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The wealthy citizens of developing countries have frequently traveled to the U.S. and Western Europe to seek the expertise and gain access to advanced technology available at leading medical centers. Recently, a trend categorized as "medical tourism" has emerged, wherein citizens of highly-developed countries choose to bypass care offered in their own communities and travel to developed areas of the world to receive a wide variety of medical services in order to save money. Medical tourism is fundamentally different from the traditional model of international "medical travel," where patients generally journey from less-developed nations to major medical centers in highly-developed countries for medical treatment that is unavailable in their own communities. This TriMark Publications report focuses on the medical tourism trend that will have an increasing impact on the healthcare landscape in industrialized and developing countries around the world. The term "medical tourism" does not accurately reflect the reality of the patient's situation or the advanced medical care provided in these destinations. Nevertheless, it provides an unambiguous way of differentiating the recent phenomenon of medical tourism from the traditional model of international medical travel. This phenomenon is driven by marketplace forces and occurs outside of the purview and control of the organized healthcare system. Medical tourism presents important concerns and challenges as well as potential opportunities. This analysis will examine the international locales that are experiencing a dramatic increase in medical tourism, with particular emphasis on Asia, Eastern Europe and Latin America.

1. 1. Introduction 12
2. 1.1 Executive Summary 12
3. 1.2 Medical Tourism: An Overview 13
4. 1.3 Scope 14
5. 1.4 Methodology 15
6. 1.5 Key Drivers of Medical Tourism 16
7. 1.6 Medical Tourism: Advantages 17
8. 1.7 Medical Tourism: Disadvantages 19
9. 1.8 Medical Tourism: A Fine Line Between Pleasure and Pain 19
10. 1.9 Medical Tourism: Its Increasing Popularity 21
11. 1.10 Medical Tourism: The Preferred Destinations 22
12. 1.11 The Global Healthcare Marketplace 24
13. 1.12 Quality and Safety in Medical Tourism 25
14. 1.13 The Response to Medical Tourism 26
15. 1.14 The Continuing Evolution of Medical Tourism 26
16. 1.15 Medical Tourism: Evaluating Trend, 2007 27
17. 1.16 Medical Tourism: Emerging Trends, 2008 27
18. 1.17 Medical Tourism: The Leading Players 28
19. 1.18 Hosts Who Lead the Race 28
20. 1.19 Hosts Excelling in Medical Technologies and Procedures 29
21. 1.20 Medical Tourism and the Morality of Organ Sales 29
22. 1.21 Trends in Organ Transplantation 30
23. 1.22 India Offers World-Class Facilities for Organ Transplantation Procedures 31
24. 1.22.1 Kidney Transplants in India 31
25. 1.22.2 Liver Transplants in India 31
27. 2. American Patients on a Shopping Spree for Global Medical Care 32
28. 2.1 Savings for the American Shopper can be Significant 32
29. 2.2 Forecast of U.S. Out-Bound Medical Tourism Spending 34
30. 2.3 Non-U.S. Based International Providers 37
31. 2.4 American Medical Association Guidelines for Medical Tourism 38
32. 2.5 A Few Tips for Would-Be Travelers 38
33. 2.6 Why Do U.S. Patients Travel Abroad for Medical Care? 39
34. 2.6.1 Not Available at Home 39
35. 2.6.2 Less Expensive 39
36. 2.6.3 Cost for Procedures in the U.S. vs. Abroad 39
37. 2.6.4 Faster to Obtain 40
38. 2.6.5 Access to Medical Staff 40
40. 3. Record Number of British Patients Flying Abroad 42
41. 3.1 Fact Sheet by Infertility Network, U.K. 43
42. 3.1.1 Regulations and Inspections 43
43. 3.1.2 Patients Conducting Research 43
44. 3.1.3 The Journey 43
45. 3.1.4 Language Difficulties and Follow-Up Care 43
46. 3.1.5 Finances 44
47. 3.1.6 Embryo Transfer 44
48. 3.1.7 Donor Gametes 44
