.

Safety is the big thing, said Stephanie Sulger, president of Medical Tours International, in Cold Spring, N.Y., which has turned down patients who werent healthy enough to travel.

Medical Tours International has 12 registered nurses and three doctors who help patients plan medical treatment and trips. They also visit and check out the overseas hospitals noting, for example, whether they have emergency evacuation signs in English and evaluate doctors, requesting copies of their credentials, talking with doctors colleagues and reading what patients say about them on online message boards.

Last year, Medical Tour International sent 1,324 people to India, Costa Rica, Thailand and Brazil for procedures like in-vitro fertilization, dental work and orthopedic surgery. Ms. Sulger says she expects sales this year to reach $1 million.

In April, Gary Hulmes, a furniture store manager in Englewood, Fla., paid $295 to a company called PlanetHospital, based in Calabasas, Calif., to help him plan a trip to India. In back pain for months and without health insurance, Mr. Hulmes, 44, opted to go to a Max Hospital in New Delhi for spinal surgery rather than having it done at home.

He paid $9,000 for the three-week trip, which included a five-day hospital stay, airfare, hotel and sightseeing at spots like the Taj Mahal. At home, it could have run $36,000 to $50,000, according to the American Academy of Orthopaedic Surgeons.

American hospitals offered me a payment plan, but I would have been in debt for the next 10 years, said Mr. Hulmes, adding that his recovery is going well. When youre uninsured and you dont have a whole lot of options, its pretty scary.

Credit the lower costs to factors like lower salaries and training costs and fewer malpractice lawsuits abroad, said Josef Woodman, author of Patients Without Borders: The Smart Travelers Guide to Getting High-Quality Affordable Healthcare Abroad, which will be published in February 2007 by a new imprint, Health Travel Communications, in Chapel Hill, N.C.

Mr. Woodman traveled to Costa Rica for dental work last spring. The treatment and trip cost $2,100, instead of the $4,100 it would have cost back home.

GlobalChoice Healthcare, in Albuquerque, offers patients a menu of comparative prices. A coronary artery bypass, it said, could cost $75,536 in the United States but $11,438 in India; a $36,664 knee replacement here might be $17,824 in Singapore.

Such savings have caught the attention of large and small companies, too. United Group Programs, an insurer in Boca Raton, Fla., offers medical travel in its health plans to 4,300 corporate clients. About 40 employers now offer those plans to employees.

The West Virginia legislature is studying a proposal that would encourage state employees to travel abroad for some procedures, giving them cash bonuses equivalent to 20 percent of the net cost savings. The balance of the savings would go into a fund to reduce the amount employees pay for health care premiums. State Delegate Ray Canterbury, a Republican who proposed the bill, said he thinks such a shift could add to pressure to make domestic health care more affordable.

In Britain, the government has authorized patients to go overseas for medical treatment in certain cases.

Among the factors that may help put some Americans at ease are the numerous American-trained doctors abroad and a rising number of foreign hospitals certified by the Joint Commission International, the international arm of the United States-based Joint Commission on Accreditation of Healthcare Organizations, which reviews 18,000 domestic hospitals.

The international commission ensures that hospitals have translators, qualified doctors and nurses and are up to American standards for safety and cleanliness. It has accredited 100 foreign hospitals since its start six years ago. With medical tourism dollars in mind, more hospital executives in Asia and Central America are seeking its stamp of approval, said Maureen Potter, its executive director for accreditation.

Accreditation, however, does not guarantee a good outcome. And foreign hospitals are not bound by the same regulations as hospitals in the United States, and consumers may not have the same rights to litigation if something goes wrong.

If complications arise, a hospital may have a specialist for a particular surgery, but it may lack other specialists like an infectious-disease doctor, who would be important to a patient if there were complications, said Dr. Irving L. Kron, a cardiac surgeon and secretary of the American Association for Thoracic Surgery.

People who are considering medical travel should ask many questions, experts say. For example, they can check whether the hospital is accredited, whether the doctor is adequately certified and whether he or she speaks comprehensible English. And they can talk to former patients and research doctors who have American board certification on HealthGrades.com.

Mr. Woodman also suggests bringing along a companion who can fetch prescriptions and consult with the doctor. Patients should also warn their banks before traveling, so their credit cards arent rejected.

PlanetHospital, which helped Mr. Hulmes with his trip, caters to nervous patients with a service called the best of both worlds, in which American doctors travel with patients overseas to perform surgeries and then handle follow-up care back home.

PlanetHospitals price for a heart valve replacement in India with an American doctor is $11,000. That includes the doctors malpractice insurance as well as airfare and hotel for both physician and patient. The surgery typically costs about $55,000 in the United States. PlanetHospital now offers it to insurers, which can offer it to employees.

The first patient has signed up for the service, and PlanetHospitals owner, Rudy Rupak, expects more to do so soon. I can give you a familiar doctor and suddenly it makes it affordable, Mr. Rupak said. Your geography changes but everything else stays the same.

