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Untapped market: Can Pakistan become a hub for medical tourism?

Country is home to specialists that can provide world-class treatment, say doctors. ILLUSTRATION: JAMAL KHURSHID
Karachi:
“Every country, except Pakistan, is concerned with medical tourism,” say doctors, who bemoan the fact that our government is sleeping over a golden opportunity.

Medical tourism – a buzzword in global healthcare – is a term used to describe the worldwide trend of people travelling across international borders to obtain healthcare. India, Sri Lanka, Singapore, Thailand and Dubai are some of the top destinations to where patients flock to to get better treatment.

Gynaecologist Sadiah Pal says there is no need for Pakistanis, at least, to travel abroad for treatment; she believes that Pakistan has specialists and high-quality hospitals where comparable care is available. Pal says the cost for infertility treatment abroad can range between Rs2.5-3 million, while the same treatment in Pakistan costs around Rs0.2 million.

“Some patients who come from the US are those who don’t have insurance cover there; and so, they come here [for treatment],” she says.

She says the government, if it wants, can jump onto the medical tourism bandwagon and market it like other countries do. “We too have the best doctors and hospitals. We just need to package it right; like it is being done in India. They throw in a sightseeing tour and a massage therapy session along with the treatment.”

Pakistan Medical Association Sindh President Dr Samrina Hashmi says there is huge potential for Pakistan in becoming a hub for medical tourism, like so many other countries in its neighbourhood.

“Already, a number of patients from places such as the Middle East, UK and US seek a range of treatments in Pakistan; these include cardiac surgery, infertility treatments and cosmetic surgery,” she says.

Costs for treatment in Pakistan are more than 50% of what doctors and hospitals charge abroad, she explains. At the moment, most foreign patients who come here for treatment are of Pakistani origin.

In the past, a sizable number of such globe-trotting patients came here for kidney transplants. “However, these cases have gone down since legislation came into place to regulate the illegal trade of selling kidneys,” she says.

Hashmi says medical tourism can be a huge opportunity for Pakistan if the government focuses on key issues. “Just improve the security situation here, and you’ll see that people from all over the world will skip places like Thailand to seek healthcare in Pakistan.”

Liaqat National Hospital’s plastic surgeon Dr Shehab Beg says he receives about 50 patients per year from abroad. “Most of them come for plastic surgery; such as liposuction and hair transplantation.”

Liposuction can cost between Rs0.7-0.8 million abroad, while the same procedure here can be done within Rs0.2 million, he says.

“Pakistan, too, can give the world a tough competition in medical tourism,” Beg says. He echoes Hashmi in saying that unless the law and order situation in the country is improved, the business side of the health industry may not grow.

“Already, a number of health professionals have left the country to work in hospitals abroad. They could have done the same work here in Pakistan, if only the situation here had been better.”

‘Foreign Agents’

In fact, in Pakistan, some doctors work as agents for foreign hospitals; earning commissions if they send affluent Pakistani patients for treatment to their patron hospitals.

One such agent is a man who calls himself Dr Mian Atif Fayaz. He has set up an office for the Thailand-based Bumrungrad International hospital in Lahore. His ads for the hospital are currently doing rounds over the internet and email.

When a reporter from The Express Tribune dialled the office’s number posing as a potential patient, Dr Mian Atif Fayaz – who answered the phone himself – said that not only had he set up a regional office for the international hospital in Lahore, but was also the managing director of globalhealthtravel.pk, a web-based company.

The Thai hospital, he claimed, provided healthcare for all types of illnesses. He asked for patient reports to be sent over to him via email, which he would then forward to the hospital abroad. He explained the expenses would include a ‘nominal processing fee’ and a detailed breakdown of the cost of seeking treatment at the hospital would be provided to the hospital. He added that treatment expenses increase depending on the type of rooms and degree of comfort one sought at the hospital.

Doctors say there is nothing illegal about marketing for hospitals based abroad, but it hurts their clientele base.

