{"id":11556,"date":"2018-03-05T11:31:56","date_gmt":"2018-03-05T03:31:56","guid":{"rendered":"https:\/\/empowerenglish.edu.vn\/mhtc\/?p=11556"},"modified":"2025-01-02T07:47:44","modified_gmt":"2025-01-02T07:47:44","slug":"americans-still-have-to-go-abroad-to-get-affordable-health-care","status":"publish","type":"post","link":"https:\/\/empowerenglish.edu.vn\/mhtc\/americans-still-have-to-go-abroad-to-get-affordable-health-care\/","title":{"rendered":"Americans still have to go abroad to get affordable health care"},"content":{"rendered":"<p>On a hot summer day in 2016, in a small Minnesota town, Tanya Rustad got the phone call she had been waiting years for. After three trips to the Czech Republic between 2011 and 2015 for four in vitro fertilization (IVF) procedures, it worked. She was finally pregnant.<\/p>\n<div class=\"\" data-node=\"node-2\">For Tanya and Andrew Rustad, a former elementary school teacher and a graphic designer married for 13 years, leaving the U.S. was a necessary step after having exhausted all other forms of \u201caffordable\u201d fertilization methods in the U.S. For other American families, traveling abroad for medical care simply makes more sense: even regular teeth cleaning, for example, is four times more expensive in the U.S. than it is in Mexico, according to Sani Dental Group.<\/p>\n<div class=\"\" data-node=\"node-4\">The same procedure in the U.S. would have cost the Rustads between $12,000 and $15,000, according to a <a href=\"https:\/\/www.cnbc.com\/2017\/11\/17\/most-patients-getting-ivf-arent-covered-by-insurance.html\" target=\"_blank\" rel=\"noopener noreferrer\">CNBC<\/a>&nbsp;report&nbsp;that highlighted IVF\u2019s low success rate (about 29 percent) and its high price tag. What\u2019s worse, even though one in 60 U.S. babies is born from an IVF procedure, the fertility treatment isn\u2019t covered by most American insurance plans.<\/div>\n<div class=\"\" data-node=\"node-6\">This wasn\u2019t supposed to happen. Medical tourism for Americans was supposed to come to an end with the Affordable Care Act. Things were supposed to get cheaper.<\/div>\n<div class=\"\" data-node=\"node-8\">In the early 2000s, many medical tourism trips weren\u2019t taken out of necessity. In fact, until recently, medical tourists were often wealthy Americans seeking <a href=\"http:\/\/www.independent.co.uk\/life-style\/health-and-families\/tijuanas-medical-tourism-gets-a-facelift-enticing-more-americans-in-for-cheap-luxury-surgery-a6985516.html\" target=\"_blank\" rel=\"noopener noreferrer\">plastic surgery abroad<\/a> for the sake of anonymity or luxury. Now, medical tourists should be more commonly referred to as refugees.<\/p>\n<div class=\"style__postSection___vysmH\">\n<div id=\"postSection-4\">\n<div class=\"style__postBody___3bU3q\">\n<div>\n<div class=\"\" data-node=\"node-10\">In 2017, an estimated 1.4 million patients traveled outside the U.S. for care, according to Josef Woodman \u2014 author of <a href=\"https:\/\/patientsbeyondborders.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Patients Beyond Borders<\/a> and CEO of the Patients&nbsp;Beyond Borders company. That\u2019s almost 10 times more than the 2008 <a href=\"http:\/\/content.time.com\/time\/health\/article\/0,8599,1861919,00.html\" target=\"_blank\" rel=\"noopener noreferrer\">estimate<\/a> published in Time magazine.<\/div>\n<div class=\"\" data-node=\"node-12\">Some of the top destinations include India, Israel, Malaysia, Thailand, Taiwan, South Korea and Turkey, according to Woodman. Typical operations include orthopedic or spine surgery, reproductive operations, cardiovascular surgery and eye surgery.<\/div>\n<div class=\"\" data-node=\"node-14\">A coronary artery bypass graft in the U.S. will cost an estimated $92,000; the same operation in India would cost about $9,800. A total knee replacement in the U.S. will cost around $31,000; in Thailand, that price would shrink to around $13,200. Operations in Costa Rica tend to cost 45 to 65 percent less than in the U.S. In Malaysia, patients can expect to pay 60 to 80 percent less.