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Posted: Tuesday, March 19, 2013 12:00 am

Medical tourism's popularity by Americans is sound evidence that when one door closes another opens as a reaction. This industry has intensified and dramatically evolved thanks to President Obama.

Now that I am in Thailand, opportunity's door has opened and I am now thankful for the unintended consequence Obamacare created. I am in the process of opening an office in Thailand in order to take advantage of the demand for quality medical, dental and vision procedures that are performed in countries such as India, Singapore, China and Thailand at a fraction of the cost.

There are many American practitioners in these countries who have decided they can practice medicine and treat their patients better outside the constrictions of the tyrannical government control they experience in America.

Fortunately, HSAs (POP Health Savings Accounts) that Americans have embraced are utilized to perform surgeries outside the U.S. at a fraction of the cost. The quality of care is even better in many situations. Various organizations, such as International Society for Quality in Health-Care-accredited organizations, are in the process of developing standards the public can rely on.

I encourage everyone to educate themselves about alternate possibilities. You can attend various medical tourism conventions listed at www.imtj.com.

The sixth annual World Medical Tourism and Global Healthcare Congress will be held at Caesars Palace in Las Vegas from Nov. 2 through 6.

I also recommend Patients Beyond Borders as an outstanding resource for investigating quality international medical and dental care at affordable prices, at www.facebook.com/patientsbeyondborders.

Darrell Baumbach

Acampo

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Welcome to the discussion.

37 comments:

  • Thomas Love posted at 9:31 am on Thu, Apr 18, 2013.

    Thomas Love Posts: 4

    Darrell,
    These doctors are still coming to the US for further training. If the US were to go to a single payer health care system, you would see health care go from 17% of GDP to around 8%.
    Are you sure you are not in Thailand for other reasons?

     
  • Andrew Liebich posted at 7:56 pm on Fri, Mar 22, 2013.

    Andrew Liebich Posts: 2999

    Has Obamacare made the system more "available/affordable" to those currently excluded? NO. Most have already seen a increase of 6-10%.[sleeping]

    Do you know what happens to those who can't afford insurance Mr.Heuer?

    They are fined and/or imprisoned! [sleeping]

     
  • Andrew Liebich posted at 1:10 am on Fri, Mar 22, 2013.

    Andrew Liebich Posts: 2999

    How does a Joint Committee on Taxation report containing thousands of pages of IRS publications magically morph into "you claim"???
    [sleeping]

     
  • Thomas Heuer posted at 4:56 pm on Thu, Mar 21, 2013.

    nth degree wise Posts: 1650

    Kevin you are mixing apples and oranges here. Healthcare (the practice of) is separate from healtcare (the system). The system is limited in its availability and for many unavailable. Obamacare was not to change practices necessarily but to make the system more available/affordable to those currently excluded. Going to other countries for care is not an option for many but its nice you believe Obamacare should make that provision most can't afford. Sweet.

     
  • Kevin Paglia posted at 3:00 pm on Thu, Mar 21, 2013.

    Kevin Paglia Posts: 2080

    Wait, I thought the US had fairly miserable Healthcare. Isn't that why Obama had to step in and force everyone to be covered? Ranked 37th if I remember right. So why not go to one of the top ten countries for health care?

     
  • John Lucas posted at 2:46 pm on Thu, Mar 21, 2013.

    John Lucas Posts: 2730

    Stating the obvious will get you nowhere [smile]

     
  • John Lucas posted at 2:45 pm on Thu, Mar 21, 2013.

    John Lucas Posts: 2730

    [smile]

     
  • John Lucas posted at 2:44 pm on Thu, Mar 21, 2013.

    John Lucas Posts: 2730

    [smile]

     
  • Doug Chaney posted at 11:10 am on Thu, Mar 21, 2013.

    advocate Posts: 502

    It seems that had these people been properly insured, they wouldn't have to leave their own area for the best health care in the world?

     
  • Doug Chaney posted at 10:44 am on Thu, Mar 21, 2013.

    advocate Posts: 502

    Ms. Bobin, many insurance peddlers don't give you all the facts until you've signed on the dotted line.