Published in The Express Tribune, April 17th, 2012.

source: http://www.tribune.com.pk / The Express Tribune / by Salman Siddiqui / April 17th, 2012

Chinese tourists flock to South Korea for “celebrity looks”

It was in the mid-2000s when South Korean plastic surgeon Joo Kwon noticed a trickle of Chinese women walking into his clinic, even though he hadn’t advertised overseas.

“They somehow found a way to the clinic… and nearly all of them said they want the face of Lee Young-Ae,” Joo said, referring to a top South Korean actress who starred in the pan-Asian hit drama “Jewel in the Palace”.

The trickle has now turned into a flood of Chinese packing Joo’s JK Plastic Surgery Centre — one of the country’s largest — and many other clinics, lured by the looks of South Korean entertainers who have taken Asia by storm.

A Hallyu (Korean wave) of pop culture over the past decade has won a devoted fan base in China, Southeast Asia and Japan. The South’s TV dramas dominate prime-time airwaves and K-pop bands sell out concerts and top the charts.

Legendary TV hits like “Winter Sonata” and “Autumn Fairy Tale” help draw tens of thousands of foreign fans to filming locations in South Korea every year, boosting the tourism industry.

Now skilled plastic surgeons in the looks-obsessed South — who often helped beautify Korean stars in the first place — are enjoying an unexpected boom as they do the same for their foreign fans.

According to government data, overall medical spending by foreign visitors hit a record $116 million last year. Fourteen percent sought plastic surgery or skin treatments such as botox.

Almost a half of all foreigners seeking a nose job, a facelift, a jawbone reduction or a tummy tuck were from China. Their number nearly tripled from 1,657 in 2009 to 4,400 in 2010.

“The Hallyu boom has definitely played a key role in drawing new patients from abroad,” said Hong Jeong-Geun, spokesman for the Korea Society of Plastic and Reconstructive Surgeons.

Hong said many star-struck foreigners visit clinics with photos of celebrities like Kim Hee-Sun, a popular actress in Asia, and ask surgeons to emulate her nose angle or eyes.

“They understand that some stars, rather than born beautiful, were made beautiful with a little bit of help from plastic surgeons,” Hong said.

Cut-throat competition among the country’s growing number of plastic surgeons — who now number some 1,700 — made them even more aggressive in trying to lure new clients, he said.

Joo’s clinic in Seoul’s affluent Gangnam district — home to more than 400 plastic surgery and skin-treatment clinics — is at the forefront of such efforts.

About a half of its customers are non-Koreans, from China, Japan, the Middle East and even Africa. Patients picked up at the airport by limousines are greeted by staffers who speak English, Chinese, Japanese, Vietnamese or Mongolian.

Joo declined to give the total number of patients at his clinic but said 10 doctors perform dozens of surgeries every day.

The clinic recently opened its own hotel to better serve deep-pocketed foreigners who spend an average of about 20 million won ($17,675) to get multiple surgery during a single visit.

“I think there’s a good chance that plastic surgery can become South Korea’s new major export industry,” said Joo.

Customers like Anny Guo are highly sought after.

The daughter of a construction firm CEO in the northeastern Chinese city of Jilin, she flew to Seoul to get a nose job and make her high cheekbones less prominent.

Her parents gave her 100,000 yuan ($15,860) after she begged them for months.

“I want to have a face and skin like Song Hye-Gyo…or nose like Han Ga-In,” the 24-year-old college student told AFP, referring to popular South Korean actresses.

Many South Korean TV shows are aired with subtitles on Chinese websites only a day after being screened in Seoul.

“Most of my friends who watch South Korean dramas want to come here to get surgery. They think plastic surgeons here are the best in Asia,” said Guo.

Policymakers have eased regulations, allocated a greater budget, staged presentations overseas and given awards to successful clinics to promote all kinds of medical tourism.

“Medical tourism, plastic surgery included, will be a new growth driver for our economy….and the popularity of our stars is helping us a lot,” said Jung Eun-Young, deputy director of the health ministry’s policy department.

