Worst Medical Tourism Disasters

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Traveling overseas for medical procedures is a growing industry—but is the cost savings worth the risk?

Does the idea of saving thousands of dollars on an operation and spending seven days of healing
time in a serene eco-resort surrounded by pristine rainforest sound appealing?

What about flying 10 hours home with a weeping wound and being rushed to the emergency room for
revision surgery the minute you land?

These are the potential upsides—and downsides—of modern medical tourism, a $20
billion industry that’s become especially popular with Americans, and even Canadians, Brits,
Western Europeans, and Australians, patients often faced with pricey hospital treatments in their
home countries.

To take advantage of this demand, foreign clinics are increasingly vying for recognition from
the Joint Commission International, the leading U.S.-based hospital accreditation body. Applicants
must meet a stringent set of criteria, including having a competently trained medical staff who
understand foreign languages and cultures, an honest admission and price policy, and performance
requirements in 20 other specific areas. “The risks for patients in traveling far distances
for care can be significant,” says JCI’s president and CEO, Karen H. Timmons.
“Patients need assurance that their physician and health-care provider have the right
qualifications and credentials. Patients must also understand the legal redress available to
them.”

Advocates of medical tourism have criticized Western naysayers for being xenophobic. They also
claim that while botch jobs top the headlines, there are as many competent doctors and medical
professionals in, say, Brazil or
Singapore—two
countries that have leaped ahead in the race for med-tourism dollars—as there are in the U.S.
Meanwhile some insurance companies, such as Blue Cross Blue Shield of South Carolina, are facilitating arrangements for patients who choose lower-cost offshore hospitals. And a growing
number of private businesses have encouraged their insured employees to travel abroad for more
affordable health care.

The objectives of medical tourism are also changing, as the procedures have moved far beyond the
“getting some work done” type. Various countries themselves are emerging as medical
specialists—Costa Rica for dentistry, Malaysia for cardiac bypass surgery, and Taiwan for
bone marrow transplants. Other countries, including Singapore, are developing high-tech generalized
hospitals, often staffed with American-schooled doctors, to service patients seeking deeply
discounted treatments.

“People think medical tourism is cheap surgery and therefore lower quality,” says
Renée-Marie Stephano, president of the international nonprofit Medical Tourism Association.
“But our role is to provide transparency about the quality and pricing of health care and to
let people know that overseas, they can get as good if not better health care than at home, and
afford it.”

Hotels and resorts want in on the action and have created attractive medical vacation packages,
which offer clinic shuttle service, holistic personal cooks, and luxurious accommodations designed
for recovery.

But there are virtually no resources or organizations monitoring which hospitals or countries
have the most malpractice cases or highest patient satisfaction rates. And high-profile botch jobs
continue to make the news from time to time. It was widely reported that Usher’s
soon-to-be-ex wife, Tameka Foster, had severe surgery complications in Brazil. Irish newspapers reported
that Irishman Pierre Christian Lawlor traveled to Bogota for lipo and didn’t live to return.
And according to the New York Daily News, Big Apple native Stacey Cavaliere flew
to Costa Rica for some nip
and tuck work but upon her return was rushed to the emergency room; it took eight additional
surgeries to correct her condition.

Dr. Sam Rizk, a New
York
–based, board-certified facial plastic surgeon, director of Manhattan Facial Plastic
Surgery, and one of a handful of revision surgeons in the U.S. who correct botched operations, sees
the dark side of medical tourism. “A lot of patients who go to South America to get cheap
surgery end up coming back with problems,” he says. “I’ve seen everything, from a
patient who caught hepatitis in the Dominican Republic to
one who had a piece of silicone implant sticking through his nose.”

The big question remains: Is it safe or do you get what you pay for? “We are trying to
collect more valid primary data and are monitoring all the trends and issues in medical
tourism,” says Dr. David G. Vequist IV, founder and director of the Center for Medical
Tourism Research. “I personally see medical tourism as a similar trend to
outsourcing—or more specifically, offshoring.”

Dr. Andrew Smith, a New
York
–based neurologist, has a more poetic outlook: “Healing happens as a result of
a relationship which is then informed by technical skill, never by commodity trading.”

In short, caveat emptor.