     
  • Doug Chaney posted at 10:42 am on Thu, Mar 21, 2013.

    advocate Posts: 502

    Mr. Walters, very good points made. Most of these operations overseas, especially anything major, would not require a hospital after surgery, but follow up visits, which you state could be very hard to get a physician/surgeon to provide follow up care from a reputed physician/quack in some third world country, and then a period of recovery including physical therapy and possibly needing a physician to only write medication prescription for the patient.

     
  • Doug Chaney posted at 10:35 am on Thu, Mar 21, 2013.

    advocate Posts: 502

    Mr. Kinderman, I was under that this much needed health care program for all, or as the far right refers to it as "socialized" to imply that it may be communistic, was put out there with the intent to make changes as the program developed. It was acknowledged to be not so perfect program but a great start to health care for all in one of the richest countries in the world. the United States of America. Why is it the far right seems to be the main objectionists? Oh, I forgot, that's why the republican party earned the new nickname: the objectionist party, whose aim it is to see President Barack Obama fail at every effort he puts forth, although the majority of American voters polled are in favor of those issues. But, then again, the republican party, through their own admittance recently, doesn't recognize through their own bigoted rose colored sunglasses, that those with different skin tone than their super majority Caucasian don't fit into their party's way of thinking. But since the trouncing they took in the last election, they now have come to realize that they need those votes from the ethnic population, whom they now seemingly all of of sudden are pretending they just adore them.

     
  • Doug Chaney posted at 10:17 am on Thu, Mar 21, 2013.

    advocate Posts: 502

    Ms. Bobin, will they have a special policy covering std's in Thailand?

     
  • Doug Chaney posted at 10:16 am on Thu, Mar 21, 2013.

    advocate Posts: 502

    Mr. Lucas, insurance peddlers will be like the corrupted realtors selling houses during the boom, a dime a dozen.

     
  • Eric Barrow posted at 7:56 am on Thu, Mar 21, 2013.

    Eric Barrow Posts: 1584

    You claim there are 21 tax increases I simply asked for you to name one I don't understand why it would be hard to name one tax increase that affects the middle class. I read the document you suggested and I didn't see a tax increase that affects me so if you could point it out that would be great otherwise I will just assume you havn't read the document. I believe that you don't actually do any research yourself you just mimick what others say. So perhaps you could prove me wrong and point out what you are talking about.

     
  • Andrew Liebich posted at 12:20 am on Thu, Mar 21, 2013.

    Andrew Liebich Posts: 2999

    Wilful ignorance is the state and practice of ignoring any evidence that appears to contradict one's preconceived notions. This differs from the standard definition of "ignorance" - which just means that one is unaware of something - in that wilfully ignorant people are fully aware of facts, resources and sources, but refuse to acknowledge them.
    [sleeping]

     
  • Walter Chang posted at 3:54 pm on Wed, Mar 20, 2013.

    Walt Posts: 1159

    "I'm not sure if..."

    Baloney!

    "some posters here are deliberately trying to paint a bleak picture"

    That's standard operating procedure (SOP) around here!!

    Not American enough?

    Rant against it! (As allowed by LNS rules)

    Post biased stories from biased sources!

    Then try to look neutral.

    No strangers to the game have posted on this thread...

    So far!!


    [beam]

     
  • Kevin Paglia posted at 9:01 am on Wed, Mar 20, 2013.

    Kevin Paglia Posts: 2080

    I'm not sure if posters here are deliberately trying to paint a bleak picture of desease infested operating rooms when talking about medical tourism, or if it is their own prejudice against anything not "American" enough for them. But knowledge is a wonderful thing

    http://www.imtj.com/articles/2010/blog-is-medical-tourism-safe-40162/

    Research and information, an amazing combination.

     
  • Eric Barrow posted at 8:46 am on Wed, Mar 20, 2013.

    Eric Barrow Posts: 1584

    If there are 21 increases you shouldn't have any problem pointing out 1 that affects the middle class

     
  • Andrew Liebich posted at 8:27 am on Wed, Mar 20, 2013.