49. 3.1.8 Counseling 45
50. 3.1.9 Support 45
51. 3.2 Infertile Couples Head Overseas for Treatments 45
52. 3.3 E.U. Directive on Cross-Border Healthcare 45
53. 3.4 Exodus of Medical Tourists from the U.K. 46
55. 4. Which is the Best Shopping Center for Medical Surgeries and Medical Travel? 47
56. 4.1 The Twelve Steps for an Enjoyable Medical Tour 47
57. 4.1.1 Step 1: Get Educated and Learn From Others 47
58. 4.1.2 Step 2: Determine Whether Medical Tourism is the Right Option 48
59. 4.1.3 Step 3: Consider the Healthcare Options 48
60. 4.1.4 Step 4: Decide What Kind of Trip is Required 48
61. 4.1.5 Step 5: Choose a Provider or Broker 49
62. 4.1.6 Step 6: Research the Destination 49
63. 4.1.7 Step 7: Calculate the Finances 50
64. 4.1.8 Step 8: Determine Dates of Travel 51
65. 4.1.9 Step 9: Secure Passports and Visas 51
66. 4.1.10 Step 10: Prepare Records and Paperwork 52
67. 4.1.11 Step 11: Plan for Post-Operative or Post-Treatment Recovery and Assistance 52
68. 4.1.12 Step 12: Take the Trip 52
70. 5. International Healthcare Accreditation 53
71. 5.1 Joint Commission International (JCI) 53
72. 5.2 Trent Accreditation Scheme (TAS) 53
73. 5.3 Society for International Healthcare Accreditation (SOFIHA) 54
74. 5.4 Healthcare Tourism International (HTI) 55
76. 6. Global Players in Medical Tourism 56
78. 7. Medical Tourism in Latin America 58
79. 7.1 Mexico: The Nearest Host for U.S. Patients 58
80. 7.1.1 U.S. Patients Turn to Mexico for Medical Care 58
81. 7.1.2 Mexico: Accommodating Foreigners 59
82. 7.1.3 Insurers Consider Mexico 59
83. 7.1.4 U.S. Patient Interest Growing Towards Mexico 60
84. 7.1.5 Planned Projects in Mexico 60
85. 7.1.6 Tips for Americans Seeking Healthcare in Mexico 60
86. 7.1.7 Hospital Angeles 61
87. 7.1.8 Hospital Angeles, Lomas 62
88. 7.1.9 Hospital Angeles, Queretaro 63
89. 7.1.10 Hospital Angeles, Mocel 63
90. 7.1.11 Christus Muguerza Alta Especialidad Hospital 64
91. 7.1.12 Aesthetic Plastic Surgery Institute 64
92. 7.1.12.1 Plastic Surgery for the Body 64
93. 7.1.12.2 Plastic Surgery After Weight Loss 64
94. 7.1.12.3 Plastic Surgery for the Face 65
95. 7.1.13 Baja Oral Center 65
96. 7.1.14 Clinica Dental Estrella 65
97. 7.1.15 Codet Aris Vision Institute 65
98. 7.1.16 Cosmed Clinic 65
99. 7.1.17 Pacific Dental 66
100. 7.1.18 Rio Dental 66
101. 7.1.19 Mexican Dental Vacation 66
102. 7.1.20 Miguelangelo Plastic Surgery Clinic 66
103. 7.1.21 Angel's Touch Dental Clinic 66
104. 7.1.22 Mexico Plastic Surgery Clinic 67
105. 7.1.23 Tourism in Mexico 67
106. 7.1.24 Sample Tour Package from Caravan 69
107. 7.2 Medical Tourism in Antigua and Barbados 70
108. 7.2.1 Crossroads Center 70
109. 7.2.2 Barbados Fertility Center 70
110. 7.2.2.1 Treatment Options in the Center 70
111. 7.2.2.2 What to Expect from the Center? 71
112. 7.2.2.3 Typical Treatment Cycles 71
113. 7.2.2.4 Causes of Male Infertility 72
114. 7.2.2.5 Causes of Female Infertility 73
115. 7.2.3 Tourism in West Indies 75
116. 7.3 Medical Tourism in Argentina 76
117. 7.3.1 Xetica Argentina 76
118. 7.3.1.1 Procedures Offered in Xetica Argentina 76
119. 7.3.1.2 Xetica's Medical Tourism Services in Seven Steps 77
120. 7.3.2 Austral University Hospital 77
121. 7.3.2.1 Services from Austral 78
122. 7.3.3 Tourism in Argentina 78
123. 7.3.4 Argentina Discovery Tour Package from Tico Travel 78
124. 7.4 Medical Tourism in Brazil 79
125. 7.4.1 Hospital do Coração 81
126. 7.4.2 Albert Einstein Jewish Hospital 81
127. 7.4.2.1 Services for International Patients by Albert Einstein Jewish Hospital 82
128. 7.4.3 Hospital Samaritano 82
129. 7.4.4 Hospital Revitalise 83
130. 7.4.5 Tourism in Brazil 84
131. 7.4.6 Brazil Tour Package by Brazilian Waves Tours and Travel 84
132. 7.5 Medical Tourism in Costa Rica 85
133. 7.5.1 Centre Internacional de Medicina (CIMA) Hospital 85
134. 7.5.2 Rosenstock-Lieberman Center for Cosmetic Surgery 86
