Medical Tourism for Medicare Patients Can Save Billions
I was undergoing abdominal surgery at Akta Medika, a small private hospital in Sevlievo, Bulgaria. I’m writing this from a hospital bed there right now. Abdominal surgery is a serious matter, especially when it’s done to repair the errors of a previous surgery ten years ago. So I didn’t come here just because it’s 1/20th of the cost in the US. I came because it’s better.
I was born with a congenital condition resulting in an abdominal or “ventral” hernia which by 1998 doctors said had to be repaired. Three years later the repair failed. I went to numerous doctors in the years since, none of whom could explain what really happened or how this could be fixed for real.
Then two months ago during the TTP Business Expedition to Bulgaria (Good News From Bulgaria), I met Dr. Todor Hinov, founder and owner of Akta Medika. His laproscopic surgeon examined me carefully, explained my situation and how it could be fixed as no one had before. Laproscopic repair of such hernias was one of his specialties.
So here I am, everything went well, I’m recuperating rapidly and will shortly be as good as new - for a small fraction of the cost of what US doctors couldn’t do. (Check out the Akta Medika price list to see what I mean. 1.5 levs=1$. Yes, this entire procedure including private hospital room, medication, post-op care, etc., is costing me less than a grand.)
That’s not a putdown of American physicians - but it sure is of American medicine, so completely hamstrung by government rules and regulations, the nonsense of “third-party providers,” and protections of medical monopolies like the AMA: the antithesis of free market medicine. Yet if you think it’s bad now, wait until you see what Zerocare does to it.This is not the place to discuss the specifics of how the government makes medical care in the US ridiculously expensive, complicated, and obsolete. It is, rather, to discuss the opportunities for you to avoid - and even profit from….
You may think that my winging off to Bulgaria for serious surgery is off the wall, but I’m not alone. Time Magazine reported last month that 150,000 Americans flew abroad for medical treatment in 2006, 750,000 last year, and six million will be doing so in 2010.
Estimates range from $5 billion to $10 billion that Americans will spend this year (2008) on what’s being called “medical tourism.” Soon it’s going to $50 billion and beyond.
Which tells you that in addition to your considering being one of these folks for any expensive health problem, there is a lot of money to be made here. Real fortunes are being made in medical tourism, bigger fortunes will be made in the future - and made outside of the US.
Dr. Hinov (he’s president of the Association of Bulgarian Physicians), for example, is planning a major expansion of Akta Medica. Believe it or not, given the price list plus the high quality of its services (e.g., it’s one of the best places in Europe for a hip replacement which costs a total of $2500), it’s amazingly profitable. “Tosho,” as Dr. Hinov’s friends call him, is as good a businessman as physician.
[For information on the Akta Medika expansion, contact my friend of over 25 years, Alex Alexiev, at alexralex@aol.com This email address is being protected from spam bots, you need Javascript enabled to view it , or 805-237-8063].
Medicare patients are older Americans who require the super-expensive operations (such as orthopedic or cardia procedures). Medicare to pay for medical tourism. Give these patients the option of going to one of the 120+ hospitals abroad (the number is rapidly growing) accredited by the Joint Commission International (JCI - the international branch of the organization that accredits American hospitals participating in Medicare). All 120 hospitals just mentioned are listed at the end of this article, by country.’s the US government thatis dictating to you what US medical care you’ll get and when. You should at least have a choice, an option, to opt-out of the US system, and get world-class medical care elsewhere for a fraction of the cost - saving the government lots of money.
Already, companies like Hannaford Bros. in Portland, Maine have learned that it’s much cheaper to fly their employees - plus their spouse or companion - to Singapore for major surgery. Hannaford saves mucho thousands of dollars, even including airfare, hotel, and recuperation/vacation time in Singapore.
Allowing Medicare to pay for medical tourism not only can help prevent the bankruptcy of Medicare by saving torrents of billions, it also will force a debate on just why the US healthcare system is so ridiculously costly and obsolete.
Shouldn’t we all be asking just why is world-class medical care available in places like India, Thailand, the Philippines, Brazil, Costa Rica, Hungary, Bulgaria and so many other countries at a fraction of the cost of what it is in the US?
Such a debate will even drag health (we-don’t-make-money-by-paying-claims) insurance companies - currently balking regarding medical tourism - into reforming their Byzantine rules and restrictions. Their huge deductibles, 80/20 ripoffs, and other pondscum maneuvers are such as waste of time when this entire procedure of mine at Akta Medika is far less than the deductible alone.
| Joint Commission International (JCI) Accredited Organizations |
| Accredited Organizations are grouped by country.
