FYI: Cost of a Heart MRI in Thailand

[ItDontMeanAThing]

A year after my heart attack I had another echocardiogram, as recommended. My layperson interpretation of the results was things had gotten worse. Rather than subject myself to the well documentented tendency of the Bangkok Hospital Group's regular use of too many procedures and over prescribing, I went to BNH*, one of the most respected 2nd tier hospitals in Bangkok. Brought my medical history.

I repeated the echocardiogram at BNH. Results were essentially the same. Everything about the experience motivated me to return for the recommended cardio MRI.

Echocardiogram at BNH - 6,400 THB (194 USD), at the Hua Hin branch of Bangkok Hospital - 12,500 THB (384 USD).

The Cardiac Stress Perfusion MRI took 2 consecutive days of doctor visits, blood tests, EKGs and 2 1/2 hours in an MRI. Cost 40,140 THB, or about 1,230 USD.

*About BHN. The 2nd tier hospitals in Bangkok most often mentioned on expat forums are BHN and St. Louis. BNH is the oldest private hospital in Thailand. Founded 118 years ago when the British Consul approached the King about creating a medical facility for foreigners. Bangkok Nursing Home was formed and evolved into a large, full service hospital. I chose them over St. Louis because BNH was one of the few in Thailand to have been accredited by the Joint Commission International (JCI) . https://www.jointcommissioninternational.org/about/

Previously http://www.early-retirement.org/foru...and-82374.html

[street]

I hope all is well with you and that you continue to have good health.

There is a big problem with health care in US. I don't know if there is a fix here to get costs down and insurance coverage costs down either. There has been one thing in to way to accomplish those issues.

[ShokWaveRider]

There really is not a problem with healthcare in the USA, the CARE is excellent. It is the way it is funded and paid for that is the issue.

To cut a long story short. America does not have a healthcare problem, it has an Insurance problem.

[Senator]

Quote:

Originally Posted by ShokWaveRider There really is not a problem with healthcare in the USA, the CARE is excellent. It is the way it is funded and paid for that is the issue. To cut a long story short. America does not have a healthcare problem, it has an Insurance problem.

Good point.

I assume the healthcare is equivalent in Bangkok and the USA, otherwise there is no sense comparing.

What happens in Bangkok if they screw something up? Do they have malpractice insurance? Can you even sue someone there? Does a medical professional in Bangkok live the same lifestyle as one in the USA?

I wonder if Doctor and nurses salaries, which are considerably higher in the USA, have a lot to do with the cost of healthcare? Or the cost of malpractice insurance? I know 85%+ of medical premiums have to be spent on healthcare in the USA, by law.

[atmsmshr]

Coming back from Atlanta last week, I was seated next to a 56 year old MRI salesman.

He just retired following the Japanese purchase of his MRI manufacturing company. He has a 4,000 square foot riverfront house on the Indian River lagoon. Also has a condo 50 miles south closer to his fishing boat. Good for him.

Evidentially MRI manufactures use some of the software imaging technology found in TSA airports scanners.

[Bamaman]

My oral surgeon has a full head MRI--$400,000. While such machinery may be needed for sinus surgeries, etc. their cost of running that office is ridiculously high.

For a dental implant and abutment, they charge $2750. I got the same work done out of town for $900. Insurance doesn't pay for implants. The dentist's full head xray machine does the job without the cost of the MRI.

[Car-Guy]

Quote:

Originally Posted by ShokWaveRider There really is not a problem with healthcare in the USA, the CARE is excellent. It is the way it is funded and paid for that is the issue. To cut a long story short. America does not have a healthcare problem, it has an Insurance problem.

Agree with that 110%. Unfortunately, many doctors and medical service providers are in the game with the insurance companies. (or, they are effectively forced to play in the game) I sometimes wonder if organized crime is behind many of these insurance companies and their unfair business practices.

[OldShooter]

I agree with the US health system bashing, but would point out something that is foremost in my thinking about things like this:

Buying a violin would not make me a musician. Similarly, buying an MRI machine would not make me a cardiologist or a radiologist. While making doctor choices is mostly a crap shoot, I believe that choosing among US doctors is more likely to benefit me than choosing among doctors in some third world country. No guarantees, but I think the odds are better.