135. 7.5.3 Hospital Clinica Biblica 87
136. 7.5.3.1 Clinica Biblica Medical Specialties 87
137. 7.5.3.2 Clinica Biblica Services for International Patients 88
138. 7.5.3.3 Clinica Biblica Maternity Plans 89
139. 7.5.4 Meza Dental Care 90
140. 7.5.5 DentaVac Dental Clinic 90
141. 7.5.6 Prisma Dental Clinic 91
142. 7.5.7 Tourism in Costa Rica 96
143. 7.5.8 Sample Tour Package from Costa Rica Green Forest 96
144. 7.6 Medical Tourism in Panama 97
145. 7.6.1 Pana-Health 97
146. 7.6.2 Hospital Punta Pacifica 99
147. 7.6.3 Tourism in Panama 100
148. 7.6.3.1 Panama Sample Tour Package 100
149. 7.7 Medical Tourism in Cuba 101
150. 7.7.1 Havana Hospital 102
151. 7.7.1.1 Services Available in Havana Hospital 102
152. 7.7.2 Tourism in Cuba 103
153. 7.7.3 Sample Tour Package from Floridita.com 103
155. 8. Medical Tourism in Europe 105
156. 8.1 Medical Tourism in the Czech Republic 105
157. 8.1.1 Esthesia Dental Center 105
158. 8.1.2 Cosmetic Surgery in the Czech Republic: Travel and Accommodation 108
159. 8.1.3 Tourism in the Czech Republic 108
160. 8.1.4 Sample Package Tour by Cedok Travel Corporation 109
161. 8.2 Medical Tourism in Hungary 109
162. 8.2.1 The Aesthetica International Medical Center 110
163. 8.2.2 The Sopron Elizabeth Hospital 110
164. 8.2.3 Tourism in Hungary 112
165. 8.2.4 A Sample Hungarian Tour Package from Adventures Abroad Group 113
166. 8.3 Medical Tourism in Belgium 115
167. 8.3.1 Antwerp University Hospital 115
168. 8.3.2 Weight Loss Surgery Group (WLS) 115
169. 8.3.3 BeuCare 115
170. 8.3.4 Eye Surgery Belgium 116
171. 8.3.5 Brussels Neurosurgery Center 117
172. 8.3.6 Tourism in Belgium 117
173. 8.4 Medical Tourism in Poland 117
174. 8.4.1 Poland: Paradise of Low Prices in European Medical Tourism 118
175. 8.4.2 Spa w Raju, Medical Spa and Beauty Farm in Naleczow 118
176. 8.4.3 Damian Medical Center 119
177. 8.4.4 Tourism in Poland 120
178. 8.4.5 Sample of Package Tours from Karakus Tourist and MICE Bureau 120
179. 8.5 Medical Tourism in Turkey 120
180. 8.5.1 Memorial Health Group, Turkey 121
181. 8.5.1.1 Diagnosis and Treatment Methods Performed 121
182. 8.5.2 JineMed Hospital 122
183. 8.5.3 Baskent University, Alanya Hospital 123
184. 8.5.3.1 Alanya Hospital's International Patient Department Call Center Services 124
185. 8.5.4 Acibadem International 124
186. 8.5.4.1 Acibadem's Cancer Center 124
187. 8.5.4.2 Acibadem's Neurosurgery Center 125
188. 8.5.4.3 Acibadem's Cardiac Care 126
189. 8.5.4.4 Acibadem's Cardiac Surgery 126
190. 8.5.4.5 Acibadem's In Vitro Fertilization Center 127
191. 8.5.4.6 Acibadem's Neurology 127
192. 8.5.4.7 Acibadem's Orthopedics 128
193. 8.5.4.8 Acibadem Healthcare Group's Aesthetic, Plastic and Reconstructive Surgery Departments 129
194. 8.5.4.9 Acibadem Healthcare Group's Oral and Dental Health Clinic 129
195. 8.5.4.10 Acibadem's Ophthalmology Center 130
196. 8.5.4.11 Acibadem's International Patient Center 130
197. 8.5.5 Yeditepe University Eye Hospital 130
198. 8.5.5.1 Eye Disorder Treatments 130
199. 8.5.5.2 Yeditepe University Hospital's International Patient Services 131
200. 8.5.6 Tourism in Turkey 131
201. 8.5.7 Sample Package Tour in Turkey 132
202. 8.6 Medical Tourism in Germany 133
204. 9. Asia: The Rise of Medical Tourism 135
205. 9.1 Medical Tourists Heading Towards Asia: Economical Rationale 136
206. 9.2 India: The Emerging Giant in Medical Tourism 138
207. 9.2.1 India: Healthcare Market Overview 138
208. 9.2.2 India: Spreading the Net 138
209. 9.2.3 India: The Importance of Geography 138
210. 9.2.4 India: Diagnostics and Screenings, the New Niches 139
211. 9.2.5 India: The Technology Edge 139
212. 9.2.6 India: The Growing Credibility 139
213. 9.2.7 India: Advancing Efforts 139
214. 9.2.8 India: The Policy Thrust 139
215. 9.2.9 India to Invest $6.5 billion in Medical Tourism 140
216. 9.2.10 India: Healthcare Market Growth Perspective 143
