Medical Tourism

Millions of people travel abroad for medical treatment – from dental work to major heart surgery – all done at a fraction of the cost back home. Medical tourism brings in billions of dollars a year worldwide.

When people travel from one place to another place, across the international border, to receive some form of medical treatment is called medical tourism. 

So, we wanted to know, what exactly is medical tourism?

Somebody who crosses borders to obtain health care in an environment outside their own is called a medical tourist.

Well, since the mid 20th century, health care costs have exploded in many developed countries, especially the United States. Some have blamed this on the closed system of procedure and drug pricing, which does not allow for free market competition. So when prices rise, they don’t go back down.

Other factors, like exaggerated insurance billing, malpractice lawsuits, and infrequent, but serious doctor visits contribute to increasing costs. According to a 2011 OECD report, a procedure like a heart bypass can cost more than $100,000 dollars in the US. However, that same procedure could run less than $4,000 dollars in Mexico.

For those without health insurance or high deductibles, medical tourism represents a viable and beneficial alternative. For Americans, the most common medical tourism destinations include Thailand, Mexico, India, and Cuba. In many of these developing countries, medical tourism represents a lucrative and growing source of economic revenue.

Countries are actually competing for medical tourists. In Japan, the government is instituting new policies that will help increase the number of hospitals accepting foreign patients. Worldwide, the industry is said to be worth up to $55 billion dollars.

However, there are certain drawbacks. The US Center for Disease Control has registered several safety concerns over higher rates of bacterial infections and diseases for medical tourists. These can be attributed to less strict sanitation rules in other countries and the presence of contagious diseases that are otherwise rare in the US. In 2014, American women, who traveled to the Dominican for plastic surgery, contracted bacterial infections.

Additionally, transplant tourism has become a highly controversial issue. Medical tourists can obtain organs and transplant operations without waiting in a long line, and for less money. But the World Health Organization says the organs often come from vulnerable people.

Most of the world has completely banned transplant tourism, however, organs can still be purchased on the black market. Medical tourism also presents problems for locals who now face more competition for healthcare in their own country. Wealthy outsiders can crowd out native citizens, and even raise the prices for certain procedures by increasing demand.

Healthcare providers, too, can be required to change their practices in order to accommodate and cater to foreigners. A recent report on healthcare in developed countries ranked the US last in effectiveness and efficiency. This is despite the fact that the US spends more money on health care per person than any other country.

Presently, the future of medical tourism is expected to remain profitable as experts predict billions of dollars in revenue growth for the coming years.

Definitions of Medical Tourism

At present, there is not any agreed definition of medical tourism exits. Some country count foreign patients visit hospitals, whereas others count the entry of individual patients into the country as the medical tourism. Some countries record nationality but not the place of residence of patients, as a result, it can be problematic when migrants return to home country for treatment.

There have been however several attempts to define “medical tourism”. There is some selected definition of medical tourism are following as:

According to OECD, 2011, ” When consumers elect to travel across international borders to receive some form of medical treatment, which may span the full range of medical services (most commonly includes dental care, cosmetic surgery, elective surgery, and fertility treatment)”.

According to McKinsey, “When a person, whose primary and explicit purpose in traveling is to obtain medical treatment in the foreign country, excluding emergency tourists, wellness tourists, expatriates seeking care in their country of residence, patients traveling to neighboring regions to the closest available care is referred as medical tourism.”

K. Pollard, International Medical Tourism Journal in 2011 define, ”  A medical tourist is someone who travels outside of his or her own country for surgery or elective treatment of a medical condition.”

If we apply this narrow definition, we DO NOT include dental tourists, cosmetic surgery tourists, spa and wellness travelers, “accidental” medical tourists (business travelers and holidaymakers who fall ill while abroad and are admitted to hospital), expatriates who access healthcare in a foreign country.

History of Medical Tourism

Traveling for health and wellness care has a long history. People have been traveling for centuries in the name of health, from ancient Greeks and Egyptians who flocked into hot springs and baths, to 18th and 19th century Europeans and Americans who were coming to spas hoping to cure diseases, like tuberculosis.

The history of medical tourism in Europe has tended to be based around spas and seawater treatments, mainly because of the large numbers of thermal and mineral springs and sea coasts, but modern medical tourism or as it also being called health tourism nowadays usually refers to people, who travel abroad to get specialized healthcare.

Medical tourism started it´s history, as early as in the 1930s. It became popular among the USA and European countries well-off residents, who wanted to get good quality health services abroad. Since 1983, staying fit and healthy has been consumers’ top priority and, according to the Future Foundation´s Changing Lives Survey, will continue to be in the future.

Fortunately, in the past years more and more people around the world learn about medical tourism as it is one of the quickly developing parts of tourism industry nowadays, which, according to Flanigan (2009), has been projected to expand globally by 2017.

Types of Medical Tourism

Medical Tourism is an emerging concept in the tourism industry. Medical tourism is the act of traveling to obtain medical care. There are mainly two categories of medical tourism. These are following as:

  1. International Medical Tourism
  2. Domestic Medical Tourism

International Medical Tourism

When people who live in one country travel to another country to receive medical, dental and surgical care while at the same time receiving equal to or greater care than they would have in their own country, and are traveling for medical care because of affordability, better access to care or a higher level of quality of care is called International Medical Tourism.

