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What are the ethical issues of health care for the local patient in medical tourism destination communities and countries?

What are the ethical issues of health care for the local patient in medical tourism destination communities and countries?
Author: Habibur Rahman
1 Commentries
Abstract

This paper discusses the social ethical of medical tourism in developing countries as well as some few understanding of the winners and the losers within the medical tourism. Furthermore it also discusses the ethical issues of health care for the local patients in medical tourism destinations and its communities.

Keywords,
Medical Tourism, developing countries, the winners and the losers, ethical issues of health care and the local patients.

Summary:

Patients with high level of health problems or tourists with the purpose of getting surgeries for own personal reasons tend to leave their current home town and their country too gain access to unavailable medical treatments or health care services in different regions. In popularity the growth of medical tourism is rapidly growing and has a substantial amount of attention towards medical tourists and the patients. The medical travellers from USA, Europe or across any other nations or borders are motivated and driven to fly away to a different destination where it’s cheaper for the treatments and have faster health care services. Number of patients from USA, UK or Canada tends to travel abroad because they have issues with the health care services in their own home country due to the high level of costs, the lengthy time periods or a lack of availabilities and novelty. (Snyder, J, 2010).

In South Asia and Asia such as India, Thailand, Singapore and Malaysia, the medical health care has been expanding substantially as the tourism health care industry has been developing for lucrative business opportunities for the country. (Nicola S and Kai Hong, 2012). These countries are capitalising their reputation as a tourism destination by facilitating a high quality of medical services at competitive prices for tourist outside their countries. Medical Tourism happens to creates solution for the people who are seeking lower cost with a high quality care elsewhere, where they cannot find it at home. These type tourists may be an uninsured or underinsured for medical purchases when health care are insufficient or unavailable in their country. The medical tourism industries in some Asian countries such as China, Thailand, Indian and Malaysia have the immense amount of tourists travelling to their country for better care and cure. The growths of these medical industries in these countries are known to be specialised in treatments. In Thailand they provide one of the highest standards of cosmetic surgeries, in India they have several specialities of treatment for instance neurology, orthopaedics, and cardiology and in China they often tend to combine their treatment with their traditional Chinese medications by few touch of culture to the medical tourism industry. Furthermore in developed countries the medical tourism has increased its value due the rising demands of health care, crossing boarders, medical exercises and continuous air travels. Moreover, medical tourism has several procedures which benefit the local developing countries. Most of the medical tourism destinations are profited by the economy and the income the tourism industry brings to the country.

There are few issues that are associated with the medical tourism industries. Although it has many advantages for participating in medical tourism for the low cost of medical treatment with better service and with high quality of health care, the risks can have legal and ethical issues amongst the local people who are currently already living in the country. (The Guardian, 2012). Many researchers and scholars have indicated numerous concerns towards the medical tourism industries. The ethical issues that a concern with the medical tourism potentially has impact on both patients and the communities. Due to the lack of communication the medical tourism may have an effect on patient’s health and may risk the insufficiency of informed consent of medical care. Furthermore the issues around medical tourism can have a huge impact due to the illegal purchases towards medical treatment and operations. Also increasing the sales of medical care to prioritise the better facility of health care to provide more productive care for tourist who travelled from different countries with high hopes of special treatment and care. However the reorientation of health care may reduce access to health treatment for local patients in medical tourism destination communities. In India, the medical tourism has several powerful influences where there are some local residents that can afford to cover the expense for their medical care immediately while there are some parts of India where poorer people either have to wait in the queues for medical care or they do not have enough money to pay for their medication. The quality of care is a serious concern however the medical tourism organisations usually sort out the arrangements through international hospital as the quality of health care around the world is adjustable. (Turner L, 2007). Some researchers have previously argued that the tourists who are seeking for medical care might increase the expenses of the medication from the same care for the locals, who can just about to afford it. This means if the healthcare facilities only specialize in treating the tourist, it could pull away the local doctors from their local patients. Furthermore the arrival of tourist could increase the chances of delays or waiting time for the local people, which medical tourism already raised concerns about health equity in countries like India, Thailand Singapore and Malaysia, this could worsen the inequalities that are already present. (Ethical & Social Issues of Medical Tourism, 2014).

References:

Miles, S. (2014). Ethical and Social Issues on Medical Tourism. Available: http://trip4care.com/ethical-and-social-issues-on-medical-tourism/?utm_source=rss&utm_medium=rss&utm_campaign=ethical-and-social-issues-on-medical-tourism. Last accessed 2015

Milica, Z and Karla, R (2007). Medical tourism in developing countries. England: PALGRAVE MACMILLAN.

Nicola S and Kai Hong Phua. (2011). Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia. Globalization and Health.

Snyder, J. (2010). What is known about the effects of medical tourism in destination and departure countries? A scoping review. Available: http://www.equityhealthj.com/content/pdf/1475-9276-9-24.pdf.
Turner, L. (2007). Family medicine and international health-related travel. Available: http://www.cfp.ca/content/53/10/1639.short. Last accessed 2015.

Turner,L (2007). Medical Tourism. McGill University: Biomedical Ethics Unit.

presenting more facts and figures is the key
Author: Zoe Louise Humphreys
The issues raised in this report are on point, there are a number of issues surround the health tourism sector, however the sector needs to be defined more. Meaning explaining what is meant by the term health tourism and what tourists are travelling for? Examples of health tourism cosmetic surgery, cancer, weight loss, second opinions just to name but a few; with including fact and figures from USA, UK and Canada that were mentioned. Moreover try to include which is the most popular form of health tourism, where it is taking place and why they seek such care from other counties that they unable to receive at home?
Furthermore how big the market for health tourism is and how much economic income does it bring into the less economical developed countries? All the disadvantages mentioned such as the development of medical centres or hospitals, what direct affects is this having on the local communities? Are the companies creating job and proving an excellent service of health care for both locals and tourists? Or are they in fact losing out on health care and made live in poverty? If they cannot afford health care what do the locals do in order to seek it? Leading to facts and figures need to be stated to local that can and cannot afford health care in order to support your argument.
On the flip-side a key concept could be how immigration has an effect on the NHS in the United Kingdom, due to immigration being a current political issue. There are statements suggesting that the NHS is due to take cuts to its GPs and nursing staff, in order to save money. However a key issue is when people visit the UK for varied reasons, such as work, study, going on holiday or seeking asylum, are entitled to some free NHS services. These include GP services and A&E treatments, which are free of charge for anyone, regardless of how long they have been in or intend to stay in the United Kingdom. This is a major issue within the UK, which also has a domino effect putting strain on the local economy, pressure on the NHS service and having a negative effect on the local communities seeking health care that they are entitled too.
A case study on one particular country would have supported their argument more, focusing on one particular less economically developed country; supporting it with facts and figures make it hard for others to argue their case against.