217. 9.2.11 India: Healthcare Growth Perspective 143
218. 9.2.12 India's Advantage in Medical Education and Manpower 143
219. 9.2.13 India's Healthcare Perspective Budget, 2007-2008 143
220. 9.2.14 India: Shift to Lifestyle Related Diseases 144
221. 9.2.15 International Accreditation Bodies Present in India 144
222. 9.2.16 JCI-Accredited Hospitals in India 144
223. 9.2.17 National Accreditation Board for Hospitals & Healthcare Providers (NABH) Accredited Hospitals in India 144
224. 9.2.18 Evolving Concept of Healthcare in India 144
225. 9.2.19 Indraprastha Apollo Hospital, New Delhi 145
226. 9.2.19.1 Apollo Group Medical Highlights 157
227. 9.2.19.2 Medical Treatments Available at Apollo Hospitals 158
228. 9.2.19.3 Apollo International Patients Facilities 163
229. 9.2.19.4 Apollo Insurance Facts for International Patients 164
230. 9.2.19.5 Apollo International Patients Speak 165
231. 9.2.20 Wockhardt Hospitals 165
232. 9.2.20.1 Wockhardt Hospitals Treatments and Procedures 166
233. 9.2.20.2 Wockhardt: Expatriates Can Obtain Cashless Treatment 168
234. 9.2.21 Escorts Heart Institute 168
235. 9.2.22 Max Heart & Vascular Institute, Saket 170
236. 9.2.22.1 Max Super-Specialty Hospital, Saket 170
237. 9.2.22.2 Max Balaji Hospital, Patparganj; Max Hospital, Pitampura; Max Hospital, Noida & Max Hospital, Gurgaon 170
238. 9.2.22.3 Max MedCenter and Max Specialty Clinic (Eye Care and Dental Care), Panchsheel Park 170
239. 9.2.22.4 Max Healthcare's International Patient Services 171
240. 9.2.22.5 Max Healthcare's Super-Services 172
241. 9.2.23 Artemis Health Institute 173
242. 9.2.23.1 Artemis Cardiovascular Institute 174
243. 9.2.23.2 Artemis Cancer Institute 174
244. 9.2.23.3 Artemis Orthopedics Institute 175
245. 9.2.23.4 Artemis International Patient Service 175
246. 9.2.24 Fortis Healthcare 176
247. 9.2.24.1 Fortis Network 176
248. 9.2.24.2 Fortis Hospital, Mohali 176
249. 9.2.24.3 Fortis Hospital, Amritsar 177
250. 9.2.24.4 Fortis Hospital, Noida 178
251. 9.2.24.5 Fortis Jessa Ram Hospital, New Delhi 178
252. 9.2.24.6 Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj, New Delhi 178
253. 9.2.24.7 Escorts Heart Institute and Research Center Ltd., New Delhi 178
254. 9.2.24.8 Fortis Escorts Hospital, Faridabad 178
255. 9.2.24.9 Fortis Escorts Hospital, Amritsar 179
256. 9.2.24.10 Fortis Escorts Hospital, Raipur 179
257. 9.2.24.11 Fortis La Femme, New Delhi 179
258. 9.2.24.12 Fortis Escorts Hospital, Jaipur 179
259. 9.2.24.13 Fortis Malar Hospital, Chennai 180
260. 9.2.24.14 Fortis Healthcare International Patients Service Center 180
261. 9.2.25 Kerala Institute of Medical Sciences 181
262. 9.2.26 B.M. Birla Heart Research Center 185
263. 9.2.26.1 BMBHRC's International Patient Services 185
264. 9.2.27 Tourism in India 185
265. 9.2.28 A Sample Tour Package: The Golden Triangle Package with Tiger Safari by Travelmasti.com 186
266. 9.2.29 Ayurveda Treatment in Indian Medical Tourism 187
267. 9.2.29.1 Benefits of Ayurveda 187
268. 9.2.30 Arya Vaidya Sala, Kottakkal 187
269. 9.2.31 Amrutha Ayurveda Center 188
270. 9.2.32 Nagarjuna Ayurvedic Center 188
271. 9.2.32.1 Yoga and Meditation in Nagarjuna 188
272. 9.2.33 Tourism in Kerala 189
273. 9.2.34 Sample Kerala Tour Package for $245 (Per Two Persons) 189
274. 9.3 Medical Tourism in Thailand 190
275. 9.3.1 Bumrungrad International Hospital 190
276. 9.3.1.1 Bumrungrad: Accreditations, Awards and Recognition 192
277. 9.3.1.2 Bumrungrad: Medical Centers 193
278. 9.3.1.3 Bumrungrad: Facilities 193
279. 9.3.1.4 Bumrungrad: Plan Your Visit 194
280. 9.3.2 Bangkok Hospital Medical Center (BMC) 195
281. 9.3.2.1 Bangkok Hospital Medical Center (BMC): Awards and Accreditation 195
282. 9.3.3 Samitivej Hospitals 196
283. 9.3.4 Samitivej Sukhumvit Hospital 196
284. 9.3.5 Samitivej Srinakarin Hospital 197
285. 9.3.6 Samitivej Srinakarin Children's Hospital 197