    Andrew Liebich Posts: 2999

    Exactly. [thumbup]

     
  • Andrew Liebich posted at 8:24 am on Wed, Mar 20, 2013.

    Andrew Liebich Posts: 2999

    Seriously Mr. Barrow? A "particular section?"

    The 96 page report I provided describes the 21 tax increases included in Obamacare.

    You may keep pretending your taxes haven't gone up but you are only pretending.
    [sleeping]

     
  • Walter Chang posted at 5:55 pm on Tue, Mar 19, 2013.

    Walt Posts: 1159

    Darrell...

    You're turning lemons into lemonade!

    Good for you.

    Thanks for the update but not for the spam!


    [smile]

     
  • Jerome Kinderman posted at 5:43 pm on Tue, Mar 19, 2013.

    Jerome R Kinderman Posts: 2365

    Of course it must be nonsense; just as nonsensical as it was when the bill was passed before anyone had a chance to read it or even begin to understand its ramifications - Nancy Pelosi's words, not mine.

     
  • Eric Barrow posted at 3:59 pm on Tue, Mar 19, 2013.

    Eric Barrow Posts: 1584

    I know Andrew I tried to get somebody to point out a partiular section that they were worried about even offered the table of contents so the could pick one section I should be worried about but no takers not you not Kim not Jerome. It's almost like someone told you guys you should be scared but you haven't really read it for yourselves.

     
  • Eric Barrow posted at 1:54 pm on Tue, Mar 19, 2013.

    Eric Barrow Posts: 1584

    couldn't agree more

     
  • Joanne Bobin posted at 1:31 pm on Tue, Mar 19, 2013.

    Joanne Bobin Posts: 4488

    And don't even think to ask where those body parts came from if you are in the market for a transplant!

    And I'm curious why Mr. Baumbach has not revealed that HSA's are only available to those who have a HDHP (high deductible health plan). In other words, those with a traditional HMO, or even a PPO with a fairly low deductible are not eliglble to open an HSA. In fact, most people with HSA's are at the upper level of income and can either afford better health coverage without having to open an HSA or go to a foreign country for health care.

    Seems like there is much more to this business of "medical tourism" than Mr. Baumbach is revealing - Monkey Business most likely.

     
  • Ed Walters posted at 1:06 pm on Tue, Mar 19, 2013.

    the old dog Posts: 605

    Mr. Barrow states and I have no reason to not believe his list of specialities at near bargain basment prices. Providing there was an absolute gurarantee of a 100% success rate, there isn`t enough flights to and from these countries for people wanting to save 50% on these surgeries. One slight set-back, after returning to the United States of high medical specialities, should that surgery fail and need to be looked at by a doctor, make arrangements to fly back to the country of the orginial proceedure since there isn`t a doctor that will take a chance looking at a doctors work from a foreign land. And before any operation, sign here before operating, if all goes wrong, who is to sue in a foreign country. That 50% savings can be used for a plot in a country of your choice.[sad]

     
  • Eric Barrow posted at 11:07 am on Tue, Mar 19, 2013.

    Eric Barrow Posts: 1584

    Thanks for the info Patients Beyond Borders (PBB) lists the top specialties for medical travelers as
    •Cosmetic surgery
    •Dentistry (general, restorative, cosmetic)
    •Cardiovascular (angioplasty, CABG, transplants)
    •Orthopedics (joint and spine; sports medicine)
    •Cancer (often high-acuity or last resort)
    •Reproductive (fertility, women's health)
    •Weight loss (LAP-BAND, gastric bypass)
    •Scans, tests, health screenings and second opinions.
    PBB states that the average cost per surgery is $3,000-5,000 with an average savings roughly at 50 % I’m not sure if a person can travel to and stay in these countries for $1,500 -$2,500 during a convelesence period but if you can than it looks like you can break even and get a free vacation in to boot. Success rates were not mentioned.

     
  • Eric Barrow posted at 10:39 am on Tue, Mar 19, 2013.

    Eric Barrow Posts: 1584

    I have included a cut and paste of the table of contents of the document you are refrencing could you please point to any part you see as a problem any one part will do but feel free to point out multiple problems.

