Hi Stevewc,
Billy and I have been living and traveling overseas with visits to the States mixed in, since the early ‘90’s. We have had medical care in more countries than I’d like to admit… Some things were just for the flu or traveler’s belly, however we have had full physicals, dental care and procedures such as colonoscopies, and glaucoma screenings, along with visits that were more medically complicated.
Since we have many Ex-pat friends and some of them live full time out of Canada or the US, these people have had operations, chemo treatment and the full range of medical care, and when the time comes, live-in help or daily help for their aging or medically impaired spouse.
Some things in the States are easier - like speaking the same language - but some are more challenging. For instance, having to possibly wait a couple of weeks to get in for a 10 minute appointment, and then if you have tests done, often no one calls you with the results. In the States one needs a doctor’s referral in order to see another doctor, whereas in the countries where we have had medical care, one simply shows up or makes an appointment himself with whatever specialist one would like.
The mountains of paperwork one needs to go through after a procedure is done here in the States can be nerve-wracking. One gets the EOB’s from the insurance company and also the billings from the medical office and the clinics and the radiologists and so on. Then you need to match the work done, the equipment used, the doctors who checked on the patient and the drugs administered, to the billing received and that can be a real challenge if the procedure done required a few day’s hospital stay.
If one finds charges for procedures or equipment not used and drugs not administered, then an audit can be requested… and then there is more paperwork with the revised EOB’s and billings. All of this takes hours on the phone and months of waiting for all the paperwork to come in the mail. In our experience of having procedures done in foreign countries, we receive a quote for work to be performed. It is the full amount (minus your prescriptions) net, and will include the hospital stay, the physical therapy, the doctors' visits etc. No mystery. Sometimes, when they quote too high, there is a refund due to you.
The attitude of doctors, nurses, and office staff here in the States is much more ‘removed’ emotionally than we find in other countries. Simple service techniques have gone by the wayside in general, and in many places the offices and waiting rooms are cheerless and barren. The fact that we are the paying customer and they are working for us has been pushed far to the side.
Whereas our experience in foreign countries we find that there is a code of humane conduct and simple courtesy. Office staff, nurses and doctors all greet you with smiles, ask how you are doing, how you are feeling today, and pleasant chit chat while they process your appointment or get to the business of finding out why you have come to them. There are plants in waiting rooms, water fountains, soothing music - and in some cases , like
Bumrungrad Hospital in Thailand - a person who goes around offering you fruit juice or fresh cool glasses of water while you wait.
These differences aside, in our experience, there is no perfect place. Realistically there are always trade offs.
One absolutely
can receive quality medical care for less out of pocket expense (including insurances, medicines, specialists, etc.) in some locations over seas. There is a whole Medical Tourism industry whose focus is to guide you through the process - they will help you find the country, the best and most qualified type of doctor that your procedure requires, help you with airfare, find a place for your companion to stay (often these hospitals have facilities for families and companions to stay close by along with choices of restaurants on the premises, not just hospital cafeterias) and can help you with follow up care back home or there in that country.
What they don’t have is deep pockets for you to sue them if something goes wrong. You can recuperate in a luxury resort for a month for a fraction of the price a few days in the hospital here would cost, but you cannot sue the pants off the doctors and the hospital itself.
I realize this is a long post but if you are truly interested in learning more about your medical options, take a look at
Medical Vacations: The Retiree Health-Care Solution? and also, from our Preferred Links Pages our Medical Tourism Page which lists insurances, an expatriat medicine guide, dental clinics and internationally accredited hospitals as well as the companies who could help you with any medical care overseas that you may require.
Thanks for your time. Medical Tourism definitely isn’t for everyone, but it is most certainly an option for some, and an option worth your consideration.
Be well,
Akaisha
Author, The Adventurer’s Guide to Early Retirement