I’ve posted previously on the topic of medical tourism, that growing health care field where people travel to a country such as India or Thailand for medical treatments because the care is both excellent and inexpensive. But while it’s a great deal for Westerners or others who get quality care for less than it would cost them at home, the reality is that the same level of care is not always available for locals, as this article in the International Herald Tribune notes.
“To get the best care,” Robin Steeles said gamely, “you gotta pay for it.”
Steeles, 60, a car dealer from Daphne, Alabama, had flown halfway around the world last month to save his heart, at a price he could pay. He had a mitral valve repaired at a state-of-the-art private hospital here, called Wockhardt, and for 10 days, he was recuperating in a carpeted, wood-paneled room, with a view of a leafy green courtyard.
A dietician helped select his meals. A dermatologist came as soon as he complained of an itch. His “Royal Suite” had cable TV, a computer and a minirefrigerator, where an attendant had that afternoon stashed some ice cream, for when he felt hungry later. Three days after surgery, he was sitting in a chair, smiling, chattering, thrilled to be alive.
On his bed lay the morning’s paper. Dominating its front page was the story of other men, many of them day laborers who laid bricks and mixed cement for Bangalore’s construction boom, who had fallen gravely ill after drinking illegally brewed liquor. All told, more than 150 died that week, here and in neighboring Tamil Nadu State.
Not for them the care of India’s best private hospitals. They had been wheeled in by wives and brothers to the overstretched government-run Bowring Hospital, on the other side of town. Bowring had no intensive care unit, no ventilators, no dialysis machine. Dinner was a stack of white bread, on which a healthy cockroach crawled while a patient, named Yelappa, slept…
Where you stand on the Indian social ladder shapes to a large degree what kind of health you’re in, and what kind of health care you receive.
The irony, which the writer points out, is that while Mr. Steeles was able to get excellent treatment in India, he went there only because he fell through the cracks of the U.S. health care system. In their own ways, the systems of both countries were failing to meet the needs of all their citizens.
…as far apart as they were, their tales followed a somewhat parallel plot. The American health care system could no more care for Steeles than the Indian system could for Amin.
Steeles came here because he is uninsured and could not afford heart surgery in the United States, he said, without liquidating most of his assets. After five months of research and e-mail messages to doctors worldwide, he chose a heart surgeon here in Bangalore.
“I’m over here for a fraction of what I would have paid in the United States,” he said. “In my personal situation, I’m just delighted I took the road that I did.”
Steeles’ Royal Suite, incidentally, is available to anyone, Indian or foreigner, who can pay for it. After his stay here, he would move to a room at a private club for 16 days of further recovery, before flying home. All told, he said it cost him about $20,000, a tenth of what he would have paid at a private American hospital.