286. 9.3.7 Samitivej Sriracha 198
287. 9.3.8 Yanhee Hospital 198
288. 9.3.9 Tourism in Thailand 200
289. 9.3.10 Sample Thailand Tour with Spa Package 201
290. 9.4 Medical Tourism in Philippines 202
291. 9.4.1 St. Luke's Medical Center 202
292. 9.4.1.1 International Patient's Service at St. Luke's Medical Center (SLMC) 203
293. 9.4.2 The Medical City 203
294. 9.4.3 Tourism in the Philippines 204
295. 9.4.4 Sample Tour Package from Hotel Philippines 204
296. 9.5 Medical Tourism in China 204
297. 9.5.1 Medical Tourism China, Inc. 204
298. 9.5.2 Medical Tourism Package 204
299. 9.6 Medical Tourism in the United Arab Emirates (U.A.E.) 205
300. 9.6.1 Dubai Healthcare City Free Zone (DHCC FZ) 206
301. 9.6.2 University Medical Complex 207
302. 9.6.3 The Medical Cluster 207
303. 9.6.4 The Wellness Cluster 207
304. 9.6.5 Healthcare Support 207
305. 9.6.6 Cosmetic Surgery in United Arab Emirates (U.A.E.) 208
306. 9.7 Medical Tourism in Saudi Arabia 208
307. 9.7.1 Al Imam Abdulrahman Bin Faisal Hospital, Dammam 209
308. 9.7.2 Almana General Hospitals 209
309. 9.7.3 Dr. Soliman Fakeeh Hospital 209
310. 9.7.3.1 Specialty Units & Centers 210
311. 9.7.4 International Medical Center, Jeddah 210
312. 9.7.5 King Abdulaziz Medical City-Riyadh 211
313. 9.7.6 King Faisal Specialist Hospital and Research Center-Jeddah 212
314. 9.7.7 King Khaled Eye Specialist Hospital 212
315. 9.7.8 Al Mouwasat Hospital, Dammam 213
316. 9.7.9 Saudi Aramco Medical Services Organization, Dhahran 213
317. 9.8 Medical Tourism in Jordan 214
318. 9.8.1 Jordan Hospital and Medical Center 214
319. 9.9 Medical Tourism in Singapore 214
320. 9.9.1 Singapore: Technology and Touch Points 215
321. 9.9.2 Singapore: Customized Experience 215
322. 9.9.3 Parkway Health 215
323. 9.9.3.1 Parkway Health's Mount Elizabeth Hospital 216
324. 9.9.3.2 Parkway Health's Gleneagle Hospital 216
325. 9.9.3.3 Parkway Health's East Shore Hospital 216
326. 9.9.3.4 Parkway Healthcare Services 216
327. 9.9.3.5 Parkway's International Patient Assistance Center 217
328. 9.9.4 Raffles Hospital 217
329. 9.9.4.1 Raffles International Patients Center 218
330. 9.9.5 Alexandra Hospital 218
331. 9.9.6 Changi General Hospital 218
332. 9.9.7 National University Hospital 219
333. 9.9.7.1 National University Hospital (NUH): Awards and Achievements 219
334. 9.9.7.2 National University Hospital (NUH) Specialties 219
335. 9.9.7.3 National University Hospital (NUH) International Patient Liaison Center 220
336. 9.9.8 National Cancer Center 220
337. 9.9.9 eMenders 221
338. 9.9.10 Tourism in Singapore 221
339. 9.9.11 Sample Package Tour by Pearls Tours & Travels 222
340. 9.10 Medical Tourism in Malaysia 222
341. 9.10.1 Medical Tourism in Malaysia: Advantages at a Glance 222
342. 9.10.2 Institute Jantung Negara (IJN) National Heart Institute 223
343. 9.10.3 Mahkota Medical Center 223
344. 9.10.4 Specialist Centers in Mahkota 224
345. 9.10.5 Ampang Puteri Specialist Hospital 224
346. 9.10.6 Gleneagles Intan Medical Center 224
347. 9.10.7 Tourism in Malaysia 225
348. 9.10.8 A Package Tour of Malaysia and Singapore by International Travel Tours.com 225
350. 10. Medical Tourism in New Zealand 227
351. 10.1 Tourism in New Zealand 227
352. 10.2 Sample Package Tour of New Zealand 227
354. 11. Medical Tourism in South Africa 229
355. 11.1 Bay View Private Hospital 229
356. 11.2 Christiaan Barnard Memorial Hospital 229
357. 11.3 Cape Town Medi-Clinic 235
358. 11.4 Carter Gordon Clinics 236
359. 11.5 Kingsbury Hospital 237
360. 11.6 Netcare Olivedale Hospital 237
361. 11.7 General Information for International Patients Traveling to South Africa 238
362. 11.8 Tourism in South Africa 242
363. 11.9 A Sample Package Tour of South Africa by S.A.-Venues.com 243
366. APPENDIX
368. Appendix 1: Medical Tourism and the Demand for Hospital Accreditation Overseas 244
369. Appendix 2: JCI Accreditation 245