Austria
Institut fur medizinische und chemische Labordiagnostik
Landeskrankenhaus Villach
Neurologisches Therapiezentrum Kapfenberg GmbH
Sonderkrankenanstalt f�r Rehabilitation, Thermenhof Warmbad GmbH
Bangladesh
Apollo Hosptial, Dhaka Barbados
Barbados Fertility Centre
Bermuda
Bermuda Hospitals Board - Department of Pathology
Brazil
The following organizations are accredited jointly by Joint Commission International and the Consortium for Brazilian Accreditation (CBA). For more information about Joint Commission International Accreditation Partners, click here.
AMIL Total Care - Barra da Tijuca
AMIL Total Care - Berrini
AMIL Total Care - Botafogo
Hospital do Coracao - Associacao do Sanatorio Sirio
Hospital de Traumato-Ortopedia
Hospital Copa D’OR
Hospital do Cancer III - INCa
Hospital do Cancer IV - INCa
Hospital Israelita Albert Einstein
Hospital Sirio Libanes - Sociedade Beneficente de Senhoras Instituto Estadual de Hematologia - Hemorio
PRONEP - Rio de Janeiro
PRONEP - Sao Paulo
Sociedade Hospital Samaritano
Chile
Clinica Las Condes
China
Beijing United Family Hospital and Clinics Clifford Hospital Sir Run Run Shaw Hospital
Hong Kong, SAR, China: Hong Kong Adventist Hospital
Tsuen Wan Adventist Hospital
Costa Rica
Hospital CIMA, San Jose
Hospital Clinica Biblica
Czech Republic
Central Military Hospital
Institute of Hematology and Blood Transfusion
Na Homolce Hospital
Denmark
Amager Hospital
Bispebjerg Hospital
Frederiksberg Hospital
Hvidovre Hospital
Copenhagen Fire Brigade
Rigshospitalet
Sct. Hans Hospital
Egypt
Dar Al Fouad Hospital
Ethiopia
International Clinical Laboratories
Germany
DRK Kliniken Berlin
Herzogin-Elisabeth Hospital
Hochtaunus-Kliniken gGmbH
Klinikum Chemnitz gGmbH
Kreiskrankenhaus Greiz GmbH
St�dtisches Klinikum G�rlitz gGmbH
India
Apollo Hospital, Chennai
Apollo Hospital, Hyderabad Program: Disease- or Condition-Specific Care (DCSC)
Asian Heart Institute
Fortis Hospital
Grewal Eye Institute
Indraprastha Apollo Hospital
Satguru Partap Singh Apollo Hospital
Shroff Eye Hospital
Wockhardt Hospital, Bangalore
Wockhardt Hospital, Mumbai Indonesia
Siloam Hospital Lippo Karawaci
Ireland
Beacon Hospital
Beacon Dermatology
Beacon Renal
Blackrock Clinic
Bon Secours Hospital, Cork
Bon Secours Hospital, Dublin
Bon Secours Hospital, Galway
Bon Secours Hospital, Tralee Galway Clinic
Mater Private Hospital
Mount Carmel Hospital
Ha EMEK Medical Center
Meir Medical Center
Soroka University Medical Center
Italy Azienda Ospedaliero - Universitaria CDI Centro Diagnostico Italiano S.p.a.
European Institute of Oncology - Istituto Europeo di Oncologia
Giannina Gaslini Institute
Humanitas Gavazzeni
Humanitas Mirasole S.P.A.