    INTRODUCTION AND SUMMARY ........................................................................................... 1
    I. ACA PROVISIONS IN EFFECT AS OF 2013 .................................................................. 3
    A. Initial ACA Changes to Health Coverage ..................................................................... 3
    B. Tax Treatment of Medical Care Expenses for Individuals ........................................... 6
    1. Tax treatment for health coverage for children under age 27 ................................. 6
    2. Dollar limit on health flexible spending arrangements under cafeteria plans ........ 8
    3. Nondiscrimination safe harbor for SIMPLE cafeteria plans ................................... 9
    4. Increase in tax on nonqualified distributions from health savings accounts
    and Archer MSAs ................................................................................................. 12
    5. Change to individual itemized deduction for medical expenses ........................... 13
    6. Exclusion of over-the counter drugs from the definition of medical care ............ 13
    7. Exclusion of health benefits provided by Indian tribal governments ................... 15
    C. Provisions Affecting the Tax Treatment of Employers and Employer-Sponsored
    Health Plans ................................................................................................................ 18
    1. Credit for small employer health insurance expenses ........................................... 18
    2. Inclusion of cost of employer-sponsored health coverage on W-2 ....................... 21
    D. Other Provisions Affecting the Tax Treatment of Individuals ................................... 23
    1. Additional hospital insurance tax on high income taxpayers ............................... 23
    2. Tax on net investment income for high-income taxpayers ................................... 25
    3. Exclusion for assistance provided to participants in state student loan
    repayment programs for certain health professionals ........................................... 30
    E. Other Changes in Business Deduction and Credits .................................................... 32
    1. Limitation on deduction for remuneration paid by health insurance providers .... 32
    2. Repeal of deduction for expenses related to Federal subsidies for retiree
    prescription drug plans .......................................................................................... 34
    3. Modification of section 833 treatment of certain health organizations ................ 35
    F. Industry, Product or Service Fees or Excise Taxes ..................................................... 38
    1. Annual fee on branded prescription pharmaceutical manufacturers and
    importers ............................................................................................................... 38
    2. Excise tax on certain medical devices .................................................................. 41
    3. Study and report of effect on veterans health care ................................................ 43
    4. Excise tax on indoor tanning services ................................................................... 43
    5. Fees related to the Patient-Centered Outcomes Research Trust Fund .................. 44
    G. Tax-Exempt Organizations ......................................................................................... 47
    1. Additional requirements for charitable hospitals .................................................. 47
    2. Tax exemption for certain member-run health insurance issuers ......................... 51
    3. Tax Exemption for entities established pursuant to transitional reinsurance
    program for individual market in each state ......................................................... 54
    H. Other Revenue Provisions........................................................................................... 56
    1. Codification of economic substance doctrine and imposition of penalties ........... 56
    2. Elimination of unintended application of cellulosic biofuel producer credit ....... 59
    ii I. Disclosures to Carry Out the Reduction of Medicare Part D Subsidies for High
    Income Beneficiaries .................................................................................................. 61
    II. PROVISIONS BECOMING EFFECTIVE IN 2014 ........................................................ 64
    A. ACA Changes to Health Coverage Effective 2014 ..................................................... 64
    B. Premium Assistance Credit and Reduced Cost-Sharing for Individuals Enrolled
    in Qualified Health Plans ............................................................................................ 65
    1. Background on American Health Benefit Exchanges .......................................... 65
    2. Premium assistance credit ..................................................................................... 66
    3. Reduced cost-sharing ............................................................................................ 71
    4. Disclosures to carry out eligibility requirements for certain programs ................ 72
    C. Requirement to Maintain Minimum Essential Coverage ............................................ 75
    1. Tax on individuals without minimum essential coverage ..................................... 75
    2. Reporting of health insurance coverage ................................................................ 80
    D. Provisions Related to Employer Responsibility to Provide Health Coverage ............ 82
    1. Shared responsibility for employers ..................................................................... 82
    2. Reporting of employer health insurance coverage ................................................ 87
    3. Offering of qualified health plans through cafeteria plans ................................... 89
    E. Imposition of Annual Fee on Health Insurance Providers .......................................... 90
    III. EXCISE TAX ON HIGH COST EMPLOYER-SPONSORED HEALTH
    COVERAGE .....................................................................................................................93

     
  • Kim Parigoris posted at 10:32 am on Tue, Mar 19, 2013.

