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India Woos Medical Tourists

aspelling writes "It's not only quality hardware and software that can be done in India for a fraction of the cost. BBC reports that India has a generation of world class doctors capable of doing joint replacement, heart, neuro and cancer surgery at their state-of-the-art facilities. Don't be surprised when your physician prescribes you a trip to Bombay. Indian officials are working hard with HMOs around the world to make this dream come true."

31 of 479 comments (clear)

  1. HMO? by Anonymous Coward · · Score: 4, Insightful

    What is an HMO? Isn't it a facet of the American private health care system? There are no HMOs in the country where I live (Canada).

    1. Re:HMO? by shigelojoe · · Score: 5, Funny

      An HMO is kind of like the Black Knight from Monty Python, except that when *you* get both of your arms cut off, *they* say it's only a flesh wound.

  2. Hrmm by acehole · · Score: 4, Funny

    Free curry on your 3rd bypass.

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    1. Re:Hrmm by Chicane-UK · · Score: 5, Funny

      If you are on your 3rd bypass, i'd say you've had too many curries already ;)

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  3. oh great, first they outsource my job, then this . by HealYourChurchWebSit · · Score: 5, Funny

    Not to knock the healing hands in India, but I just can't snicker at the thought of my HMO telling me that they've outsourced my hip replacement to the cousin of the guy who replaced my job as a programmer.

    --
    --- have you healed your church website?
  4. it would definetly lower costs. by epicstruggle · · Score: 4, Interesting

    I hate to admit it, but they do have a point. Savings can be had by lower paying doctors, nurses, facility costs, you also get to eliminate malpractice suits. Real savings with the last one. Your real cost will be to ship the patient back and forth (around $800 to $1200).

    Hmm, Im torn between feeling bad for doctors/nurses, and happy that there will be less need for lawyers.

    later,
    epic

    --
    "Im drowning here, and you're describing the water!"
    1. Re:it would definetly lower costs. by user+no.+590291 · · Score: 4, Interesting
      Less need for lawyers? The first time someone is maimed or dies under the knife when he was in India at the insistence of his/her HMO rather than in a stateside medical facility, there will be a lawsuit of SCO proportions against the HMO. Except the patient (or his/her heirs) have a good chance of winning.

      (While I'm sure HMO's will require signing of a waiver, I doubt the waiver will hold up when push comes to shove. IANAL, IANAD, and all that.)

  5. had an experience with this by viniosity · · Score: 5, Interesting
    After seeing a number of doctors in SF regarding a kidney stone that just would not pass (over 1 month with the damn thing!), I had the fortune of being in Bombay. On a particularly hard day our local rep took me to see a doctor. While I wouldn't want to expose anyone to the conditions of this particular 'hospital', the doctor was very nice and actually took the time to explain what he was going to prescribe and what it would do. Within 24 hours my stone passed.

    This is in stark contrast to the jerk who 'helped' me in SF. "Yeah, drink a lot of water. That'll be $400"

    1. Re:had an experience with this by rsidd · · Score: 4, Interesting

      I'm an Indian, so I know how good medical care is. Right now I'm in the US, but believe me, if I had a medical problem, I'd get it treated in India, and not just for cost reasons. They know their stuff and they don't treat their patients like idiots. (It's also true that I know who the good doctors are in India, and I don't know any here.) My relatives in Europe do the same: the alternative is go through the public-healthcare lottery in Europe (get assigned a doctor who may be good or may be awful), or pay through your nose for private healthcare.

  6. ObSimpsons by eap · · Score: 4, Funny

    It didn't work so well for my friend Mr. McGregg, with a leg for an arm, and an arm for a leg.

  7. what about malpractice? by cabazorro · · Score: 4, Interesting

    So you go to Bombay to get a kidney
    removed and they remove the healthy one.
    Can you sue them for malpractice a-la US?
    I'm afraid not.
    I read that some HMO's are sending xrays
    and cat-scans to india for diagnosis via
    internet.

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  8. In the West... by gustgr · · Score: 4, Interesting

    all parents tell they children that when they'll grow up they'll be doctors. Of course they say that thinking about how a doctor can make and not on how important and honorable (at least it was) to be a doctor.

    Several Med. freshman are not worried about saving lives and helping people, just to get out of the hospital with a Mercedez in the way to their house in the beach. Sometime they say that it is expensive because they had to study for 10 years to be a doctor ... give me a break ... Some people study during all their lifes and don't make the money some surgeons make in a couple of days.