Istituto Clinico Mater Domini
Ospedale Pediatrico Bambino Gesu
Presidio Ospedaliero Oglio-Po
Santa Chiara Hospital Jordan
Al - Essra Hospital
King Hussein Cancer Center
Jordan Hospital & Medical Center
The Specialty Hospital
Kingdom of Saudi Arabia
Al ImamAbdulrahmanBinFaisalHospital
Almana General Hospital - Dammam
Almana General Hospital - Hofuf
Almana General Hospital - Jubail
Almana General Hospital - Khobar
Dr. Erfan & Bagedo General Hospital
Dr. Soliman Fakeeh Hospital
International Medical Center - Jeddah
King Abdulaziz Medical City - Al Ahsa
King Abdulaziz Medical City - Jeddah
King Abdulaziz Medical City - Riyadh
King Faisal Specialist Hospital and Research Centre- Jeddah
King Faisal Specialist Hospital and Research Centre- Riyadh
King Khaled Eye Specialist Hospital
Magrabi Eye and EarCenter -Dammam
Magrabi Eye and Ear Hospital-Jeddah
Mouwasat Hospital
Saad Specialist Hospital
Saudi Aramco Medical Services Organization
Sultan Bin Abdulaziz Humanitarian City
Korea
Severance Hospital, Yonsei University College of Medicine
Lebanon
American University of Beirut Medical Center Beirut , Lebanon Malaysia
Penang Adventist Hospital
Mexico
Clinica Cumbres Chihuahua
Hospital San Jose Tec de Monterrey
Pakistan
Aga Khan University Hospital
Philippines
St. Luke’s Medical Center
The Medical City
Qatar
Al-Amal Hospital
Al Khor Hospital
Hamad General Hospital
Rumailah Hospital
Women’s Hospital
Singapore
Alexandra Hospital
Changi General Hospital Program: DCSC Certification Program - Heart Failure Program: DCSC Certification Program - Acute Myocardial Infarction
Institute of Mental Health/Woodbridge Hospital
Johns Hopkins Singapore International Medical Centre
KK Women’s and Children’s Hospital National Healthcare Group Polyclinics
National Heart Centre of Singapore
National Skin Centre
National University Hospital
Parkway Hospitals Singapore Pte Ltd - East Shore Hospital
Parkway Hospitals Singapore Pte Ltd - Gleneagles Hospital
Parkway Hospitals Singapore Pte Ltd - Mount Elizabeth Hospital
Singapore General Hospital
Tan Tock Seng Hospital
Spain
The following organizations are accredited jointly by Joint Commission International and the Fundaci�n Avedis Donabedian (FAD). For more information about Joint Commission International Accreditation Partners, click here.
Centre d’Atencio Primaria de Cambrils
Centre d’Atencio Primaria de La Selva
Centre d’Atencio Primaria Hospitalet Vandellos
Centre d’Atencio Primaria Salou
Centro de Salud de El Llano
Centro de Salud de Moreda
Clinica Universitaria de Navarra
Hospital Costa del Sol
Hospital General de Catalunya
Hospital Valle del Nalon
Institut Guttmann
Instituto Balear de Oftalmologia
Residencia d’Avis La Torrassa
Residencia Geriatrica Montsacopa
Residencia Llar Caixa Terrassa
Switzerland
Ospedale Regionale Di Locarno Taiwan
Koo Foundation Sun Yat-Sen Cancer Center
Min-Sheng General Hospital
Taipei Medical University-Wan Fang Medical Center
Thailand
Bangkok Hospital Medical Center
Bumrungrad International Program: DCSC Certification Program Program: DCSC Certification Program
Samitivej Srinakarin Hospital
Samitivej Sukhumvit Hospital
Turkey
Acibadem Bakirkoy Hospital
Acibadem Bursa Hospital
Acibadem Kadikoy Hospital
Acibadem Kocaeli Hospital
Acibadem Kozyatagi Hospital
Alman Hastanesi/Deutsches Krankenhaus
Anadolu Saglik Merkezi
Ankara Guven Hospital
Bayindir Hospital
Sisli (Caglayan) Florence Nightingale Hospital
CardioCheck G�r�nt�leme Merkezi
C ukurova University Medical Faculty
Dunya Eye Hospital
Gayrettepe Florence Nightingale Hospital
Hacettepe University Adult Hospital
Hisar Intercontinental Hospital
International Hospital
Istanbul Memorial Hospital
Kent Hastanesi
Medline Alarm Sa�l�k Hizmetleri A.�.
Mesa Hastanesi
Ozel Medicana Hospital Camlica
Ozel Medicana Hospital Bahcelievler
Turkish Red Crescent Society Middle Anatolia Regional Blood Center
Uludag Universitesi Saglik Kuruluslan
Vehbi Koc Foundation American Hospital
Yeditepe University Hospital
United Arab Emirates
Al Corniche Hospital
Al Noor Hospital - Al Ain Street
Al Noor Hospital, Khalifa Street
Al Rahba Hospital
Al Wasl Maternity & Paediatric Hospital - DOHMS
American Hospital Dubai
Dubai Hospital - DOHMS
International Modern Hospital
MEDCARE Hospital L.L.C. Oasis Hospital
Rashid Hospital - DOHMS
Tawam Hospital
Thalassemia Center - DOHMS
Zulekha Hospital, Dubai
Zulekha Hospital, Sharjah |

