Download Medical Tourism - Global Bioethics Initiative Summer School 2017

10% of all tourist visiting Thailand are medical tourists.
Bumrungrad attracted 250,000 medical tourists, including 20,000
Americans and 8,000 Australians
Numerical data on MT are inadequate and unreliable
“Medical tourism”, coined by the travel industry, describes
individuals traveling to a different country for medical care
First in ancient Greece when individuals traveled to Epidauria
In the 20th century, the wealthy from around the world searched
abroad for medical care
Now, members of industrialized nations are traveling to
developing nations
38% of uninsured and 25% of insured would travel if savings
>$10,000
In 2012, the US spent an average of $8,915 per
person on health care, reaching a total of $2.8 trillion.
Myanmar, 28 June 2008
Top 10 Countries of Origin
2006
Korea
518
Japan
228
Middle East
202
China (Mainland)
189
Hong Kong
127
Vietnam
124
France
68
Taiwan
56
Singapore
52
Malaysia
27
Top 10 Countries of Origin
2007
Japan
616
Middle East
427
Korea
378
Hong Kong
248
Taiwan
231
China (Mainland)
Singapore
216
132
Australia
119
France
117
Vietnam
109
Top 20 Countries of Origin Year 2008
UAE
Australia
Philippines
United States of America
Japan
China
United Kingdom
Cambodia
Taiwan
Singapore
Korea
Malaysia
Brunei
France
Oman
Myanmar
Hong Kong
Kuwait
Vietnam
New Zealand
449
392
346
340
340
323
277
238
221
219
199
154
149
130
124
116
116
110
110
98
Future Trends in Medical Tourism
In 2010, an estimated 63,000 UK residents travelled for
treatment, while around 52,000 patients sought treatment in the
UK.
Services International Patients Avail Of
8%
Cosmetics
8%
General
Medical
Dental
12%
72 %
Alternative
Cosmetic Procedures
Breast
6%
5%
25%
6%
7%
Sex Reassignment
Surgery
Lipectomy/Liposuctio
n
Eyelid
Nose
8%
Others
17%
12%
Facelift
Botox
14%
Hair Transplant
Yanhee:
The Beauty Hospital
https://www.youtube.com/watch?v=s2hEb
ruH7dE
https://www.youtube.com/watch?v=R4gKYvajbk
https://www.youtube.com/watch?v=3a7E02
0Yl5I
5 MIN
Plastic & Cosmetic
Surgery Center
•Labor Costs- MDs earn 40% less and RNs earn 80% less
•Malpractice-Average Thai physician spends $5,000/yr vs
$10,000-$15,000 in US
•Pharmaceuticals and devices
•Cash based hospitals
•Favorable exchange rates
•Price transparency-International hospitals routinely quote
prices
•Less Regulation - Many international physicians have
financial incentives to provide “efficient” care
Procedure
Rhinoplasty
Angioplasty
Heart valve
Hip replacement
Gastric bypass
Spinal fusion
Mastectomy
M-F Sex Δ
US
$4,500
$98,618
$274,395
$75,399
$82,646
$108,127
$40,832
$20,000
Thailand
--$13,000
$10,500
$12,000
$11,000
$7,000
$9,000
$6,500
India
$850
$11,000
$9,500
$9,000
$11,000
$5,500
$7,500
----
*Prices are estimates for the year 2006 and are “retail” prices;
US prices include hospitalization; international rates include flight and hospitalization
Procedure
Price (THB)
Adam’s Apple Shaving
30,000 THB
Cheek Implants
Procedure
Cheek Implants
Price (THB)
45,000 THB
Cheekbone Reduction
Procedure
Price (THB)
Reduction of Malar Projection (Malar Osteotomy)
110,000 THB
Chin Advancement & Chin Implant
Procedure
Chin Implant
Chin Advancement
Eyelid Lift
Price (THB)
33,000 THB
92,000 THB
Procedure
Upper Blepharoplasty
Lower Blepharoplasty
Facelift
Price (THB)
18,000 THB
18,000 THB
Procedure
Forehead Lift
Mid-Facelift
Neck Lift
Price (THB)
60,000 THB
95,000 THB
60,000 THB
Adam’s Apple Shaving
Aesthetic Gynecology
Arm Lift
Breast Enlargement
Breast Lift
Breast Reconstruction
Breast Reduction
Female-to-Male Sex
Reassignment Surgery
Hair Removal
Hair Transplantation
Liposuction
Male Breast Reduction
Male-to-Female Sex
Reassignment Surgery
Mandibular Angle
Reduction
Nose Implant
Nose Reshaping
Skin Treatments
Thigh Lift
Butt Lift
Buttocks Augmentation
Cheek Implants
Cheekbone Reduction
Chin Advancement & Chin
Tummy Tuck
Implant
Eyelid Lift
Varicose Veins
Facelift
Voice Change Surgery
Dental Cleaning
Teeth Whitening
Acupuncture
Detox
Hyperbaric Oxygen
Therapy
Chelation
Cardiology (Dear Heart)
Ear, Nose & Throat
(ENT)
General Surgery
Ophthalmology
Urology Center
OB Gyne Center
Orthopedic Center
Nose Surgery
Nose Surgery
Myanmar, 28 June 2008
Upper Eyelid Surgery
Myanmar, 28 June 2008
Breast Augmentation
Gonioplasty
Hair Replacement
Dimple Surgery
Dimple Surgery
Sex Change Surgery
– Male to Female
 Breast Augmentation






Orchiectomy
Penectomy
Vaginoplasty
Voice Change
Adam’s Apple Shaving
Facial Feminization:
 Facial Bone Reduction
 Rhinoplasty
 Facelift
 Blepharoplasty
 Body Contouring
Myanmar, 28 June 2008
Newest Medical Tourism Procedures
 Asthetic Gynecology
 Non-elective surgeries
 Fertility treatments
 Bariatric Surgery
 Stem Cell Treatments
Do these procedure save costs?
Thailand will see revenues of US $ 5 billion from medical
tourism by 2015.
http://www.medicaltourismassociation.com/en/index.
html
http://www.mymedicaltravel.com/?gclid=CI69yYO9iL4
CFS5nOgodmHEAGw
http://www.patientsbeyondborders.com/
http://www.newyorker.com/talk/financial/2012/04/16/1
20416ta_talk_surowiecki
Response of US providers to medical tourism
International accreditation
Rise of Travel agencies that specialize in medical
tourism