Medical tourism is booming

Written by admin on September 26, 2008 – 2:46 pm -

Don’t be shocked if some more affluent friends return from faraway trips looking extremely well rested. Look more carefully. There may be telltale scars. Medical tourism is booming.

Medical tourism is on the rise. Some noted destinations are India, Brazil, Argentina, Panama, and Malaysia. According to statistics by McKinsey & Company and the Confederation of India, it is forecast there will be an explosion of people heading overseas to save money to have certain procedures done.

In 2004, an estimated $40 billion was spent in the medical tourism industry. It’s forecast that by 2012, revenues will top $100 billion. Brazil is known as an international Mecca for cosmetic and plastic surgeries. Ivo Pitanguy, the world-renowned plastic surgeon who opened a clinic outside of Rio de Janeiro more than 40 years ago, catapulted the country into the limelight. He trained doctors from all over the world and if you were a disciple of the master, it was tantamount to the plastic surgery Good Housekeeping Seal of Approval.

Currently, Brazil is the second largest market for plastic surgery in the world after the U.S. That’s attributed to the high quality of service and its comparatively low cost.

Brazil is also becoming a medical tourism destination for other types of procedures. It has the most hospitals of any country outside the U.S. that are fully accredited by the Joint Commission (JCAHO), the largest U.S. hospital accreditation organization, according to MedRetreat, a website dedicated to medical tourism.

The flight time is approximately 8 to 12 hours from most US cities. That’s an additional reason that the country is predicted to become one of the world’s most dominant economies, according to Jim O’Neill of Goldman Sachs.

Panama is another country that’s hopped on the medical tourism bandwagon. The costs, on average, are 40 to 70 percent lower than costs for similar procedures in the U.S., according to a report on medical tourism published by the National Center for Policy Analysis (NCPA) last November. Hospitals catering to foreigners are clean and English is the lingua franca among the personnel. Many of its doctors have been trained in the US and the country views medical tourism as a way of bolstering the economy.

Costa Rica, like Panama, has become a popular destination among North American patients for inexpensive, high-quality medical care. Costs of procedures are generally cost less than half of the same procedures in the U.S.; the price of a dental veneer, for instance, is approximately $350 in Panama, whereas the same procedure is $1,250 in New York or Chicago. With those types of savings, you can afford to take a vacation.

Malaysia’s medical tourism industry has experienced staggering growth over recent years. According to the Association of Private Hospitals, the number of foreigners seeking healthcare services in Malaysia has grown from 75,210 patients in 2001 to 296,687 patients in 2006.

The large volume of patients in 2006 generated approximately $59 million of revenue. It’s projected that the number of foreigners seeking medical treatment in Malaysia will continue to grow at a rate of 30 percent a year until 2010.

There’s wide array of available medical procedures—including dental, cosmetic and cardiac surgeries—at significantly lower costs than in the U.S. In Malaysia, cardiac bypass surgery costs approximately $6,000 to $7,000.

India has become a well-known medical tourist destination for cardiac and orthopedic procedures. In the past, American patients have traveled to India for procedures such as Birmingham hip resurfacing, which wasn’t unavailable in the U.S. since it hadn’t been approved by the FDA until recently.

Medical tourists also journey to India for procedures that cost a small king’s ransom in the U.S.; for example, Apollo Hospital in New Delhi charges $4,000 for cardiac surgery while the same procedure would cost about $30,000 in an American hospital.

But not all US doctors are sanguine over people traveling abroad for medical care. If something goes wrong, they’re in far-away countries. And many people don’t allow enough time for extensive follow-up visits.

But unless medical care (and not just cosmetic surgery which is a luxury), are covered by insurance, there’s bound to be a surge of people traveling overseas for various surgeries. It may mean life or death.

(Listen to me discuss this issue on WTOP.)


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Posted in Consumer Traveler |

The Golden Triangle and off we go to the Taj Mahal

Written by admin on December 13, 2006 – 4:11 pm -

Few tourists travel all the way to India and not see the Taj Mahal.  It’s truly one of the wonders of the world.

We made the strategic decision not to take the high speed “ultra-deluxe” train from Delhi to Agra and its Taj Mahal. The idea of having to get up in time to make the 6:00 am train lacked appeal. There weren’t a lot of choices since only one such train a day makes the run to and from Agra, and at inconvenient times for our travel itinerary.

We opted for a car and driver. That cost little more than the train and it let us wallow a few hours longer in the luxury of New Delhi’s Taj Mahal Hotel.  The drive to Agra took over four hours (vs. 2 ½ hours by train). But when we factored in travel to and from the train station, sitting in the waiting room and arranging for storage of luggage we didn’t want for our one day in Agra, the time was about the same. Plus, with a car we’d have the option of taking roads not usually explored.