Even cosmetic surgeons, however, have some reservations.

Joo Kwon said it was undesirable that more and more Koreans are seeking such operations.

“I think South Korea has a very rigorous and narrow definition of beauty because we’re an ethnically homogenous society and everyone looks pretty much the same. It is also related to low self-esteem,” he said

“I think the situation will somewhat moderate in future as society becomes more diverse. But it will take quite a bit of time until we get there.”

Source: medicalxpress.com
www.eturbonews.com / eTN Global Travel Industry News / April 15th, 2012

Medical tourists flock to Singapore

Travelers from across Asia are making a beeline for Singapore — not to holiday here, but to seek medical treatment.

Health-care providers say they are handling more patients from India and China, on top of traditional sources such as Indonesia and Malaysia.

Two years ago, Russia and the Middle East were identified as growing markets. Now, patients from less developed nations such as Cambodia and Mongolia are turning up on the republic’s shores in greater numbers as well, according to health care providers.

This trend is in line with one identified by the Singapore Tourism Board in 2010, where Asia was expected to be a key player in driving the industry’s growth as it recovered from the global recession. Even back then, there were signs that more patients from India and other parts of South Asia would head here, said the agency.

Among them was Indian national Timir Patel, 48. Two years ago, with both his kidneys failing, the jeweler took a leap of faith and came here for a transplant.

“For me, it was a fresh experience because I had never traveled for medical reasons,” said the Mumbai native, who had his surgery at Mount Elizabeth Hospital. His 29-year-old cousin was the donor.

“The approach to medicine here is very modern. In India, there is, for example, a tendency to over-medicate.”

Many of his countrymen are also making their way here. Parkway saw a 38-percent spike in patients from India last year compared with 2010.

Treatment for blood disorders, and kidney and liver transplants rank among the top three areas where patients seek help.

Last year, Parkway carried out about 20 such transplants on patients from India.

“Privacy and Singapore’s reputation as a safe country are among the reasons Bollywood stars and wealthy businessmen choose to fly to Singapore for treatment,” said Dr. Lim Suet Wun, executive vice president of Parkway’s Singapore operations.

“They can relax and recover in peace, away from public attention.”

He added that Parkway had seen strong growth in medical travelers from Vietnam and Myanmar as well in the past three years or so.

Meanwhile, Raffles Hospital — the other major private hospital in Singapore — received more foreign patients last year, especially from Cambodia, Myanmar, Vietnam and even Papua New Guinea.

The number from each of these countries grew 20 to 50 per cent last year compared with 2010. Most sought costly treatments for ailments such as cancer and heart disease.

Over at the Singapore Medical Group, which has 19 clinics, patients from China and India are a fast-growing group.

Chief Executive Cheryl Baumann said medical tourists formed 25 percent of its patient base. A substantial number of Indian nationals make use of the group’s obstetrics and gynecology expertise — for example, the women sometimes fly here to give birth.

All in all, the group has served people from more than 50 countries in the past three years. Baumann said the trend was not as obvious before.

Commenting on the growth in the number of patients from China and India, she said: “People in these markets have more spending power now, and they also love to travel. In addition, many feel more comfortable with the language, culture and food here, which are similar to their own.”

source: http://www.chinapost.com.tw / Business> Asia / by Poon Chian Hui / The Straits Times/ Asia News Networm

Medical tourists seek experimental services

Linda Stewart used a Kelowna-based company to arrange a medical tourism trip in May 2010 to get an experimental treatment for MS in India. Stewart is one of the unknown number of Canadians using medical tourism to access experimental treatments not offered in Canada.

Photograph by: Linda Stewart , Vancouver Province

Vancouver:

Linda Stewart is one of the unknown number of Canadians using medical tourism to access experimental treatments not offered in Canada.

The 57-year-old was diagnosed with multiple sclerosis at age 38 and was using a wheelchair when she saw a news report in 2009 on a controversial MS treatment known as a “liberation procedure” which removes blockages in veins to address a condition known as chronic cerebrospinal venous insufficiency.