370. Appendix 2.1: JCI is Different from JC Accreditation in the U.S. 245
371. Appendix 2.2: How JCI Accreditation Works 246
372. Appendix 3: ISO Certification 246
373. Appendix 4: Cost Comparison for Medical Treatments Abroad 251
374. Appendix 5: A Select List of Global Medical Tour Operators 254
375. Appendix 5.1: Medical Tourism Corporation 254
376. Appendix 5.2: MedRetreat 254
377. Appendix 5.3: MediTravels 255
378. Appendix 5.4: MedicalIndia.in 255
379. Appendix 5.5: Plentias 255
380. Appendix 5.6: Waves India 255
381. Appendix 5.7: Medical Discounts International, Inc. 256
382. Appendix 5.8: Royal Medical Tourism 264
383. Appendix 5.9: Health Options International 265
384. Appendix 5.10: Healthbase 265
385. Appendix 5.11: Maryland Insurance Outlet 265
386. Appendix 5.12: Sahara Global 265
387. Appendix 5.13: StatMedica.com 266
388. Appendix 5.14: Cosmetic Surgery Travel LLC 266
389. Appendix 5.15: Cosmetic Vacations, LLC 267
390. Appendix 5.16: Medical Tourism Association (MTA): An International Nonprofit Organization 267
391. Appendix 5.16.1: Medical Tourism Association (MTA): Transparency 267
392. Appendix 5.16.2: Medical Tourism Association (MTA): Communication 267
393. Appendix 5.16.3: Medical Tourism Association (MTA): Education 268
394. Appendix 5.16.4: Medical Tourism Association (MTA): Mission 268
395. Appendix 5.17: Surgical Bliss, South Africa 268
396. Appendix 5:18: Destination Beauty 269
397. Appendix 6: Travel Medicine: Helping Patients Prepare for Trips Abroad 269
398. Appendix 6.1: Assessment Before Traveling Abroad 270
399. Appendix 6.2: General Issues 270
400. Appendix 6.3: Common Travel-Related Conditions 272
401. Appendix 6.3.1: Travelers' Diarrhea 272
402. Appendix 6.3.2: Protection Against Insects 273
403. Appendix 6.3.3: Transportation Risks 273
404. Appendix 6.3.4: Sexually Transmitted Diseases 273
405. Appendix 6.3.5: Immunizations and Chemoprophylaxis 273
406. Appendix 6.3.6: Measles Vaccine 275
407. Appendix 6.3.7: Rubella Vaccine 275
408. Appendix 6.3.8: Poliovirus Vaccine 275
409. Appendix 6.3.9: Tetanus-Diphtheria Vaccine 275
410. Appendix 6.3.10: Varicella Vaccine 275
411. Appendix 6.3.11: Influenza and Pneumococcal Vaccines 275
412. Appendix 6.3.12: Hepatitis A Vaccine and Immune Globulin 276
413. Appendix 6.3.13: Typhoid Vaccine 277
414. Appendix 6.3.14: Yellow Fever Vaccine 278
415. Appendix 6.3.15: Japanese B Encephalitis Vaccine 278
416. Appendix 6.3.16: Meningococcal Vaccine 279
417. Appendix 6.3.17: Malaria Chemoprophylaxis 279
418. Appendix 6.3.18: Hepatitis B 280
419. Appendix 7: A Guide for U.K. Patients Considering Medical Tourism 281
420. Appendix 7.1: What to Consider? 281
421. Appendix 7.2: Decide Where To Go 282
422. Appendix 7.3: Compare the Costs 283
423. Appendix 7.4: Investigating the Surgeon and Dentist 283
424. Appendix 7.5: Investigating the Clinic / Hospital 284
425. Appendix 7.6: Questions to Ask the Surgeon / Dentist Overseas 284
426. Appendix 7.7: What Guarantees Should Be Expected? 284
427. Appendix 7.8: What to Check in the Document 285
428. Appendix 7.9: How to Compare Different Providers 285
429. Appendix 7.10: What Not To Do 286
430. Appendix 7.11: The Practicalities of Going Abroad for Treatment 286
431. Appendix 7.12: What To Do If Something Goes Wrong 286
432. Appendix 8: World Tourism Statistics and Ranking 287
433. Appendix 9: Medical Tourism: Additional Facilitators 289
436. INDEX OF FIGURES
438. Figure 1.1: Number Uninsured and Uninsured Rate in the U.S., 1987-2006 16
439. Figure 2.1: Total Spending on Healthcare in the U.S., 1960-2007 32
440. Figure 2.2: International per Capita Healthcare Spending by Country, 2006 33
441. Figure 2.3: U.S. Out-Bound Patient Flow Forecast, 2007-2017 33
442. Figure 2.4: Forecast of U.S. Patients Spending Abroad, 2008-2017 35
445. INDEX OF TABLES
447. Table 1.1: An Overview of Medical Tourism, 2006 14
