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My adventures in medical tourism

chrisstucchio.com

151–160 of 202 posts

Re: My adventures in medical tourism

#151

Earlier quoted context omitted.

Not three years ago, with "comprehensive" insurance, I paid $7000 for a kidney stone, with a full total approaching $50-60K. For a kidney stone. I had to have two surgical procedures, admittedly - they went in to remove the stone, found long-standing infection, closed up and catheterized. A week of antibiotics later I had it shocked. But still... $60K for a kidney stone.

That can no longer happen (since January 1, 2014). Insurance policies now have out-of-pocket maximums thanks to Obamacare. The 2016 limits are: $6,850 for self-only coverage and $13,700 for a family plan. So you would have stopped hemorrhaging money at $6,850, and then the insurance company would have been 100% responsible for the rest.

I realize that. I work in the health "insurance" industry (as a vendor).

Notwithstanding that, it was considered a voluntary procedure, though there was no way the stone would pass (11mm x 6mm) - average ureter size is 3-5mm and I had to sit in the billing office and work out a 'financial solution' with them prior to authorizing surgery (negotiating anything while in this much pain would probably be considered close to coercion).

As an aside, I really dislike "Obamacare", as a name. The Affordable Care Act. As an aside, a survey a few years ago asked self-identified Republicans this: "Would you prefer some form of affordable care act as an alternative to Obamacare?", to which many replied in the affirmative. There's too much potential for bias.

Re: My adventures in medical tourism

#152
I'd recommend doing some more reading on the health care system in India. I believe that it worked really well for the poster; my initial research seems to indicate that there's a huge difference between the health care you can get in urban areas of India and the health care you can get if you're poor and rural. It's easy to build a health care system that works for people with money.

The infant mortality rate in India was 38 per 1,000 in 2015. That's really not good.

Re: My adventures in medical tourism

#153

I'd recommend doing some more reading on the health care system in India. I believe that it worked really well for the poster; my initial research seems to indicate that there's a huge difference between the health care you can get in urban areas of India and the health care you can get if you're poor and rural. It's easy to build a health care system that works for people with money. The infant mortality rate in Ind…

Thanks for saying this is more friendly terms that I did.

What's also interesting, is that the US is likely a large net 'exporter' of medical tourism. I currently work with hospitals that are rapidly developing large businesses in medical tourism, because for all our needless systemic problems, people trust that, if you have the cash, you can find a good doctor.

Re: My adventures in medical tourism

#154
post #147
post #131

Earlier quoted context omitted.

Have you considered that discharging patients to their home, and moderating their pain medication, may actually be signs of quality care? "The patient gets what they want" is not the only sign of quality.

I would like to hear more about how discharging patient early and moderating pain medication is a sign of quality care? The author of original article mentioned staying in Indian hospital for 4 nights. Do you think a US hospital will keep you 4 nights for same surgery? I seriously doubt it. You most probably will be released few hours after the surgery or at most after overnight stay. Is the quality of care becomes l…

You can argue all you want about whether it's a good metric for surgery quality or not, but if you're being discharged soon after surgery, the idea is that your surgery went well enough that you don't need to be around $50mil worth of life-saving equipment 24/7. It has a valid place in the system, with pros and cons like any other metric.

Hospitals are full of all kinds of hard-to-kill microorganisms. They really are not good places to stay after a major traumatic event (e.g. surgery) if you don't need the resources of the system; staying will only increase your chances of getting a life-threatening infection. When I get home from the hospital, I try to change out of my clothes as soon as possible for this very reason.

As for pain medication, well...one only needs to look at the enormous rise of opioid addiction and prescription medicine abuse in the USA to see that moderation of these very dangerous medications is in the patient's best interest.

The medical system is far from perfect, but don't operate on the assumption that the people working in the field are ignorant of the problems you're pointing out. There are many things we could be doing better, especially on the transparency and patient education side of things, but it's a huge industry and big ships turn slowly.

Re: My adventures in medical tourism

#155

My wife is a Dentist in Bangalore, India, and it's amazing what I hear. Basically Cost(Flight to india + treatment cost) The more you think about it, the more crazy it seems on multiple levels. Edit, typed .

I went to get dental work done in Medellin, Colombia. Two whitening treatments, perhaps a dozen fillings. My Atlanta dentist wanted to do an inlay on one of my teeth. I'd already had two done that year and just couldn't afford to have them keep working on my teeth. When I got to Medellin, my dentist did not want to do the inlay, said it was too invasive and that he would rather fill it. It cost less to fly to Medelli…

How did you choose this place (and country)?

Re: My adventures in medical tourism

#156
My brother broke his leg horribly in Australia when he was 17. It was the worst break they'd ever seen at the hospital.

Ambulance ride, first surgery. Helicopter ride, second surgery, a month in hospital and third surgery and then another month or so in hospital to ween him off the morphine he had become addicted to, and to get walking again.

Of course, there was never a bill.

Re: My adventures in medical tourism

#157

I am originally from India and came to the US 10 years ago. I still can't believe that you can not call up a doctor/clinic/hospital in US and get a price quote for something routine. Chris's experience is representative of what one can expect from the Indian health care system. If you are a working, middle class person, the free market health care works extremely well.

You actually often can (or at least, could -- not sure how Obamacare might have changed this) -- you need to state that you are uninsured; you may very well get a lower price for your routine than you would have to pay out of pocket with insurance.

Re: My adventures in medical tourism

#158
post #71

Earlier quoted context omitted.

Ok, how about this for a startup. We buy a cruise ship, hire a load of doctors, plant it in international waters and boat people out for service. Might be some problems for doing certain procedures because of the boat moving but it might work in some cases haha.

That's fairly similar to what the Spanish government does for its fishing fleet. Mercy Ships operate hospital ships, but as a charitable cause. It's something I've sometimes wondered about before.

I didn't even know about Mercy ships, seems like a for profit one wouldn't be too far fetched then.

Re: My adventures in medical tourism

#159
post #112
post #88

Earlier quoted context omitted.

No, it's that they don't care about people not being able to get care, whereas we at least try to care about it.

That ahem sort of racist snark would make a lot more sense if we weren't having this discussion in the context of a system that appears to be providing wildly cheaper service . My more subtle point is that when we are discussing an existing free-market based medical system, you can not just trot out all the standard arguments about why the US should not go free market, because they are all based on a discussion of a…

"That ahem sort of racist snark would make a lot more sense if we weren't having this discussion in the context of a system that appears to be providing wildly cheaper service."

Cheaper to Americans. Not cheaper to it's own people. Most of it's own people are still priced out of that market.

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