Stewart arranged her surgery in May 2010 with Meditours and paid $15,000 U.S. for treatment in India. To her, it was well worth it.

“Before, I was very handicapped, I had no feeling in my hands and most of my legs and feet and extreme cramping. . . . I’d lost pretty much all my voice,” she said.

“I have feeling now in my feet, the cramping is almost totally gone, my voice is back.”

Stewart said she did her research and had few reservations.

“I was a travel agent so I have no fear of travelling at all, and I did look into the hospital and the doctor — he was more qualified than most people in Canada.”

Indian hospitals, she said were “absolutely immaculate,” with leading-edge technology and staff who spoke English. Her doctors even followed up by email.

Perhaps because her experience was ideal, Stewart doesn’t support regulation, but cautions patients to “do the research.”

“If you can go there and get it done with good doctors and good facilities and for so much cheaper and have a vacation included, why not do it?” she said.

“I really would do it again tomorrow. I was on the fastest track to a nursing home you ever saw. This made my life more bearable.”

Vancouver Province

eoconnor@theprovince.com

FACTBOX:

Top spots for medical tourism:

— Asia has established destinations in India, Thailand, Singapore and Malaysia. Emerging centres include South Korea, Philippines and Indonesia.

— The Caribbean is trying to draw the North American market with Barbados, Cayman Islands and Jamaica building capacity.

— Eastern European countries such as Poland, are also hot spots, particularly for MS treatments.

— Mexico and Latin American countries are popular destinations for cosmetic and dental surgery, notably Brazil and Costa Rica.

source: http://www.MontrealGazette.com / Home> Health / by Elaine O’Connor, PostMedia News / April 08th, 2012

Medical Tourism Growing at Over 30 Percent Per Annum

Seoul, Korea:

The number of foreign patients visiting Korea has been soaring at an annual rate of over 30 percent since 2009. The figure rose 35.9 percent from 60,201 in 2009 to 81,789 in 2010, and is estimated to have exceeded 110,000 last year, up 34.5 percent, according to the Korea Health Industry Development Institute.

The target for this year is 150,000 medical tourists, marking growth of 36 percent, it added.

American patients topped the list with 32.4 percent in 2010, followed by Chinese (19.4 percent), Japanese (16.8 percent) and Russians (7.7 percent). Foreign patients spent an average of W1.31 million per person on medical expenses here (US$1=W1,133).

“Attracting three to four patients with serious illnesses creates a comparable economic effect to exporting a Hyundai Sonata,” the institute said.

People from Kazakhstan paid the highest medical bills, or W3.78 million on average, followed by Russians with W2.97 million and Mongolians with W2.58 million, as many of them came for expensive treatments for cardiovascular or other serious diseases.

Japanese patients spent the least amount of money, or W840,000 on average.

U.S. patients visited Korea largely to undergo medical check-ups or seek treatment from dentists, while most Chinese patients got treated by beauty therapists or plastic surgeons, and Russians sought cardiovascular or orthopedic surgeons.

Japanese mostly sought herbal and skin treatments. They accounted for 76 percent of the total number of foreign patients visiting Oriental medicine clinics, and 35 percent of those seeking dermatologists.

“Many Japanese want to receive simple treatments like acupuncture or skin care during their short visit” to Korea, said a director at the institute.

Meanwhile, Chinese patients, mostly women in their 20s or 30s, accounted for 66 percent of the total number of foreigners visiting plastic surgeons in Korea.

“Recently, an increasing number of older Chinese visitors have also been coming to get medical check-ups here as part of tour programs,” the director said. “As Korea begins to be recognized for its advanced medical skills, the number of foreign patients with serious conditions is on the rise.”

In the southern port city of Busan, Russian patients account for 35 percent of foreign patients visiting clinics. Many hail from the eastern region of Vladivostok and show symptoms of cardiovascular, hip or disk diseases, the institute said.

source: http://www.english.chosun.com / / April, 02nd, 2012