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My adventures in medical tourism

chrisstucchio.com

171–180 of 202 posts

Re: My adventures in medical tourism

#171

Socialized medicine or a pure capitalistic system would both be preferable to the current system in the US. Right now it's the worst of both worlds.

Anything that decouples my ability to meet medical needs from where I work would be an improvement. I can't buy insurance on the open market that's as good as my employer's, and I have no access to detailed information on other potential employers. This puts me in an awkward position.

Re: My adventures in medical tourism

#172

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.

Yes- my friend goes to India and does his annual checkups/ dental checkups and fillings for a few hundred rupees which is cheaper than the deductible of his dental insurance here. Last time he had heart pain and went to a top heart specialty clinic and his bill was $11 to get checked out.

Re: My adventures in medical tourism

#173
post #136

This guy is either an idiot or tries to sell something. More like both. He goes around self treating a serious spine condition, trying to find a doc to inject steroids for cash (which is treating the symptoms, not the root cause). Then he goes for a surgery in some third world place "because it's cheap"; a surgery on his spine no less, where he may or may not ever walk again if something goes wrong. Then, he touts a…

> Then he goes for a surgery in some third world place "because it's cheap"

You missed the point of the article, which is to not attribute price to quality. Also being so dismissive of poorer countries as having reasonable doctor/facilities smacks of ignorance and exactly what this article is challenging.

Re: My adventures in medical tourism

#174

Earlier quoted context omitted.

If you have good insurance, I can't imagine the US not being top of the heap. I had an injury that resulted in a spinal fusion and other surgery at 25. Total out of pocket cost for about $250k of care and full recovery was about $500. That included second opinion visits to top doctors in Boston & NYC. If you're on limited network Obamacare with high deductibles and HMO bullshit, good luck.

> If you have good insurance, I can't imagine the US not being top of the heap. None of my comments assume private insurance unless otherwise stated.

If it wasn't private insurance, what did you use?

Re: My adventures in medical tourism

#175
post #136

This guy is either an idiot or tries to sell something. More like both. He goes around self treating a serious spine condition, trying to find a doc to inject steroids for cash (which is treating the symptoms, not the root cause). Then he goes for a surgery in some third world place "because it's cheap"; a surgery on his spine no less, where he may or may not ever walk again if something goes wrong. Then, he touts a…

I've heard many similar stories from people who have had medical procedures outside the US. Even in more developed nations, a foreigner paying out of pocket with zero insurance can be substantially cheaper than the same in the US. Meanwhile, the most common cause of bankruptcy here is getting sick. Something is very wrong about the medical system in the US.

Re: My adventures in medical tourism

#176
post #162

Earlier quoted context omitted.

I don't see how this helps people who are the most fucked: the working poor.

Even the working poor in the US could probably scrape together the kind of sums mentioned in the story - about $4000 inc a flight. Though I guess time off could be an issue. Still there are probably a lot of people with like $10k in the bank that could afford Indian care but not US.

Sure, I don't doubt that. But it's not a fix to the core problem. More of a segmentation of the market. I doubt a lot of the working poor use Uber with any regularity either.

Re: My adventures in medical tourism

#177

Earlier quoted context omitted.

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)?

I was going to Medellin for RubyConf Colombia and thought I'd get my dental stuff taken care of while I was down there.

To find the particular dentist, I reckoned that so long as the dentist spoke English and the office was well-equipped, I'd be fine, so I did a quick search on Google for Medellin dentists, picking the one that I found had the best copy on his website. Given that few in Colombia know a lot of English, it's a good bet that the dentist would be writing the copy himself.

If I got to the office and got spooked for whatever reason, I could always just line up another dentist or just forgo getting the work done. But Dr. Mejia was great.

Re: My adventures in medical tourism

#178
post #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.

Similar when I got kidney stones here (Aus). Emergency dept, 3 night stay, drugs, multiple x-rays, CT scan, 3 followup CT scans over 3 months, etc. No bill in sight. I realise that I pay for it through my taxes, but I'm ok with knowing if something happens I don't have to cough up thousands of dollars.

Re: My adventures in medical tourism

#179

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…

Nowadays every doctor that is required by law(started in assam I think) to go to poor and rural areas and serve there for a minimum of one year. Things are getting way better than one thinks, there is a sense of socialistic way of doing things along with good old capitalism. Rural health missions are sponsored by the government and nurses and doctors are well paid(as per Indian standards).

Re: My adventures in medical tourism

#180

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.

Why are you so butturt? :^)
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