448. Table 1.2: Countries and Their Specialties in Medical Tourism 14
449. Table 1.3: Insured and Uninsured Breakdown in the U.S., 2001-2005 17
450. Table 1.4: Percentage of Population Without Health Insurance in the U.S., 2007 17
451. Table 1.5: International Health System Features: A Snapshot 18
452. Table 1.6: Medical Tourism: Destinations 22
453. Table 1.7: Procedures Sought by Medical Tourists 23
454. Table 1.8: Cost Comparison for Surgery: International 23
455. Table 1.9: Revenue Earnings from Medical Tourism by Host Country 24
456. Table 1.10: Countries Promoting Medical Tourism with Active Government Support 25
457. Table 1.11: Evolution of Medical Tourism 27
458. Table 1.12: Competing Countries and Specializations 28
459. Table 1.13: Cost Comparison Between the Two Asian Rivals 28
460. Table 1.14: Cost Comparison Between Thailand, Singapore and India 29
461. Table 1.15: U.S. Charges per Transplant, 2005 30
462. Table 1.16: Surgery Costs for Transplantations in India 31
463. Table 2.1: Cost Comparison of U.S. vs. Foreign Surgical Procedures 34
464. Table 2.2: Cost Estimate for Spending by Out-Bound Medical Tourists, 2008-2017 34
465. Table 2.3: Lost Domestic Spending in U.S. by Out-Bound Medical Tourists, 2008-2017 35
466. Table 2.4: Leading U.S.-Based Partnerships for Out-Bound Medical Tourism 36
467. Table 2.5: Major Medical Procedures and Costs in Western-Level Hospitals 38
468. Table 2.6: Companies Based in the U.S. Facilitating Medical Tourism 40
469. Table 2.7: Comparison Between U.S. and Indian Prices 41
470. Table 3.1: U.K. Patients Flying Abroad, 2004-2010 46
471. Table 3.2: Value of the U.K. Medical Tourism Market 46
472. Table 5.1: Low-Cost World-Class Hospitals Abroad with JCI-Accreditation 54
473. Table 6.1: Countries Promoting Medical Tourism 57
474. Table 7.1: Average Dental Cost Comparison of U.S. vs. Mexico 67
475. Table 7.2: Cosmetic Surgery Cost in Mexico 68
476. Table 7.3: Mexican General Price List 68
477. Table 7.4: Argentina's Price List 80
478. Table 7.5: Typical Cost of Cosmetic Surgery in Brazil 84
479. Table 7.6: Estimated Prices at Centre Internacional de Medicina (CIMA) (Physician fee not included) 86
480. Table 7.7: Procedures Available at CIMA Hospital 86
481. Table 7.8: Procedures Available at Rosenstock-Lieberman Center for Cosmetic Surgery 87
482. Table 7.9: Rosenstock-Lieberman Center for Cosmetic Surgery Price List 87
483. Table 7.10: DentaVac Price List 91
484. Table 7.11: Certified Dentists in Costa Rica 92
485. Table 7.12: Average Prices in Costa Rica for Medical Tourists 93
486. Table 7.13: Price List from Pana-Health 98
487. Table 7.14: Havana Hospital's Price List 102
488. Table 8.1: Average Cost of Surgical Procedures in the Czech Republic 106
489. Table 8.2: Price List from Hospitals in Hungary 111
490. Table 8.3: Treatment Prices in Budapest Compared with Prices in the U.K. 111
491. Table 8.4: Weight Loss Surgery Group's Price List 116
492. Table 8.5: BeuCare's Price List 116
493. Table 8.6: JineMed Hospital's Price List 123
494. Table 8.7: Acibadem's Price List for Cosmetic Surgery 130
495. Table 8.8: Foreign Tourist Arrivals in Turkey, 1998-2007 133
496. Table 9.1: U.K. Prices and Waiting Periods 141
497. Table 9.2: U.S. Prices 141
498. Table 9.3: Cost Difference: Coronary Bypass Surgery 141
499. Table 9.4: Cost of Infertility Treatment in India 142
500. Table 9.5: Price Comparison Between U.S. and India 142
501. Table 9.6: India: How the Healthcare Pie Will Evolve, 2006 and 2012 142
502. Table 9.7: Snapshot of Healthcare Market, 2006 142
503. Table 9.8: India: Public Healthcare Infrastructure, 2006 145
504. Table 9.9: Upcoming Health Cities in India 146
505. Table 9.10: Key Healthcare Players in India 146
506. Table 9.11: New Entrants in Indian Healthcare 146
507. Table 9.12: Price List for JCI-Accredited Hospitals in India, 2008 147