    Some concepts must be reviwed.

    1. Re:In the West... by niko9 · · Score: 5, Interesting

      Not everyone who goes to medical school is in it for the money. Are there misguided fools who only dream of making quick cash? Sure there are, but you'll find that in any field.

      I have been researching a few medical schools as of late, because I wan't to get my DO (doctor of osteopathy) which is the same as an MD.

      I hear there has been a shift in the last 10 to 20 years as far as what medical schools are looking for from applicants. They want people who know exactly why they want to be physicians.

      I know several fellow paramedics who have just been accepted into medical school with average MCAT scores and are over the of 25.

      They understand that these individuals (not just medics, but nurses, EMT's, physican assistants, and people with MBA's who have something to do with medicine) know why they are going to saccrifice their time and effort.

      And there are plenty of doctors that I know that don't make that much money. A few general practitioners who work poor urban areas. They do see some patients for free; the equivalent of pro bono work I guess.

      As far as medicine being expensive in the West, there are alot more factors contributing to the expenses than a physician's salary.

    2. Re:In the West... by Cipster · · Score: 4, Interesting

      I don't think this is a uniquely western problem. I have several Indian and Asian friends and the pressure to become a doctor is even higher there.
      Heck a friend of mine has a PhD and works as a clinical psychologist yet his Indian parents still lament about how he should have become a "Real Doctor".

  9. A few questions... by czcxmag · · Score: 5, Insightful

    If you needed open heart surgery or a liver transplant, would you still go to India to do it because "it costs less money"?

    Are doctors in India "certified" by the government? do they get inspected regularly for standards of practice?

    I don't want to bash Indian doctors or criticise anyone's decision to valuate medical work purely based on its cost; I just feel the readers should be informed of the potential risks associated with getting major treatments done in other countries just because of financial reasons.

    What if I pick a bad doctor and he messes me up or whatever? Who can I sue? In all likelihood hed be gone after I left.

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    1. Re:A few questions... by r.muk · · Score: 5, Informative

      "What if I pick a bad doctor and he messes me up"

      In general the average India surgeon operates on many more patients than the US surgeon. It's simple, there are just that many more people in India, and far fewer surgeons. So the level of experience for common procedures is higher in India than in the US. If a medical procedure calls for a cyclotron and a super-computer - the Western countries are where THAT can be done. But a heart bypass - it's done routinely and successfully all the time.

      I live in India. My daughter's life has once been saved by the India public (read free) health system. So I'm prejudiced in its favour.

      Of course you can get excellent (if expensive) medical / surgical treatment in the US.

      And of course some India doctors are venal and money-focussed.

      But don't dismiss India doctors and India hospitals as a whole. On the whole they are very very good. And they are about as likely to skip legal consequences (if any) as a US doctor or hospital. Note - the judicial system in India does NOT have jury trials. So no little old ladies get awarded a hundred million when their nose jobs go awry. But there is adequate enforcement of accountability in medical practice.

      . . .

  10. There isn't much that can't be outsourced by alien_blueprint · · Score: 5, Insightful

    Just yesterday a friend of mine with an degree in economics was talking about the push in that field to move much of the work offshore.

    This applies to any profession - there is no "safe" field. Look at law - despite what television tells you, most people with law degrees aren't engaging in clever courtroom rhetoric all day, or even at all, but doing "back office" stuff. This, too, can be offshored in time.

    I'm not saying that this is a good or a bad thing, or that I have any answers, but it *is* obvious that saying "just get a new career in accounting/law/marketing/whatever!" is naive because there is no strictly "safe" field to start with, and never will be.

    1. Re:There isn't much that can't be outsourced by ChaoticChaos · · Score: 4, Insightful

      "I'm not saying that this is a good or a bad thing"

      Please. I'll say it for you - this is a very bad thing. I saw an economist on Lou Dobb's Friday program saying that with all the Tech and Services jobs going overseas, "...if our future isn't in Tech and Services, I don't know what it is in".

      Agreed.

      If these trade agreements aren't revisited and revisited damn soon, it IS going to plunge the company into a serious recession or depression. We're shipping an ungodly amount of our jobs, wealth, and future everywhere else but the USA.

      I'm sure it's easy for all of these other countries to have grossly better wages when they are: barely developed, have no labor laws, no environmental laws, etc.