India's incredible tourism story only gets better - HT Research: HindustanTimes.com


India's incredible tourism story only gets better - HT Research: HindustanTimes.com
Saikat Neogi
October 16, 2006

With Conde Nast Traveller ranking India as the fourth most preferred travel destination and Lonely Planet selecting the country among the top five destinations from 167 countries this year, India has finally made its mark on the world travel map.

Global recognition is evident from the rising number of India-bound tourists. From just 17,000 international arrivals in 1951, the number has grown to 39 lakh in 2005. According to the Ministry of Tourism, we have already clocked almost 30 lakh foreign tourists between January and September, as compared with 27 lakh during the same period last year.

In the past three and half years there has been a 45.5 per cent growth in foreign tourist arrivals, pushing India's foreign-exchange earnings from $3.5 billion in 2003 to $5.7 billion in 2005. Foreign tourists in India spent an average of $1,470 per person last year; nearly double the global average of $844. France, the top tourist destination in the world, earned only $556 per tourist last year. The ministry estimates that by the end of 2012, India's foreign-exchange earnings from foreign tourists will cross $12 billion. In fact, the World Travel and Tourism Council estimated that Indian tourism industry would grow annually at 10 per cent over the next decade, the highest in the world.

Tourism in India is the third largest net earner of foreign exchange and contributes 6 per cent to our gross domestic product (GDP). It also employs the largest number of people. In 2003-04, according to the National Council for Applied Economics Research, the industry employed 4 crore people directly and indirectly, which was 8.78 per cent of the total employment in the country.

Packaging India

Much of the credit goes to the Ministry of Tourism's high-decibel 'Incredible India' campaign launched towards the end of 2002. The campaign mounted a concerted effort in international print, electronic, and Internet media besides outdoor advertising and road shows to showcase the country's tourism-friendly aspects. "It helped create high visibility and brought in high-value traffic into the country," says Amitabh Kant, joint secretary, Ministry of Tourism. Earlier, the ministry was solely dependent on its overseas offices to promote India as a tourist destination.

As the world is waking up to an India beyond the Himalayas, or the enchanting Thar Desert, the ministry is now focusing on niche areas like medical, ecology, rural, golf, wellness and spiritual tourism. With about 1.5 lakh foreign patients coming in every year, the medical-tourism market in India is now estimated at over $300 million and by the end of this decade it will grow up to $2.3 billion. Last month, the ministry partnered with the United Nations Development Programme (UNDP) to develop 71 villages across the country to showcase our unique traditions.

Spot the problem

While there is enough for the ministry to feel proud of, several problems like shortage of hotel rooms, delay in the issue of visas, a slew of taxes and poor infrastructure have yet to be sorted out. The Federation of Hotel and Restaurant Associations of India estimates that there are at present 97,000 hotel rooms in the country. It says if foreign-tourist arrival grows at 8 to 10 per cent over the next three years, India will need 30,000 additional rooms in various categories.

The Planning Commission estimates that India will need 1.6 lakh rooms more to accommodate the projected 58 lakh tourists by 2010, and 3 lakh rooms by 2020 to meet the projected tourist arrivals of 89 lakh.

The current growth of hotel rooms is less than 2,000 rooms a year, forcing hoteliers to double room tariffs in the past two years. Also owing to high land prices, there are more five-star hotels than budget hotels, making India a high-cost destination. Tarun Thakral, chief operating officer of Delhi-based Le Meridien hotel, says the land for hotel construction should be given on long-term lease as in countries like China and Malaysia.

Taxes — like luxury, service and transport tax — which total about 25 per cent do not help either. And then there is the visa issue. While countries like Malaysia, Thailand, and Sri Lanka have initiated visa-on-arrival scheme, a foreign tourist to India has to wait for a month to get an Indian visa. "If we do not implement a similar scheme foreign tourists with a South Asia itinerary will skip India," says Subash Goyal, president of the Indian Association of Tour Operators.

US group wants medical tourists barred : health, medical tourism, United Steel Workers' Union : IBNLive.com : CNN-IBN


US group wants medical tourists barred : health, medical tourism, United Steel Workers' Union : IBNLive.com : CNN-IBN

New Delhi: After BPOs, its medical tourism that's in the eye of the storm.

The biggest US industrial workers' association, the United Steel Workers' Union (USW), now wants to stop Americans from visiting India and other low-cost destinations for medical treatment.

The Union has lodged a complaint with the Senate and the house committee but the Government is yet to respond to the complaint.

Experts say though the issue may not lead to legislation, it could result in laying down of guidelines.

Reservation to medical tourism is part of the larger issue of their resentment towards outsourcing.

While USW's complaint has cited issues like liability in case of medical negligence and quality standards in low-cost destinations, the real issue could be the potential job losses in the health sector of the developed countries.

With the rhetoric against outsourcing getting louder, it could spread to countries like UK and Canada.

Meanwhile, the Health Ministry has said there are strict parameters for Indian hospitals to qualify for medical tourism. India is among the top players in the sector."