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India’s tradition in medical innovation is world-renowned, as are its standards in providing world-class health care and expertise at reasonable costs. The country has been attracting foreign patients for numerous procedures in all health specialties and in particular for attractive cost obesity surgery packages in India.

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With all the current emphasis on providing basic if not socialized medicine and medical care to the residents of the United States it is always interesting to look at the basic social mores of other groups that have adopted this way of life – this means of providing medical care.

The line in the former Soviet Union was that “They pretend to pay us and we pretend to work.” During Stalinist times of the Soviet Union the one ( if not only ) safe means of providing criticism of current economic or social conditions or of providing a comment on the current situation that the citizens were living with and through was through humour – the telling of a joke . It was considered safe tradition. Nothing new here. The basis of most fairy tales are based in political or situational humor – to make light of something very serious and dark. The tale of “Humpty Dumpty . sat on a wall, Humpty had a great fall”- was a description of the Royalty at the time – “Off with your head could be the edict in a flash”. “Ring around the Rosie … A pocket full of poesy – Hush they all fall down” relates tales of the “Black Plague” which caused untold numbers of death and disease in the dark ages.

In the same way Canadians with their health care systems , find that their only recourse to poor service levels with corresponding staggering growth of bureaucracies and their infrastructures and systems find that their only recourse seems to be the telling of jokes and humor related to the current state of the Canadian
“Health Care System” and Systems.

Medical economist M. Labovitch pointedly notes that the butt of the anger is safely directed at doctors rather than taking a risk to the health care of the teller of the tale and their families.

Bureaucrats it seems , while putting in their full days , compiling reports and printing graphs and charts on the high end colour laser printer , have little sense of humour and the telling of jokes:

Five Canadian Surgeons are discussing who makes the best patients to operate on.

The first, an Ontario surgeon says, ‘I like to see accountants on my operating table, because when you open them up, everything inside is numbered.’

The second, a Quebec surgeon responds, ‘Yeah, but you should try electricians! Everything inside them is colour coded.’

The third a B.C. surgeon says, ‘No, I really think librarians are the best; everything inside them is in alphabetical order.’

The fourth, an Alberta surgeon chimes in: ‘You know, I like construction workers…those guys always understand when you have a few parts left over.

But the fifth, a Newfoundland surgeon shut them all up when he observed: ‘You’re all wrong. Politicians are the easiest to operate on. There’s no guts, no heart, no balls, no brains and no spine, and the head and the ass are interchangeable.

At least Canadians currently have the escape valve of private medical care in the US afforded to them at present , at least for the time being.

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Medical tourism not only has beneficial effects for patients treated or their families.  Medical tourism can be credited often with quicker access to medical care – in effect jumping the cue.  Medical tourism may also afford more privacy to patients in cases of cosmetic surgeries.   In addition medical tourism may also provide for care to be provided , due to reasons of cost so that treatment which may not of been affordable to the patient – either the surgery itself , or a fuller treatment or convalescent time is made available and within the budgets of the patients and their families.  Often as well somewhat of a vacation is provided to the patient and their families as an added bonus.

One often unstated and unappreciated benefit of medical tourism is to provide positive competition for medical care at home – this especially relates to the medical care in the United States – which is primarily a private , for profit , health care system.

Having an option of medical tourism provides competition to the standard health care systems.  We all know that compeition results in “things getting better”.   Whether in the case of lemonade stands,  the American automobile industry or medical care competition usually , if not always results in improvements in delivery systems , product quality and offerings and service levels.   Established players are put back in the game to “watch the ball”  or “watch the puck”.  The cannot get complacent.  If they have gotten complacent or even cocky – then there is a new kid in town to keep them alert .  In essence if you were referring to a controlling pseudo-managress with an attitude problem at your local bank – its as if you told her “there are no shortage of other banks to go “.

It can be said that under communism everyone had a job in Russia but no one had enough to eat.  Competition helps to keep everyone in check , productive and providing higher levels of service.

So is it with the positive effects of medical tourism even on medical treatment  “back home”.    Your health care coverage and costs may well benefit from medical tourism even if you never leave home or “the farm”.

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