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Uninsured Americans traveling to Panama for health care
U.S. residents are trimming exorbitant medical bills by visiting Panama clinics
By Doreen Hemlock | South Florida Sun-Sentinel
September 23, 2007
PANAMA CITY, Panama - Americans are traveling abroad for medical care like never before and now looking to Panama as a destination to cure their insurance woes, high prices and delaysfor treatment back home.

This Central American nation touts U.S.-trained doctors, high-tech hospitals and costs far below U.S. rates to attract Americans for services from dental implants to hip replacements. It also promotes its location near U.S. shores.

"In the beginning of medical tourism, Americans went to distant places like Thailand and India. It seems logical the next step would be Latin America — closer to the United States and more similar in culture," said Panamanian dentist Richard Ford, who studied at Louisiana State University and leads a medical tourism group, Pana-Health.

Related links
Why many are turning to Panama for medical treatment Video
Medical Tourism
So far, Panama attracts only hundreds of U.S. patients a year, doctors estimate, but the potential for growth is huge.

With roughly 47 million Americans lacking health insurance, millions more underinsured and U.S. health care costs skyrocketing, many can no longer afford medical care in the United States.

About half a million Americans traveled overseas for more affordable health care in 2006. And that number is rising at double-digit rates, spurred by easier travel, Internet communications and a growing support network from health travel agencies to blogs, according to the recently formed Medical Tourism Association in West Palm Beach.

U.S. employers are starting to catch on. Some now provide health insurance that covers workers who get medical care abroad. United Group Programs of Boca Raton, for instance, offers the coverage to help employers trim rising health costs for their workers, according to tourism association reports.

Hospitals worldwide are vying for the surging business, too. Many seek certifications to boost their allure for Americans and other foreign patients. The Joint Commission International, an arm of the nonprofit group that accredits U.S. hospitals, accredited more than 120 hospitals from Brazil to Turkey in the past few years. And it just opened offices in the Middle East and Asia to handle rising requests.

At least one hospital in Panama is seeking the commission's accreditation: the year-old Punta Pacifica Hospital affiliated with the prestigious Johns Hopkins medical center in Baltimore. The 65-bed Punta Pacifica expects international patients to account for as much as 80 percent of its business within several years, up from 30 percent today, chief medical director Rolando Bissot said.

Visitors at the new hospital get high-tech attention. In the lobby, patients can use a computer touch-screen to check in, either in English or Spanish. New medical equipment, mainly from General Electric, includes a "4-D"sonogram, so pregnant women can take home a DVD that shows their unborn child moving, rather than a photograph.

Americans aren't the only foreigners checking in.

With U.S. entry visas harder to get since Sept. 11, 2001, some patients from Latin America and the Caribbean who might have sought care in South Florida are turning to Panama.

"The problems with visas in the United States have turned out to be a benefit for us," said Pana-Health's Ford.

Panama revved up its marketing for American patients in 2003 when about a dozen U.S.-trained doctors joined with a local travel agency to promote their services internationally. The doctors formed a review committee to vet credentials of applicants and since then have expanded to about 100 professionals. Inquiries to their Web site are rising by about 30 percent a year, Ford said.

Most Americans contacting the group are older than 40, not Hispanic and lack insurance for their medical procedures. Those who come to Panama generally travel with a friend or relative and stay about a week. Most pay cash for treatments that range from face lifts to in-vitro fertilization. Doctors' fees tend to run about half the cost and hospital stays 80 percent less than U.S. rates, Ford said.

"Other countries may be cheaper, but we offer state-of-the-art equipment and care," said Ford, his BlackBerry device near his computer.

Many Americans living in Panama laud the quality of Panama's top doctors, even bringing their U.S. relatives down for treatment.

Lauretta Bonfiglio, a U.S. restaurateur who relocated to the mountain town of Boquete, recently helped her mother from Montana get a root canal. U.S. dentists had turned down the treatment, citing her mother's age as complicating insurance coverage. Bonfiglio made arrangements with a dentist in Panama and paid $250, far less than a root canal would cost in the states.