Worst Medical Tourism Disasters

Traveling overseas for medical procedures is a growing industry—but is the cost savings worth the risk?

Does the idea of saving thousands of dollars on an operation and spending seven days of healing
time in a serene eco-resort surrounded by pristine rainforest sound appealing?

What about flying 10 hours home with a weeping wound and being rushed to the emergency room for
revision surgery the minute you land?

These are the potential upsides—and downsides—of modern medical tourism, a $20
billion industry that’s become especially popular with Americans, and even Canadians, Brits,
Western Europeans, and Australians, patients often faced with pricey hospital treatments in their
home countries.

To take advantage of this demand, foreign clinics are increasingly vying for recognition from
the Joint Commission International, the leading U.S.-based hospital accreditation body. Applicants
must meet a stringent set of criteria, including having a competently trained medical staff who
understand foreign languages and cultures, an honest admission and price policy, and performance
requirements in 20 other specific areas. “The risks for patients in traveling far distances
for care can be significant,” says JCI’s president and CEO, Karen H. Timmons.
“Patients need assurance that their physician and health-care provider have the right
qualifications and credentials. Patients must also understand the legal redress available to
them.”

Advocates of medical tourism have criticized Western naysayers for being xenophobic. They also
claim that while botch jobs top the headlines, there are as many competent doctors and medical
professionals in, say, Brazil or
Singapore—two
countries that have leaped ahead in the race for med-tourism dollars—as there are in the U.S.
Meanwhile some insurance companies, such as Blue Cross Blue Shield of South Carolina, are facilitating arrangements for patients who choose lower-cost offshore hospitals. And a growing
number of private businesses have encouraged their insured employees to travel abroad for more
affordable health care.

The objectives of medical tourism are also changing, as the procedures have moved far beyond the
“getting some work done” type. Various countries themselves are emerging as medical
specialists—Costa Rica for dentistry, Malaysia for cardiac bypass surgery, and Taiwan for
bone marrow transplants. Other countries, including Singapore, are developing high-tech generalized
hospitals, often staffed with American-schooled doctors, to service patients seeking deeply
discounted treatments.

“People think medical tourism is cheap surgery and therefore lower quality,” says
Renée-Marie Stephano, president of the international nonprofit Medical Tourism Association.
“But our role is to provide transparency about the quality and pricing of health care and to
let people know that overseas, they can get as good if not better health care than at home, and
afford it.”

Hotels and resorts want in on the action and have created attractive medical vacation packages,
which offer clinic shuttle service, holistic personal cooks, and luxurious accommodations designed
for recovery.

But there are virtually no resources or organizations monitoring which hospitals or countries
have the most malpractice cases or highest patient satisfaction rates. And high-profile botch jobs
continue to make the news from time to time. It was widely reported that Usher’s
soon-to-be-ex wife, Tameka Foster, had severe surgery complications in Brazil. Irish newspapers reported
that Irishman Pierre Christian Lawlor traveled to Bogota for lipo and didn’t live to return.
And according to the New York Daily News, Big Apple native Stacey Cavaliere flew
to Costa Rica for some nip
and tuck work but upon her return was rushed to the emergency room; it took eight additional
surgeries to correct her condition.

Dr. Sam Rizk, a New
York
–based, board-certified facial plastic surgeon, director of Manhattan Facial Plastic
Surgery, and one of a handful of revision surgeons in the U.S. who correct botched operations, sees
the dark side of medical tourism. “A lot of patients who go to South America to get cheap
surgery end up coming back with problems,” he says. “I’ve seen everything, from a
patient who caught hepatitis in the Dominican Republic to
one who had a piece of silicone implant sticking through his nose.”

The big question remains: Is it safe or do you get what you pay for? “We are trying to
collect more valid primary data and are monitoring all the trends and issues in medical
tourism,” says Dr. David G. Vequist IV, founder and director of the Center for Medical
Tourism Research. “I personally see medical tourism as a similar trend to
outsourcing—or more specifically, offshoring.”

Dr. Andrew Smith, a New
York
–based neurologist, has a more poetic outlook: “Healing happens as a result of
a relationship which is then informed by technical skill, never by commodity trading.”

In short, caveat emptor.

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Worst Medical Tourism Disasters

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