While it is true that many in the US choose or almost forced by economics to seek health care outside the US it was their choice.  Medical tourists who had cash and wealth – King of Jordan , foreign politicians , oil sheiks did not choose anywhere else generally but the US – be it the Mayo Clinic , John Hopkins or other such respected venues. US health care may of been expensive to many – yet it was available and set the standards of excellence , as opposed to British health care or E.U.  Even though most of the health care institutions overseas are touted as “high quality”  or “as good as “  no one sets these as the highest standard to compare to.

Note the following article of the health care cuts – to the most needy of top of that – by the bureaucrats of the upcoming US socialized non-socialized medical system.

If you have any sense that you may be getting sick in the years ahead, I suggest you get sick immediately. If you will be in need of surgery or any other medical procedure, do it now! If not immediately, be certain that you hand yourself over to the health care professionals before Oct. 15 of this year. That is the date on which President Barack Obama hopes to sign his health care bill once it has gone through the congressional baloney grinder.

At the heart of President Obama’s plan is his stated goal to cut medical costs. That might sound good to you, but it means cutting services, nurses, technicians, medical tests and, most prominently, the use of expensive technology. The president’s top medical advisers are quite frank about this. Dr. Ezekiel Emanuel, brother of Rahm Emanuel and a health policy adviser in the Office of Management and Budget, has chided Americans for the expense of their being “enamored with technology.” Dr. David Blumenthal, another key Obama adviser, charges medical innovations as being responsible for fully two-thirds of the annual increase in health care spending. Their solution is to limit expensive innovations. A 2008 Congressional Budget Office report agrees with their cost analysis but concludes happily that such innovations “permit the treatment of previously untreatable conditions.” As I shall show, there are more humane ways to cut health care costs.

Also at the heart of President Obama’s plan is the restriction of services for people 65 and older, who by virtue of modern medicine may actually be 10 to 15 years younger in terms of good health than they would have been a generation ago. Alas, they still have higher health risks and costs than younger people. Thus, they are going to bear the brunt of the Obama administration’s cost cuts, for 27 to 30 percent of Medicaid spending is spent for caring for people at the ends of their lives. With the government taking over more of the nation’s health care costs under the Obama regime, it already has been decided that government monies are spent more economically on younger people than on older people. If a 65-year-old needs the cost of a hip replacement covered, the government will say it would better spend that money on a younger person, whose hip will last longer. Or perhaps the government will decide the money is better spent on preventive medicine for younger people.

In the federal stimulus legislation that the president signed Feb. 17, we find funding for a Federal Coordinating Council for Comparative Effectiveness Research. “Comparative effectiveness research” is a term used by economists in health care for making health comparisons based often on age, which leads to limiting care based on a patient’s age. In Great Britain, comparative effectiveness research is actually used to deny patients treatment for age-related diseases, such as heart disease and macular degeneration. When the federal stimulus bill was going through Congress, there were warnings regarding the consequences of comparative effectiveness research. Rep. Charles Boustany Jr., a heart surgeon, warned that it would lead to “denying seniors and the disabled lifesaving care.”

Yet the policy remained in the bill, along with requirements for doctors’ offices and hospitals to maintain databanks on patients while creating a national network to monitor patients’ care. The good side of that is that a central database can send out the latest information on treatments, though doctors who keep up with their medical journals already know about these treatments. The dark side is that it will allow the federal government to control how our doctors treat us. The bill speaks of “appropriate” and “cost-effective” care and provides penalties against doctors, beginning in 2014. Now there is an Orwellian twist to the Obama promise of “hope” and “change.”

As Betsy McCaughey has written in a groundbreaking analysis of the Obama health care proposals, Draconian cost-control measures are not the answer to health care reform, and they are based on erroneous data. Health care’s spending increases over the past five years have been about half what they were in the recent period before that. Average family spending on food, energy and health care has remained the same for decades. Moreover, contrary to myth, there are not 47 million uninsured Americans, but actually about 22 million. Rather than pass a health care reform that mercilessly would limit health care to older citizens (and to chronically ill citizens) while still increasing federal expenditures by at least a trillion dollars, she suggests a modest reform, to wit, debit cards for the uninsured and the needy.

