Showing posts with label Medical Tourism. Show all posts
Showing posts with label Medical Tourism. Show all posts

Tuesday, July 22, 2008

No IVF please, we're British

An overwhelming majority of infertility patients in the UK said they would contemplate travelling abroad for fertility treatment, according to the first comprehensive study on the strength and motivations behind the fertility tourism industry. Among the 339 infertile patients who responded to an online poll conducted by Infertility Network UK, 76 per cent stated they would be willing to seek fertility treatment outside the UK with 70 per cent citing their reasons would be to avoid higher costs and long wait-lists at UK clinics. Infertility Network UK performed the survey for this year’s National Infertility Day on Saturday, 19 July 2008, when it announced its findings at a conference in central London.
Other popular reasons provided by the patients for why they might prefer to receive fertility treatment abroad were high success rates (61 per cent) and the greater availability of donor eggs and sperm (54 per cent). The UK has suffered a decline in the number of egg and sperm donors since removing donor anonymity by law in 2005. The 24 per cent opposed to treatment in overseas clinics were commonly concerned about lower standards, lack of regulation and language-barrier difficulties.
Clare Brown, Chief Executive of Infertility Network UK, blames the current ‘appalling’ difficulties - such as ‘postcode lottery’ arbitrary provision - that infertile couples face in Britain in order to access fertility assistance: ‘If the NHS funded three full cycles of treatment as recommended by NICE, many couples would not be forced to consider going abroad for treatment’, she said. She warned that regulations can be totally different for foreign fertility clinics and it is ‘absolutely vital’ for individuals to do ‘thorough research beforehand’.
Yet the study revealed an 88 per cent level of satisfaction from those who received treatment abroad, reportedly not only due to lower costs, shorter waiting-lists and successful pregnancy rates but also due to general staff attitude, atmosphere and state of the facilities. Clare Brown added that she hopes ‘that clinics in the UK take into account the findings of this survey and learn from the good experiences many couples have had at clinics abroad’.
Among those who were dissatisfied, 47 per cent experienced problems due to language and communication difficulties and 37 per cent due to unregulated practice. Prime Minister Gordon Brown stated, ‘The Government is working directly with Infertility Network UK, as well as experts in the NHS to ensure the needs of people with fertility problems are recognised and addressed’.
This Friday, 25 July, marks the birthday of Louise Brown, who was the world’s first IVF-conceived child born in England. Thirty years onward, roughly 3.5 million IVF-assisted babies have been born worldwide, averaging at least 200,000 annually. However, infertile individuals in the UK are among the least likely in the developed world to receive IVF with one of the lowest annual IVF performance rates in Europe - under 700 per million Britons. In 2005 just 1.6 per cent of total births were assisted pregnancies compared with rates of 3-3.5 per cent in Scandinavia.
A special-focus Economist article attributed the low statistics to the lack of public funding available and the low-priority ascribed to infertility as a medical condition in the UK. Only nine out of the 152 local primary-care trusts provide the three recommended IVF cycles. In 2005, two-thirds of the IVF cycles performed in Britain were privately funded.

Monday, July 2, 2007

Ayurveda, Eggs, Molars & Joints: The Indian Medical Tourism Story

Medical Tourism is a concept where a patient travels to another country for medical treatment in order to save costs, or get treatment faster or even to avail of better medical facilities. Most patients from countries like USA and UK travel to developing countries such as India for treatment because India offers some of the cheapest pricing options of treatment, offers a good holiday, there are no waiting lists or queues to stand in, the doctors are comparable to anyone in the world and finally, language does not pose a problem as most people speak English. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god, Asklepios, at Epidaurus. In Roman Britain, patients took the waters at a shrine at Bath, a practice that continued for 2,000 years. From the 18th century wealthy Europeans traveled to spas from Germany to the Nile. In the 21st century, relatively low-cost jet travel has taken the industry beyond the wealthy and desperate.
The Indian medical tourism is a developing concept whereby people from the world over visit India for their medical and relaxation needs. Most common treatments are heart surgery, knee transplant, cosmetic surgery, Donor Egg IVF/Surrogacy and dental care. The reason India is a favorable destination is because of it's infrastructure and technology in which it is at par with those in USA, UK and Europe. India has some of the best hospitals and treatment centers in the world with the best facilities. Since it is also one of the most favorable tourist destinations in the world, medication combined with tourism has come into effect, from which the concept of Medical Tourism is derived. As health care costs skyrocket, patients in the developed world are looking overseas for medical treatment. India is capitalizing on its low costs and highly trained doctors to appeal to these "medical tourists." Even with airfare, the cost of going to India for surgery can be markedly cheaper, and the quality of services is often better than that found in the United States and UK. Indeed, many patients are pleased at the prospect of combining their tummy tucks with a trip to the Taj Mahal. Price advantage is, of course, a major selling point. The slogan, thus is, “First World treatment’ at Third World prices”. The cost differential across the board is huge: only a tenth and sometimes even a sixteenth of the cost in the West. Open-heart surgery could cost up to $70,000 in Britain and up to $150,000 in the US; in India’s best hospitals it could cost between $3,000 and $10,000. Knee surgery (on both knees) costs 350,000 rupees ($7,700) in India; in Britain this costs £10,000 ($16,950), more than twice as much. IVF treatments in Western countries cost three to four times as much as in India.
Some estimates say that foreigners account for 10 to 12 per cent of all patients in top Mumbai hospitals despite roadblocks like poor aviation connectivity, poor road infrastructure and absence of uniform quality standards. Analysts say that as many as 150,000 medical tourists came to India last year. The reasons patients travel for treatment vary. Many medical tourists from the United States are seeking treatment at a quarter or sometimes even a 10th of the cost at home. From Canada, it is often people who are frustrated by long waiting times. From Great Britain, the patient can't wait for treatment by the National Health Service but also can't afford to see a physician in private practice. For others, becoming a medical tourist is a chance to combine a tropical vacation with elective or plastic surgery. And more patients are coming from poorer countries such as Bangladesh where treatment may not be available. Countries that actively promote medical tourism include Cuba, Costa Rica, Hungary, India, Israel, Jordan, Lithuania, Malaysia and Thailand. Belgium, Poland and Singapore are now entering the field. South Africa specializes in medical safaris-visit the country for a safari, with a stopover for plastic surgery, a nose job and a chance to see lions and elephants.
India is considered the leading country promoting medical tourism-and now it is moving into a new area of "medical outsourcing," where subcontractors provide services to the overburdened medical care systems in western countries. India's National Health Policy declares that treatment of foreign patients is legally an "export" and deemed "eligible for all fiscal incentives extended to export earnings." Government and private sector studies in India estimate that medical tourism could bring between $1 billion and $2 billion US into the country by 2012. The reports estimate that medical tourism to India is growing by 30 per cent a year. And I believe that gynecologists will just watch this opportunity rush past unless we intervene & interact with the government.