More people traveling to Malaysia to go under the knife

One type of tourism has managed to thrive despite the poor global economy. The prevalence of medical tourism is on the rise in countries like India and Malaysia.

Think that it is a little extreme to go under the knife abroad? Consider this: depending on the procedure, surgery in Malaysia can cost half of what it does in the US or UK. Many doctors in Malaysia are foreign trained and facilities are world-class. The rate of patient infection at clinics and hospitals in Malaysia is much less than it is in the UK.

Last year 341,288 foreign patients came to Malaysia for its medical services. Projections show a 30% increase each year over the next several years.

Who are these medical refugees? People without insurance, people whose insurance won’t cover a procedure, or those who want surgery for cosmetic purposes. In countries with socialized medical care, the wait list can be several years long. In Malaysia, minor surgery can be arranged and performed in a day or two. If health care costs in the west continue to rise, look for Malaysia’s medical tourism industry to grow with it.

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“Fertility Clinic Tourism” on the Rise in India

Relaxed regulations and cheap costs have made India a hotbed for in vitro fertilization (IVF). Couples looking to conceive through artificial means are coming from all over the globe to take advantage of these fertility services. The Indian Society for Assisted Reproduction (ISAR) claims that there are nearly 400 fertility clinics in the country. These were visited by 30,000 patients in the past year. According to some doctors, half of their patients come from overseas. And why not? Quality IVF procedures at a clinic in a major city like Mumbai cost about one-third of what they do in the US. Even after airfare, a couple stands to save thousands of dollars.

The boom means that there is a big demand for egg donors, who can earn between $200 and $1000 per donation. Medical tourism, in general, is on the rise in India. Elective procedures cost a fraction of what the do in the US and Europe and most top Indian doctors have been trained in Western medical schools, meaning their skills are on par with the best American and European surgeons. Because of these factors, India expects medical tourism to account for $2 billion in revenue by 2012.

My Bloody Romania: First stab at medical tourism

Being a homeless, shameless, godless freelance travel writer isn’t all glamour, Nike endorsement deals and Friday nights at the Viper Room canoodling with Natalie Portman. There are innumerable indignities associated with this lifestyle, including the startling, nay shocking, confession I am about to make: I have not seen a dentist in over four years.

Now rest assured that during this time I have been brushing and flossing with a ferocity only known to those who have no health insurance and little disposable income, who occasionally suffer the odd nightmare where his teeth crumble into shards while biting into an apple and Natalie Portman abruptly decides that she wants to see other people.

Even so, after four years, punctuated with occasional mysterious aches and an increased sensitivity to ice, I felt compelled to finally see a dentist. Romania may not be the first destination one thinks of when considering medical tourism (or even the 50th) and indeed, generally speaking, one shouldn’t. Pretty much all of the competent doctors leave here at the first opportunity for better pay and a lifestyle where a trip to the post office to pick up a package isn’t a half day ordeal. Even President B??sescu couldn’t find a doctor he trusted to repair a herniated disc last year, choosing to get the work done in Vienna. But dentists are another story. Since it’s not nearly as easy for them to find work abroad, even the Jedi Knights of Romanian dentistry are more or less stuck here (though EU membership may change all that).

So with a solid recommendation from friends, I brushed and flossed one last time and walk across town to my appointment.

If one chooses to fixate on aesthetics, they might become a tad nervous upon arrival at their Romanian dentist’s office. The ‘reception area’ did not have the soothing 50 gallon aquarium or three months of People magazine or even lights (there was a ceiling light, but it was turned off – natural light from the windows was sufficient as long as one wasn’t trying to read a book or scrutinize their bill). It was simply a tiny, bare storefront space, with two tired plants, four chairs and reading material that consisted of mail catalogues from the local superstore. There was no reception desk and, indeed, no receptionist. Just a frosted door from where the dentist herself occasionally emerged to call in the next patient.

The tiny room was filled with people, some walk-ins cupping their jaws and others with flimsy ‘appointments’ that were more wishful than abiding – I was invited in 45 minutes after my scheduled time. Inside, the office wasn’t much better. Again, no lights apart from the overhead lamp she used to illuminate my mouth. The walls were bare, the only decoration being two tiny, but encouraging pictures of the Resurrection of Jesus clipped to the x-ray light-board.

After truncated pleasantries (which she unexpectedly did in English), she went to work with the iron hook, gouging at my hard-to-reach places. After a quick spit, she fired up the tooth polisher for some nippy work ‘only where it was necessary’. Though her spoken chair-side-manner wasn’t winning any Florence Nightingale awards, she, like her busty American counterparts, was not shy about cradling my head, squished deep into her left breast. Better than any anesthetic.

Fourteen minutes was all she needed. Never cracking her deadpan disposition, she informed that I have no cavities [punches air] and that it would take about an hour for the underwire mark in my cheek to fade.

Total cost for cursory check-up and hasty teeth cleaning: RON30 (US$12.36). If one is less valiantly hygienic than I am, one might like to know that getting a tooth pulled will run an additional RON25 (US$10.30) and getting a tooth filled should be about the same. I wonder if dental care prices in America would be similar if they cut out the aquarium, People magazine, the team of receptionists and superfluous mood lighting?

So, my fellow budget travelers and destitute freelance writers, probably best to save your LASIK surgery for Thailand, but in the meantime you can get have a professional attend to minor-to-moderate dental issues in Romania with the same confidence you would at home. Like anywhere in the world, dentists’ offices (‘stomatologie‘) are on virtually every block, so just shop around until you see a door you like, or if possible, get a local to give you a referral. Be sure to crack a joke while you’re at it and take discreet note of their smile.

Leif Pettersen, originally from Minneapolis, Minnesota, co-authored the current edition of Lonely Planet’s Romania and Moldova. Visit his personal blog, Killing Batteries, for more amateur medical solutions and reminiscing about his innumerable relationships with movie stars, even if they all deny ever having known him, while deep down still longing for his red hot smokin’ body, aren’t you Natalie?

The Doctor is Out

Thailand used to be a destination for exotic travel, perhaps even for sex travel. Now, it is a well-established member of the ever-increasing ranks of surgery destinations. Yes, travel is not just for the well or even the well-heeled, now it’s for the wellness-seeking. too. It’s not just cosmetic surgery, either. While cosmetic surgery comprises about 80% of the travel, laser eye surgery and fertility treatments make up reasons to travel, too.

A while back, our own Erik Olsen blogged about a crazy offer to get extra frequent flyer miles to get your eyes done, and also posted an article by Casey Kittrell about medical tourism. Then, earlier this year, I wrote an article about growing cosmetic surgery tourism to the Czech Republic. Since then, the pace of this traffic has exploded, and the places have gotten even more exotic. So much so, it’s worth revisiting this issue: according to the National Coalition on Health Care, over half a million Americans left the country last year for medical or dental work. A recent article even noted a man sent by his North Carolina company to New Delhi, for gall bladder and rotator cuff surgery, to save $50,000!

Tired of travelocity? A host of surgery-tourism companies have set up shop all over the internet. Costmeticsurgerytravel.com squatted on a good web address, offering “medical travel concierge” service, as well as assurance that the doctors in foreign lands are “appropriate for your procedure or treatment.” Prague a little to run-of-the-mill for you? Try Tunisia, for example, through Cosmeticatravel.com. Or Turkey or El Salvador, through Medretreat.com. Or Brazil, through Medicaltourism.com. A quick google search turns up a page-topping, paid ad for medical tourism to “Bumrungrad” hospital. Is that where you get that hemorrhoid treatment done?

Follow up: The NY Times just posted an article on the same topic.