508. Table 9.13: Leading Indian Players in Medical Tourism 157
509. Table 9.14: Apollo Treatment Costs 158
510. Table 9.15: Apollo Price Comparison 163
511. Table 9.16: Apollo Health Check-Up Tariff for International Patients 163
512. Table 9.17: Wockhardt: Cost Comparison 168
513. Table 9.18: Escorts: Comparative Price 170
514. Table 9.19: Escorts: Treatment Costs 171
515. Table 9.20: Fortis Treatments Cost of Packages 180
516. Table 9.21: KIMS Packages for International Medical Tourists 182
517. Table 9.22: Nagarjuna's Curative Treatments 189
518. Table 9.23: Thailand: Cost of Treatments 191
519. Table 9.24: Medical Tourists in Thailand, 2001-2005 191
520. Table 9.25: Foreign Patients Treated in Thailand Hospitals, 2002-2005 192
521. Table 9.26: Number of Certified Spa Operators, 2005 192
522. Table 9.27: Spa Operators by Region, 2005 192
523. Table 9.28: Thailand: Revenue from Medical Tourism, 2004-2008 192
524. Table 9.29: Bangkok Hospital Medical Center (BMC): Cost of Surgical Packages 196
525. Table 9.30: Yanhee Prices for Cosmetic Surgery 199
526. Table 9.31: Almana General Hospitals: Size of Establishments 209
527. Table 11.1: Botox Injection for Frown Lines and Crow's Feet 231
528. Table 11.2: Augmentation Mammaplasty (Breast Enlargements / Implants) 231
529. Table 11.3: Breast Reduction and Breast Lift 231
530. Table 11.4: Forehead Lift and Eyebrow Lift 232
531. Table 11.5: Cosmetic Laser Resurfacing 232
532. Table 11.6: Blepharoplasty (Eyelid Lift Surgery) 232
533. Table 11.7: Rhytidectomy (Face Lift) 233
534. Table 11.8: Mouth and Chin Surgery 233
535. Table 11.9: Liposuction 233
536. Table 11.10: Rhinoplasty (Nose Surgery) 234
537. Table 11.11: Otoplasty (Prominent Ears) 234
538. Table 11.12: Removal of Moles and Skin Lesions 234
539. Table 11.13: Abdominoplasty (Tummy Tuck) 235
540. Table 11.14: International Airlines in South Africa 242
541. Table 11.15: South Africa Domestic Airlines 242
544. INDEX OF TABLE APPENDIX
546. Table App 2.1: Hospitals Accredited by JCI 247
547. Table App 4.1: Cost Comparison for Arthroscopy (Price all inclusive) 251
548. Table App 4.2: Cost Comparison for Carpal Tunnel Release 251
549. Table App 4.3: Cost Comparison for Cataract Removal 252
550. Table App 4.4: Cost Comparison for Colonoscopy 252
551. Table App 4.5: Cost Comparison for Coronary Angioplasty 253
552. Table App 4.6: Cost Comparison for Hip Replacement 253
553. Table App 5.1: Medical Discounts International's Offer of Indian Procedures with Highest Savings for U.S. Patients 257
554. Table App 5.2: Medical Discounts International's India Price List, 2008 257
555. Table App 6.1: Resources on Travel Medicine 271
556. Table App 6.2: Drugs for Prophylaxis and Treatment of Travelers' Diarrhea in Adults 272
557. Table App 6.3: Routine Vaccination Updates for Travelers Abroad 274
558. Table App 6.4: Routine Travel Vaccination for Hepatitis A 276
559. Table App 6.5: Immune Globulin for Protection Against Hepatitis A in Travelers Abroad 276
560. Table App 6.6: Routine Travel Vaccination for Typhoid 277
561. Table App 6.7: Yellow Fever Vaccine: Recommended for Travel to Endemic Areas 278
562. Table App 6.8: Japanese B Encephalitis Vaccine: Recommended for Travel to Endemic Areas 278
563. Table App 6.9: Meningococcal Vaccine: Recommended for Travel to Endemic Areas 279
564. Table App 6.10: Drugs Used in the Prophylaxis of Malaria 279
565. Table App 6.11: Hepatitis B Vaccination for Travelers Who Visit Endemic Areas for Six Months or Longer and for All Healthcare Workers 280
566. Table App 8.1: World Tourism Ranking, 2006-2007 287
567. Table App 8.2: International Tourism Top Spenders, 2006-2007 287
568. Table App 8.3: Most Visited Tourist Attractions by Domestic and International Tourists in 2007 288
569. Table App 8.4: Most Visited Cities by International Tourists in 2006 288