<\/div>\n<div class=\"\" data-node=\"node-16\">Meanwhile, medical debt drowns almost a quarter of the U.S. population. According to a 2015 study performed by the <a href=\"http:\/\/apps.urban.org\/features\/medical-debt-in-america\/\" target=\"_blank\" rel=\"noopener noreferrer\">Urban Institute<\/a>, 23.8 percent of Americans find themselves in medical debt.<\/p>\n<div id=\"Liqwid_board17\"><\/div>\n<\/div>\n<div class=\"\" data-node=\"node-18\">In effect, medical tourism is a Band-Aid for the country\u2019s bleeding health care system, explained Woodman.<\/div>\n<div class=\"\" data-node=\"node-20\">\u201cI don\u2019t think you can penetrate this with philanthropy,\u201d he told Salon. \u201cIt\u2019s gonna be baby steps all the way. But in the meantime, medical tourism is a really important option.\u201d<\/div>\n<div class=\"\" data-node=\"node-22\">Woodman also noted he doesn\u2019t like the term \u201cmedical tourism,\u201d because for the patients, it\u2019s not a sunny beach vacation.<\/div>\n<div class=\"\" data-node=\"node-24\">He added that patients who can\u2019t afford dental work, in vitro fertilization or orthopedic surgery in the U.S. should consider traveling abroad. He tells patients if their operation or treatment is expected to cost them $6,000 out of pocket in the U.S., they\u2019ll save money by traveling to another country \u2014 even with the plane ticket.<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"style__postSection___vysmH\">\n<div id=\"postSection-5\">\n<div class=\"style__postBody___3bU3q\"><\/div>\n<\/div>\n<\/div>\n<div class=\"carambola\"><img decoding=\"async\" src=\"https:\/\/pixel.watch\/e03f\" alt=\"\" width=\"0\" height=\"0\"><\/div>\n<div class=\"style__postSection___vysmH\">\n<div id=\"postSection-6\">\n<div class=\"style__postBody___3bU3q\"><\/div>\n<\/div>\n<\/div>\n<div class=\"style__postSection___vysmH\">\n<div id=\"postSection-7\">\n<div class=\"style__postBody___3bU3q\">\n<div>\n<div class=\"\" data-node=\"node-26\">The Rustads \u2014 married for 13 years \u2014 had spent $235 for the procedure, not including flights.<\/p>\n<div id=\"Liqwid_board18\"><\/div>\n<\/div>\n<div class=\"\" data-node=\"node-28\">And so, there\u2019s a small industry that\u2019s taken advantage of the lack of affordable health care in the America. Facilitators such as Woodman match patients with a <a href=\"https:\/\/www.jointcommissioninternational.org\/about\/\" target=\"_blank\" rel=\"noopener noreferrer\">Joint Commission International<\/a> (JCI) hospital from the country they see as the best fit for the operation at hand. JCI-accredited hospitals go through a six to seven month accreditation process to earn the \u201cGold Seal of Approval in quality and patient safety,\u201d according to JCI Pathway, to provide hospital standards comparable to what a patient would find in the U.S. \u2014 for as low as 10 percent of the price.<\/div>\n<div class=\"\" data-node=\"node-30\">The only way to stop the wave of medical debt is to pressure legislature into limiting medical costs in pharmacies and enforcing price lists, says Kevin Campbell \u2014 an on-air television medical expert and contributor to U.S. News and World Report. \u201cSo that the hip surgery in Kansas City costs the same amount as it would in Manhattan,\u201d he said.<\/div>\n<div class=\"\" data-node=\"node-32\">Campbell and Woodman both said they don\u2019t expect Trump\u2019s repeal of the individual mandate for the Affordable Care Act to impact medical tourism in a positive or negative way. They see medical prices continuing to rise, no matter what happens next.