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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