Appearing in a recent installment of Spectator.org, McCaughey wrote, “Providing sliding scale assistance, based on household income, to families to purchase . coverage would cost $20 to $25 billion a year.” That is one reform that would deal with our present problems. There are others, which I shall take up in later columns. What we do not need is Orwell’s Big Brother overseeing the rationing of health care to senior citizens, particularly senior citizens with years of life ahead of them.

http://www.jewishworldreview.com/cols/tyrrell061809.php3

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It is true that many patients who are in dire straights are not  given a choice.  They are deathly ill or without other access and must take what they are given.

In spite of its apparent costs the beauty of the American system is that is available.  Costs are what they are , however when oil sheiks need treatment – and money is no object – where do they run – its to the US.  Its not even to “private British hospitals ” nowadays.

Hence the American medical system remains an escape valve .  If a patient in dire straights in behind the ques in a country with socialized or limited medical care he or she can always go to the States for treatment.  Money has limited value if you are dead or in no shape to enjoy its mettle.

The interesting thing is that although Canada is held up as a model of available medical care with a socialized medical care system that when major political figures – not even the wealthy , have serious illness , its to the US that they run in a snap.  This is so widely reported and so common , Canadians ( who may well be in a treatment ques for an extended period for serious or debilitating medical illness )  do not even bat an eye towards this and question it.  Nothing much that can be done when it comes to the slowness of the medical system and all its bureaucracies .

Thus in spite of its failing , high costs etc the value of the American medical system , among other paradoxes is that it remains a good safety valve – available always when needed and in addition providing pressure as a good example in point to other less available or efficient medical systems of the world.

TheSpec.com – Local – Hotline will find you family doctor – A doctor shortage exists partly because in past years there were not enough students taken into medical schools to make up for those who were retiring. Also, Ontario’s population has grown, among other factors. …

HealthZone.ca – News & Features – New hotline to find MDs – A doctor runs through the medical history of a new patient on her first time visit to a health clinic in Toronto. Studies indicate that nearly one in every 13 Ontario residents does not have a regular family physician. … Natalie Mehra, director of the health-care advocacy group, the Ontario Health Coalition, said the doctor shortage is a “big problem” all over the province, particularly in Kingston, Windsor, Sarnia, Brockville and northern Ontario. …

Doctor Shortage? – We all know there is a doctor shortage in the US. There aren’t enough doctors to care for the patients. Especially, primary/family doctors. The bottleneck is said to be in the number of available residencies and rotations. …

Hospitalists,nocturnalists,admitologists,anyone rember personal … – A recent perceptive,poignant, essay has attracted the attention of two of my favorite medical bloggers. Dr. RW and DB have both blogged about this entry by Dr. Cherie Glazner. At least the patient described in the narrative saw a …

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In many cases the reasons for choosing medical tourism and having a medical or surgical assessment or procedure done outside your home catchment area involve questions of cost and economy. In other cases its to get the procedure done more rapidly ( to jump the que) . In the cases of a business person they can often more than justify costs spent in terms of return on their income – not being disabled or inconvenienced by a surgically repairable illness or to linger with a given medical condition. In other cases the procedure may be done away from home for reasons of privacy and confidentiality.

Remember that in the end its your health and life that is on the line. Unless standards and what one might call”workmanship”- in both technical expertise of the medical staff – including doctors , specialists , nursing and hospital staff etc, is not up to “snuff” , then the whole exercise will be a wasted effort , false economy. Potentially it can even be a tragic or even lethal result for yourself or members of your family.

First of all remember that traveling abroad to get medical care goes both ways. The door swings in both manners. When among the most wealthy in the world , say for example oil sheiks , need medical care , the choice , more often than not , are prestigous American medical and hospital facilities such as the Mayo Clinic or Rochestor Minnesota , or John Hopkins in Baltimore Maryland. The United States and its medical system is a very common and standard destination for people of means and wealth who seek what they perceive and regard as the very best care in the world for particular health problems and concerns. Indeed for these people of wealth and/or power , money is of no object – its the highest level of health care that they seek.

Medical tourism is not new. While the term “medical tourism ” may be of recent origin the whole idea of traveling abroad to seek less expensive or more rapidly available medical care is not. Some can even trace the original concepts and practices of what we now regard with the standard term of “medical tourism” all the way back in history to the ancient Greeks.

It all sounds great . Medical tourism seems on the surface to be a win-win situation for those patients and customers who wish to avail themselves of these services. The patient gets served and serviced. They get their medical needs taken of at less cost , or quicker. In the process they both save money , have their procedures completed. On top of that they may have a “free” enjoyable vacation and may reside in hospitals with decor , food and service levels akin to that of a 5 star hotel.

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