International Medical Tourism can be further divided into two types:

  1. Inbound Medical Tourism
  2. Outbound Medical Tourism

Inbound Medical Tourism refers to tourists of outside origin entering a particular country. When people travel outside their host/native country to another country for medical purpose, then it is called inbound medical tourism for that country.

Outbound Medical Tourism refers to tourists traveling from the country of their origin to another country. When medical tourists travel a foreign region than it is outbound tourism for his/her own country.

Domestic Medical Tourism

Domestic Medical Tourism is where people who live in one country travel to another city, region or state to receive medical, dental and surgical care while at the same time receiving equal to or greater care than they would have in their own home city, and are traveling for medical care because of affordability, better access to care or a higher level of quality of care.

Importance and Benefits of Medical Tourism

Medical Tourism is a unique concept in the travel and tourism industry. It plays an important role in the tourism sector.  A large number of people traveling for treatment every year.  Medical tourism helps in the development of economy and living standards of the human civilization. Importance and benefits of medical tourism are following as:

  • Hugely beneficial for economic development.
  • Creates more healthcare jobs.
  • Creates more healthcare facilities.
  • Give access to the latest technology in the medical sector.
  • Improve the quality of life for everybody involved.
  • Participating in Global Healthcare.
  • Increase Better Global Healthcare Standards.
  • Better Knowledge Exchange.
  • Generate Foreign Revenues.
  • Social Benefits.
  • Political Benefits.
  • Economical Benefits.

Reasons to Choose Medical Care Abroad

There are many reasons due to people travel abroad to seek medical treatment. Most common reasons for medical tourism are:

  • Disappointment with medical treatment at home.
  • Lack of access to health care at reasonable cost, time.
  • Inadequate insurance and income to pay for local healthcare.
  • The rise of high-quality medical care in developing countries.
  • Greater mobility.
  • A wish to get medical services away from the common environment (escapism).
  • The growing popularity of getting medical services abroad.
  • No wait-list.
  • Accesses to the latest technology.

Medical Tourism Issues and Challenges

Medical tourism is a market combination of healthcare and tourism sector.  Medical tourism is growing day by day internationally as well as domestically.  People travel a foreign region to get a medical treatment than many issues and challenges arise.  Due to this medical tourism is facing many problems and challenges, these are technological, language barriers etc.

Medical tourism also creates problems for the host country and destination population.  There are many advantages of medical tourism as well as drawbacks. Medical tourism is an emerging concept for the travel and tourism industry.

In ancient time people travel from one country to another, one destination to another for getting medical treatment like a hot spring bath, medical therapies etc. But the current scenario changed, today people travel due to many reasons like as to get affordable best medical treatment in the developing country, no waiting list etc.

Medical tourism is facing many issues and challenges. Some are following as:

  • Follow-up Problems The follows up cares is very difficult in medical tourism. If a patient gets an infection or other problems after surgery after going to his own country, then there is not any well-established follow-up cares in medical tourism.
  • Language Barrier Cultural and language barriers are the major issue in front of medical tourism.  If the medical staff does not understand the language of the patents then the whole process becomes difficult for the patient.
  • Lack of Infrastructure  Peoples is traveling from the developing country to a developing country for medical treatment. These developing countries have not a well-established world-class infrastructure. There are many problems like as proper water and power supply, poor quality food and poor hygiene in hospitals.
  • Lack of Professionalism The medical staff in most developing country lacks professionalism and behavioral aspect. The soft skills of medical workforce like warmth, concern, and friendliness are still underdeveloped.
  • Difficulties in Promotion  The developing countries are suffering from the problems of promotion of medical tourism. There is a lack of quality accreditation and regulation in hospitals and other medical service provides. There is no uniform pricing and standardization of services that cause a barrier in building customers trust on the services offered.
  • Rule and Regulation One of the serious concerns in medical tourism related to differences in law in different countries. There is no standard law in medical tourism all over the world.  There is unrealistic and weak law in medical tourism. This is a major challenge faced by medical tourism.
  • Organs Trafficking Most of the world banned transplant tourism because organs often come from vulnerable people. However, organs can still be purchased on the black market.

Services Provided by Medical Tourism Facilitators

Medical tourism facilitators play a key role in the medical tourism sector. Medical tourism facilitators also play a major role in making your medical travel easy and comfortable. A good medical tourism  facilitator provides the following services:

  • Customizes Treatment Packages
  • 24*7 Support & Guidance
  • Assistance for Medical Visa Letter
  • Prompt Doctor Appointments
  • Hassel Free In-Patient Admissions
  • Precise Money Exchange
  • Safe accommodation as per Patients Budget
  • Provision for Local SIM Cards
  • Eminent Interpreters
  • Guidance for End-to-End Transportation
  • Appeasing Tourist Packages
  • Post Treatment Follow-Ups