    Kim Parigoris Posts: 470

    There are none as blind, as those who will not see....Facts are stubborn things, and really muddy the water for the folks who bought (and are still buying) the lies..

     
  • Kim Parigoris posted at 10:30 am on Tue, Mar 19, 2013.

    Kim Parigoris Posts: 470

    Thank you for that information Mr Baumbach..It is refreshing to hear some facts and useful information instead of the usual partisan jibberish, based on rhetoric, misinformation and indoctrination. I can not wait to hear what these folks have to say about the Healthcare bill in a couple years.

     
  • John Lucas posted at 9:26 am on Tue, Mar 19, 2013.

    John Lucas Posts: 2730

    Nonsense

     
  • Andrew Liebich posted at 9:05 am on Tue, Mar 19, 2013.

    Andrew Liebich Posts: 2999

    The Joint Committee on Taxation recently released a 96 page report on the tax provisions associated with Affordable Care Act. The report describes the 21 tax increases included in Obamacare.

    http://waysandmeans.house.gov/uploadedfiles/jctpamphletmarch4.pdf

    Wilful ignorance is the state and practice of ignoring any evidence that appears to contradict one's preconceived notions. This differs from the standard definition of "ignorance" - which just means that one is unaware of something - in that wilfully ignorant people are fully aware of facts, resources and sources, but refuse to acknowledge them.

     
  • Andrew Liebich posted at 8:54 am on Tue, Mar 19, 2013.

    Andrew Liebich Posts: 2999

    But the 2.3% Obamacare tax on medical devices doesn't "gouge the American public in the name of “Freedom."
    [huh]?

     
  • Jerome Kinderman posted at 8:34 am on Tue, Mar 19, 2013.

    Jerome R Kinderman Posts: 2365

    Reality is at what cost are these 30 million Americans going to receive their healthcare? That's what we're starting to understand now that Nancy Pelosi and the rest of us are being permitted to see what was in that very controversial bill that neither she nor too many other members of Congress took the time to understand themselves. By the time it's all said and done, those 30 million probably won't be able to afford it and they'll find themselves penalized because they don't want it.

     
  • Joanne Bobin posted at 7:16 am on Tue, Mar 19, 2013.

    Joanne Bobin Posts: 4488

    Good commentary, Mr. Lucas.

    Now that Mr. Baumbach has joined the fight to make Thailand a haven for "medical tourism," perhaps that country's reputation for every type of deviant sex tourism and human trafficking will be overshadowed - or at the very least - a "one-stop-shop" - enjoy the variety of sexual deviance available and then get low cost treatment for the consequences.

     
  • John Lucas posted at 6:55 am on Tue, Mar 19, 2013.

    John Lucas Posts: 2730

    The title of this letter to the right wing roundup leaves me with a smile. I notice it did not say good or bad information.

    Mr. Baumbach would have us believe that “This industry has intensified and dramatically evolved thanks to President Obama.” It is because of Obamacare that over 30 million more people will be covered by health insurance. Somehow this will send people overseas to get medical care. The reality is that when fully implemented Obamacare will put a big dent into these foreign medical industries. Mr Baumbach, as usual, has a problem with reality.

    These industries overseas have been growing dramatically long before Obama ever took office. They are a result of the United States having one of the worst health care systems in the world. We could pick any of the healthcare systems of other modern industrial countries and have universal coverage at a fraction of the cost. We could easily save a trillion dollars a year in health dollars spent. We do not do that because medical device makers, the health insurance companies, the drug industry etc through their lobbyists and bought off legislators( all Republicans and some Democrats) have fought for the right of the health industry to gouge the American public in the name of “Freedom”. Meanwhile we rank 37th in the world in medical outcomes, 52nd in the world in lifespan and pay more than double than anyone else for the privilege.

    Do not blame me. I have never voted for a Republican.

     

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