In Panama City, retiree Catherine McCabe said she found an able replacement for the dental specialist she had used in Beverly Hills, Calif. She's thrilled with the diabetes care her husband receives. Four specialists attended to him for more than two hours recently. And she's delighted to routinely receive the cell-phone and home numbers of her Panamanian doctors, who will make house calls if needed.

"You're not a number. They look you in the eye and care about you as an individual," she said. "I don't find that in U.S. health care."

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Replies 1 - 10 of 13
Very interesting alternative to the high cost of health insurance in the US; I can sympathise with you since I am a US expat living in Thailand for the past 23 years. American sources will advise you against overseas treatment because you aren't protected by malpractice insurance which is supposed to protect you when getting anything done in the states and thus the higher costs are worth it. Then I say what about name brand medicines? I was in the states a few years ago and one of my prescriptions ran out so I had to get it filled at a local pharmacy; pills that I payed 10 cents each for in Bangkok cost 2 dollars each in the states, same brand name, not generic...how can they justify that extra cost? Malpractice insurance? I don't think so...
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11 months ago
The price you pay is supporting the FDA and the Bush administration):
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11 months ago
The administration supports the FDA and other good government services as little as it can. Google "FDA budget cuts." Also see the October AARP Bulletin article, "The Line Starts Here", on Social Security staff cuts.

I've heard that Brits who can afford it augment the national plan with private medical insurance. Everyone, including foreign visitors, gets basic coverage. Immigrant friends of mine hesitate to have their parents visit the states for fear of health crises. One whose brother lives in England meets her mom and dad there.

Can anyone out there report first-hand on the French system of universal health care?

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11 months ago
Don't even get me started on healthcare in the U.S.!

As many of you know I live in Costa Rica most of the year..here's a good example of differences in healthcare costs: I have been visiting the U.S. for a couple months and ended up with a tooth infection needing a root canal. A root canal here is $900 and then the crown is another $900. I had to have the root canal done and found a dental school that did it for $460 and I am waiting to get back to CR for the crown because there it will cost me $150-$200 instead of $900!! The whole thing..root canal with crown is about $300-$400 in Costa Rica vs. $1800 in the U.S.! Many people come from the U.S. to CR for healthcare especially cosmetic surgery and major dental work. I could give you many more examples but it just irks me every time I come to visit the U.S. I am only 50 so not into the Medicare area yet and I cannot afford to get sick in my own country! Something is not right about that.
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11 months ago
Its even worst news for the locals,those hospitals-clinics
were build at least in part with goverment funds,their tax
now it will benefit others that had not input,another nail
to the coffin of the poor.
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3 months ago
Good point!
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3 months ago
This is just the reason I'm leaving the US for Malta this fall, G-d Willing. I am 55 and self-employed and my insurance is now $900/month. I've started a blog on this experience--An American in Malta. It's a work on progress, but please check it out and tell me what you think. Thanks! Ilene

view link
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3 months ago
Well, I can understand that, but I will be 59 in a couple of weeks of have great health coverage thru BC/BS of NC for $305/month??? (and I smoke :(
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3 months ago
I live in Thailand, and I wrote this blog concerning health care / medical insurance in Thailand.

view link

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note: I was in Bangkok last April, so I went back to Bumrungrad Hospital for my six month x-rays.

After the 'rays', I went up to the 10th floor for a surprise visit with the nurses, and to drop off a BIG BOX of chocolates.

As you can imagine, I wasn't sure if they would remember me; but with the multiple "Khun Jon!!!" greetings I received when I stepped off the elevator, ...

In summary: the care from from the U.S. board certified surgeon, and all the nurses, PT, housekeepers, etc, etc, was nothing short of, WONDERFUL!!

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3 months ago
There is no certifiable healthcare outside the USA......Every thing outside of the USA is subpar at best..dont listen to these conspiracy nuts and anti-americans sprouting this hogwash.....
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3 months ago
Replies 1 - 10 of 13