      Kerry for President! Bush isn't doing a damn thing about it and his chief economic adviser things offshoring is a wonderful thing!

    2. Re:There isn't much that can't be outsourced by ChaoticChaos · · Score: 4, Insightful

      "Do you honestly think that Kerry will be able to do anything about this?"

      Yes.

      "You're talking about fighting economic forces here. The only way to prevent this current outsourcing trend is to become totally isolationist, which two world wars tell us is totally wrong."

      Who said anything about being isolationist? I'm FOR trade. It's a wonderful thing. The problem with NAFTA and the WTO is that we gave away the farm. We didn't insist that other countries rise to our level (i.e., with labor standards, environmental standards, etc.) and as a result, we're grossly mismatched. You can't expect any part of our economy to compete with another country that doesn't have similar regulation. Just not going to happen.

      Kerry, or someone, needs to revisit the trade agreements until they are **fair**.

      "No, America's true skill is not in tech or medicine, but in creativity. Just wait. You'll see a new revolution in something, maybe nanotech, maybe biotech (here's hoping we can get cloning regulated, not banned), maybe something completely different, that will propel us into the future."

      Wow! The logic here just escapes me. We can offshore tech, legal jobs, radiology, but it's not going to be possible to offshort "...nanotech, maybe biotech"??? You're kidding yourself.

      "In the mean time, we're rich enough. Let the rest of the world have some for a change".

      The issue isn't "some", it's going to be "most". What part of the economy can we be competitive in with the current trade agreements. We have a 500 ***billion*** trade deficit right now!!!!!!

      "Hell, our unemployment rate currently is less than the average unemployment rate of the 1990's. We're doing OK."

      We are? The unemployment figures do not take into account workers who are discouraged and stopped looking. It takes 150,000 new jobs each month just to keep up with population growth. We've *yet* to have one month over 150,000 in the last 3 years.

      "I'm just as bitter about not being able to skim inflated wages anymore as you are, but soon, we'll start to at least make something fair. It'll just take some time. No matter who gets elected President."

      Rotsa luck dude. This isn't about a high paying job, it's about a future period.
      - We have yet to have one month in 3 years with over 150,000 new jobs just to keep up with population growth.
      - We have a 500 billion dollar trade deficit. 500 billion dollars!
      - Lou Dobb's program on Friday night showed a graph indicating that in Tech trade, we used to have a 30 billion dollar surplus. Now we have a 30 billion dollar deficit.

  11. Re:Lack of quality? or more of it! by Anonymous Coward · · Score: 5, Insightful

    While, as an Indian, I am flattered by your opinion, your argument is flawed. I think that the Indians you've met are good at the math and sciences because their parents pushed their children to become engineers.

    Furthermore, almost every culture that has existed for thousands of years has had a few great scientists. Are the British inherently any smarter because Issac Newton was British, or the French any wiser because Pascal was French? Obviously not!

  12. Overpaid doctors by otter42 · · Score: 5, Interesting

    I personally welcome this. Maybe it's because of the bad taste left in my mouth by seeing the local orthodontist brag about how he only worked a couple hours a week, right before he jumped into his multi-million dollar Mitsubishi turbo-prop. My mom just paid several thousand dollars to have a root canal/tooth cap.

    Perhaps it's not the best bet for open heart, but for some of the more insanely priced operations like that I think it make senses.

    --
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  13. No way... by John+Seminal · · Score: 4, Insightful
    There is no way in hell that any HMO or insurance company should ever be allowed to tell a patient "we're gonna fly you half way around the world for this surgery". The HMO's are horrible as it is. They get doctors in their network and supply a doctors practice with nearly all his patients. Then they tell the doctor if any surgery, or very expensive treatment has to be performed, they must first call the HMO for approval first. Guess who makes the approval? Not a doctor at the HMO but a buisness manager. They even have incentives at HMO's to provide bonuses for those buisness managers that keep costs the lowest, and they fire the ones who spends more. If the doctor prescribes the treatment anyways, they can get dropped from the HMO and lose all the patients the insurance company provided.

    Laws need to be passed to protect the people. These insurance companies are evil. We would be better off with a state run health insurance system than the hyena's that currently run the insurance companies.

    --

    Rosco: "If brains were gunpowder, Enos couldn't blow his nose."

  14. Better solution by bigattichouse · · Score: 4, Interesting

    This is more a problem of OUR system, than anything better about theirs. I've got a cheaper solution: Build a Cruise-Ship/Hospital and park it 4+ miles offshore, offer first class medical help without all the US bullshit... you could cruise up and down the shore and hit more locations.

