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Politics : Foreign Affairs Discussion Group
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To: Lazarus_Long who wrote (204903)10/1/2006 4:42:04 PM
From: neolib  Read Replies (3) of 281500
 
You want your surgery done in India or S. Africa? Be my guest. Hope you survive.

Where were the first heart transplants done? The hospitals in India & S. Africa that target foreign $ are most definitely staffed with more competent physicians in those specific surgeries, than my local hospital is.

The issue currently is that these foreign hospitals chase mostly elective or uninsured patients, i.e. they compete just on their huge cost differential. They are attempting to work the insurance angle as well by becoming qualified by USA insurance agencies. The interesting problem is still down the road a few years (< 5 IMO) when hospital X in S. Africa can point out that for procedure Y, they have twice the success rate of the AVERAGE USA hospital performing the procedure, while their cost is 1/5 AND they are qualified as a preferred provider by the US insurance company. Said insurance company than tells the patient, go to S. Africa, or cough up the differential. That is the point at which medical care is offshored, and also the point at which cost containment will start seriously working in the USA.

I once read the results of an interesting study on procedure effectiveness (heart lung transplants IIRC) across a broad swath of US hospitals. The results very clearly showed that centers of excellence often had 2:1 survival rates over hospitals where the procedure was performed rarely. I'm sure some S. African & Indian hospital administrators read the same study, and assuming they are not asleep, came to the relevant conclusions.
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