The car was great and so was the driver. But we had to share the road with a mind-boggling assortment of vehicles and beasts. Buses of all sizes, shapes and degrees of dilapidation…trucks ditto, and usually overloaded to ridiculous heights…carts pulled by camels or oxen or mules or donkeys…cars, motorcycles, scooters and bikes darting about with heart-stopping bravura…pedestrians crossing the road wherever and whenever… and, oh yes, an occasional cow or water buffalo moping along or simply lying down in the middle of traffic, confident in the knowledge they were sacred to Hindus. And this was on a toll road!  When we asked our driver if all that was legal, he simply explained that it wasn’t – but “fines” paid in cash helped the police supplement their less than satisfactory incomes.

We made one rest stop – in the town of Mathura, which happens to be the birthplace of Krishna, one of India’s major deities. There is a large (and painfully gaudy) temple to him there, and the road to it was flanked by the usual array of souvenir shoplets, as well as animals large and small. Amid the visual cacophony there was one symbol of order: a gaggle of schoolgirls all in identical spanking-clean uniforms (and all giggling at the unaccustomed sight of two Westerners wondering on their street.)  Just next to Krishna’s shine stood a Mosque. The town itself was primitive and visitors are well advised to import baby wipes and Purell.  Sanitation in much of India has a lot to be desired. But, as an insatiable traveler, I don’t like missing the entire underbelly of a country and how the society really lives.

My husband doesn’t like to hire drivers but admitted there’s no way he’d navigate the chaos of Indian traffic. There are no rules of the road or lanes. If there are street lights or traffic signs, people ignore them. There were occasional police standing in the middle of the road waving flickering red battery-lit batons. I wonder how many per year are killed in the line of duty while futility attempting to direct cars (and any and all other forms of transport) from here to there.

There wasn’t too much to see at the sides of the road. An occasional small temple, clumps of tiny stores apparently all selling the same things, a few factories, fields of sugar cane and safflower plants (where there was water for irrigation) and stretches of scrubby desert (where there wasn’t). Rajasthan gets rain in torrents for a month or so in summer, and that’s about it. Ground water is either absent altogether or so deep (3000 feet down or more) that drilling artesian wells is impractical. In a country where millions go hungry and the land reminded us of Provence, we saw no fig trees, grape vines, olive trees or other draught-resistant crops. We did drink a more than decent Indian Shiraz but it must have been from another part of the country.

When we finally got to Agra we were rewarded: our hotel (the Oberoi Amervilas) was stunning – built a few years ago but in the traditional Rajasthan style, long and low with lots of cupolas, pavilions and terraces – all in calm beige sandstone. As in so many luxury hotels in Asia, there was service staff galore, well trained and courteous to a fault. My husband who likes spicy food thought the meals were great. I instead had to stick to yoghurt and steamed rice – about the only things on the menu that didn’t send my stomach into convulsions.

Hotel rooms were large and supremely comfortable. There was complementary fruit and beverages waiting for us when we arrived and replenished the next day. Though the hotel was full – November is high season in India – the whole place is so spacious and well thought out that we felt as we were practically the only ones there. In the evening the hotel’s guests were treated to a concert of classical Indian dance on the roof of the pool pavilion (every room faced toward it and the Olympic-size heated pool.

This hotel has something more and no one can take it away. It has a bird’s eye view of the real Taj Mahal. Everywhere you go in the hotel takes your breath away. The adage, “location, location, location has no truer meaning than here.

Lovely as the hotel was, the major reward of our trip was the Taj Mahal (“great stone” in Hindi) itself. It was built as the tomb of a 16th century Moghul emperor’s beloved wife (the third one – the other wives were buried in more modest circumstances.) It’s an amazing building – all in white marble decorated with semi-precious stone inlays forming traceries of vines and flowers.

The scale of the building is impressive: from the paved terrace to top of the principal dome it’s about 250 feet, and there are minarets and gates and secondary domes, all in perfect symmetry. The main architect was imported from Persia, as were many of the stonemasons and inlay artists.

We could see it looming large over the city from our hotel room. The sight was made even more romantic by the pollution haze that hovers over Agra. In fact, for the final leg of our drive to the Taj Mahal we had to change from our diesel car to an electric golf cart – the only vehicles allowed to come near it, to help cut down pollution damage to the building.

The Taj Mahal is more than a great building – it’s now the main raison d’etre of the city of Agra with its over one million inhabitants. Agra was once the capital of Rajasthan, but now its economic life depends directly or indirectly from Taj Mahal and the millions of tourists who come to see it each year (foreigners pay an admission fee of 750 rupees each – about $16 dollars). The city produces and sells the stuff that tourists tend to buy there – textiles, jewelry and handicrafts (especially table tops, boxes and other objects of inlaid marble usually made by descendents of the artisans who built the Taj Mahal.)

We left the following morning for our tedious drive to Delhi’s airport and our evening flight to Hong Kong, replete with India’s sights and sounds: its sumptuous monuments and teeming markets, the luxury hotels and stores – and the insistent but never threatening children or young mothers who tapped on our car windows or followed us around when we walked, hoping for a handout (which we had been warned over and over not to give, lest we find ourselves surrounded by other needy hands.)

As we were told by friends who lived in India for some months, and came back to Paris entranced by their time there, “India is a life-changing experience.” They were right.


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Posted in Around the World |