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    meh
  15. Cost of Cardiosurgery by xmpcray · · Score: 5, Informative

    My mother went through angioplasty at the Escorts Heart Research Institute (New Delhi, India, http://www.ehirc.com/). Not only did the operation go smoothly, the total cost of the whole procedure (including stay, doctor's fee, consultations, actual procedure, angiography etc) came to under $4000. Out of this $2000 was for the medicated stent used, which is imported from the US.

    (PS: This particular hospital performs over 20 angioplasties and around 8 bypass surgeries daily)

    --

    --
    I refuse to answer that question on the grounds that I don't know the answer.
  16. Re:fraction of cost... by puck01 · · Score: 5, Insightful

    Ya, I work 80 hours a week (legally that is, in reality I work much more than that but I'm technically limited to 80 hours per week), owe twice as much in student loans as the cost of my condo (condo about $82,000, you do the math) and make 40,000 a year. Sure I'm a resisdent still, but as a general practitioner I'll still work at least 60 hours a week, and oh ya, by the way, I won't be finished with training until I'm 30. I've sacrificed many of my hobbies and pleasures in life to do this. I spend much of my spare time reading to keep up with the lately studies. Do I complain about this? NO. Absolutely not, this is what I choose to do, but comments like this really get on my nerves.

    Also, I have to wonder what the legal environment is like in India? How much do these docs pay for legal insurance. Since some surgeons in the US can pay over 100,000/yr in insurance, I would suspect that might account for much of the cost.

  17. Re:oh great, first they outsource my job, then thi by WIAKywbfatw · · Score: 5, Insightful

    People in the US sell their blood for personal profit. Or their babies. Or hire out their wombs. Selling parts of yourself for financial gain isn't exclusive to India, or even the developing world in general: it happens in the developed world too.

    --

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  18. Maybe... but... how will they get to India? by ivi · · Score: 4, Insightful

    Which airlines will carry a person,
    who tells them - up-front - that
    they have a heart or other serious
    medical condition?

    (And any insurance may not cover
    them if they don't tell them...)

  19. Central America by jwjcmw · · Score: 4, Interesting

    My mom goes down to Nicaragua pretty regularly with a civic group...the last trip she had a filling replaced by a dentist down there. She said it was the most pleasant dental visit of her life, and it cost $25...so it's not just India where things are going to be exported to.

  20. Re:fraction of cost... by Compuser · · Score: 4, Informative

    Ok, how is this: I am physics graduate student,
    won't get PhD until I am 29 an until then I earn
    less than 20K a year while working basically
    every waking moment (about 14 hrs a day/ 7 days a
    week). I will then be a postdoc for a few years
    earning about 40K and then hopefully a professor
    earning 70K or so. If all doctors worked as much as
    I do and had pay schedules as low I do we'd have
    more or less affordable healthcare.

  21. Re:fraction of cost... by occamboy · · Score: 4, Interesting

    The US spends roughly 15% of GDP on healthcare, while the rest of the first world spends roughly 10%. Docs in the US get paid roughly twice what their counterparts are paid in the rest of the first world. The average doc in the US makes $150k+ per year - after malpractice premiums. In general, malpractice is not a big expense, except for OBs and neurosurgeons.

    For this, we get medical outcomes that are not demonstrably better than those in other first world countries. In fact, our outcomes are probably worse: in terms of life expectancy, we're 48th in the world, roughly the same as Cuba. That's sad, considering that our per capita healthcare spending is greater than Cuba's entire per-capita GDP.

  22. Re:fraction of cost... by asdf+101 · · Score: 5, Informative

    You're woefully wrong when you talk about a lack of accredited facilities in India. I'm sorry to say, but it's apparent that you speak out of an unfound prejudice that discounts the quality of Indian medical institutions.

    I've only recently returned from that country and how it is progressing. This Harvard Medical associated facility is just the first of many similarly affiliated facilites coming up all over the country. John Hopkins has associates in the Indian market too.. I just can't recall their names. And there may be so many more initiatives underway that I'm not even barely aware of.

    Agreed that even all this infrastructure available today doesn't amount to much, but it's more that a step in the right direction for that country.

    And more importantly, for those in developed countries that can't afford to pay the high-cost of private healthcare, India offers a teriffic option to get treatment at a fraction of that cost.