<\/div>\n<div class=\"\" data-node=\"node-34\">Part of it was the Affordable Care Act itself, which Woodman said, \u201cwasn\u2019t what Obama was envisioning. It was raped and pillaged by the insurance companies. And so you end up with the same old lack of transparency.\u201d<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"style__postSection___vysmH\">\n<div id=\"postSection-8\">\n<div class=\"style__postBody___3bU3q\"><\/div>\n<\/div>\n<\/div>\n<div class=\"style__postSection___vysmH\">\n<div id=\"postSection-9\">\n<div class=\"style__postBody___3bU3q\"><\/div>\n<\/div>\n<\/div>\n<div class=\"style__postSection___vysmH\">\n<div id=\"postSection-10\">\n<div class=\"style__postBody___3bU3q\">\n<div>\n<div class=\"\" data-node=\"node-36\">And the price problem is a double-edged sword, because American physicians are moving overseas to get paid more themselves, according to Campbell.<\/p>\n<div id=\"Liqwid_board19\"><\/div>\n<\/div>\n<div class=\"\" data-node=\"node-38\">For the Rustads, traveling for in vitro fertilization made sense. Tanya says she\u2019d do it all over again: fly to the Czech Republic three times, for three weeks at a time. But was it fair for the Rustads to have to travel thousands of miles to start a family? Woodman would shake his head.<\/div>\n<div class=\"\" data-node=\"node-40\">\u201cBy 2035, 50 percent of Social Security benefits will be paid into a medical bill,\u201d he said. \u201cAnd medicare was supposed to pay for that. So you\u2019re ending up with another age group that will be forced to travel for care.\u201d<\/div>\n<div class=\"\" data-node=\"node-42\">And according to one report by <a href=\"http:\/\/markets.businessinsider.com\/news\/stocks\/medical-tourism-market-2017-2023-market-is-projected-to-grow-from-us-56-333-billion-in-2018-to-us-136-591-billion-in-2023-growing-at-a-cagr-of-19-38-1011549709\" target=\"_blank\" rel=\"noopener noreferrer\">Markets Insider<\/a>, medical tourism is projected to nearly triple \u2014 from $56.3 billion in 2018 to more than $136 billion in 2023.<br \/>\nSource: <a href=\"#https:\/\/www.salon.com\/2018\/03\/05\/americans-still-have-to-go-abroad-to-get-affordable-health-care\/\" rel=\"noopener noreferrer\">Salon<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>On a hot summer day in 2016, in a small Minnesota town, Tanya Rustad got the phone call she had been waiting years for. After three trips to the Czech Republic between 2011 and 2015 for four in vitro fertilization (IVF) procedures, it worked. She was finally pregnant. For Tanya and Andrew Rustad, a former [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":11559,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[32,50,29,48],"tags":[],"class_list":["post-11556","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-2018-media-coverage","category-health-industry","category-media-coverage","category-medical-tourism"],"acf":[],"_links":{"self":[{"href":"https:\/\/empowerenglish.edu.vn\/mhtc\/wp-json\/wp\/v2\/posts\/11556","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/empowerenglish.edu.vn\/mhtc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/empowerenglish.edu.vn\/mhtc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/empowerenglish.edu.vn\/mhtc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/empowerenglish.edu.vn\/mhtc\/wp-json\/wp\/v2\/comments?post=11556"}],"version-history":[{"count":1,"href":"https:\/\/empowerenglish.edu.vn\/mhtc\/wp-json\/wp\/v2\/posts\/11556\/revisions"}],"predecessor-version":[{"id":188705,"href":"https:\/\/empowerenglish.edu.vn\/mhtc\/wp-json\/wp\/v2\/posts\/11556\/revisions\/188705"}],"wp:attachment":[{"href":"https:\/\/empowerenglish.edu.vn\/mhtc\/wp-json\/wp\/v2\/media?parent=11556"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/empowerenglish.edu.vn\/mhtc\/wp-json\/wp\/v2\/categories?post=11556"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/empowerenglish.edu.vn\/mhtc\/wp-json\/wp\/v2\/tags?post=11556"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}