So ... the cost of MRIs in Thailand will never be a major concern of mine.

[MarieIG]

Quote:

Originally Posted by Senator Good point. I assume the healthcare is equivalent in Bangkok and the USA, otherwise there is no sense comparing. What happens in Bangkok if they screw something up? Do they have malpractice insurance? Can you even sue someone there? Does a medical professional in Bangkok live the same lifestyle as one in the USA? I wonder if Doctor and nurses salaries, which are considerably higher in the USA, have a lot to do with the cost of healthcare? Or the cost of malpractice insurance? I know 85%+ of medical premiums have to be spent on healthcare in the USA, by law.

All good points. While the US offers non-citizens, visitors and non-legal residents the ability to sue, this is not a universal concept.

[OldShooter]

Quote:

Originally Posted by MarieIG All good points. While the US offers non-citizens, visitors and non-legal residents the ability to sue, this is not a universal concept.

I don't even care about that. The last thing I want is an event where a lawsuit is justified, particularly where it is my survivors who are doing the suing. I'd rather just get the most qualified doctor and facility I can, rather than the one with the best insurance.

[growing_older]

Quote:

There really is not a problem with healthcare in the USA, the CARE is excellent. It is the way it is funded and paid for that is the issue.

This may be mostly true, but there are some ways in which the insurance problems impact the care, mostly negatively. Each function and specialty is billed separately and each action is a separate line item in the bill. For hospital stays, each action is billed separately, noted separately on the chart, and often performed by someone with little or no prior knowledge of the patient. A quick glance at the chart, a quick action to do as directed, and rush on to the next patient. Shortcuts and assumptions from incomplete reading of the case under pressure to bill more can lead to poor care and mistakes.

I have seen this happen to multiple family members, including me, and my anecdotal experience makes me believe this is a widespread problem. The doctors and nurses aren't bad at their jobs, but they are responding to the billing pressures to evolve a style of care that is NOT as good as it used to be, because of the way billing and insurance is impacting medicine. We may have an insurance problem, but it is affecting quality of care as well.

[GrayHare]

Some portion of the higher cost in the US goes to medical research, little of which is done in countries like Thailand. Reducing those costs will reduce that research.

[OldShooter]

Quote:

Originally Posted by GrayHare Some portion of the higher cost in the US goes to medical research ...

As a percentage, how much?

[Senator]

Quote:

Originally Posted by OldShooter I don't even care about that. The last thing I want is an event where a lawsuit is justified, particularly where it is my survivors who are doing the suing. I'd rather just get the most qualified doctor and facility I can, rather than the one with the best insurance.

I do not think any doctor intentionally does anything to justify a lawsuit. And I know there are many unjustified lawsuits, but all USA doctors have to have insurance and the cost is built into the price.

If you do not have the ability to sue a doctor in Bangkok, that saves the doctors a lot of money. And if the research in the USA is used by foreign doctors, that is another expense born by USA healthcare payers.

If the costs are shared, some research done foreign countries and some in the USA, it may be a wash.

[brett]

2 1/2 years ago DW spent part of a day in. Kuala Lumpur hospital. We later learned that it was a centre for medical tourism.

X-rays, an MRI (back), two consults, prescription drugs,media (they gave her the Xrsys and a Cd of the MRI) and a written report.

It was first rate care and attention. Total hospital cost was CAD $850.

[fasteddie911]

Quote:

Originally Posted by ShokWaveRider There really is not a problem with healthcare in the USA, the CARE is excellent. It is the way it is funded and paid for that is the issue. To cut a long story short. America does not have a healthcare problem, it has an Insurance problem.

Agreed. Generally speaking, the expertise and level of care in the US is tops, potentially the reason healthcare is expensive here. Care is excellent...for those who can afford it. Foreigners fly to US for top-level care, foreign docs want to train in the US.

Quote:

Originally Posted by Senator I wonder if Doctor and nurses salaries, which are considerably higher in the USA, have a lot to do with the cost of healthcare? Or the cost of malpractice insurance? I know 85%+ of medical premiums have to be spent on healthcare in the USA, by law.

Doctor salaries make up about ~10% of healthcare spending, nurses are about the same as well. They certainly earn more than other countries but it's only a fraction of US healthcare spending despite being the ones who are actually providing care.