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Global Post’s What Obama’s Affordable Care Act Means for the World’s Hospitals by Matt Levin. Chelsea Swanhorst. Background. Medical Tourism :
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Global Post’sWhat Obama’s Affordable Care Act Means for the World’s Hospitals by Matt Levin Chelsea Swanhorst
Background Medical Tourism: • People who live in one country travel to another country to receive medical, dental, and surgical care…and are traveling for medical care because of affordability, better access to care or a higher level of quality care. * • Thrives on uninsured US citizens * Medical Tourism Association
Background The Affordable Care Act • 2014 all US citizens are required to have health insurance • Affordable Insurance Exchange • Citizens may opt out for a fee Healthcare.gov
Article Summary: What Obama’s Affordable Care Act Means for the World’s Hospitals 3 Main Ways Obamacare Affects the Medical Tourism Industry • May hurt the industry • Big changes in America’s healthcare: doctor shortages, longer hospital waits, and insurance company extending coverage • Paying fee may be cheaper My Opinion • Americans will be unhappy with outsourcing healthcare • Lack of confidence in Costa Rica’s healthcare institutions
Outsourcing Healthcare • Surgeons and physicians in Costa Rica are educated in the US • US citizens travel to Costa Rica to receive this care • Each country has a comparative advantage
Worldbank Healthcare in Costa Rica: Life Expectancy Rate • Costa Rica’s life expectancy 79.2 (2010) • US’s life expectancy was 78.2 (2010)
Healthcare in Costa Rica: Confidence Level • No official regulatory body overseeing the medical tourism industry • American Medical Association has guidelines* • Joint Commission International, JCI** • Accredited two hospitals in Costa Rica • Post-op resorts pick up patients from airport and provides transportation to the patient and family * www.ama-assn.org/ama1/pub/upload/mm/31/medicaltourism.pdf **www.jointcommissioninternational.org/JCI-Accredited-Organizations/
Non-Tariff Barriers • Pros of regulation: • Increases confidence • Increases higher education, medical tourism, and other industries through the roundabout way • Cons of too much regulation: • Promotes inefficiencies • Creates obstacles for patients • Hurts higher education, medical tourism, and other industries through the roundabout way
Procedures • Obamacare will not affect dental work, elective surgeries, & operations not offered in the US • These procedures are most common in Costa Rica • Emergency surgeries can’t be performed internationally
English International Patients
Prices www.medicaltourism.com/en/compare-costs.html
Benefits to Costa Rica’s Economy • American patients stay longer and spend six times as much money versus American tourists • Family comes before procedure • Family stays to help recovery
Benefits to Costa Rica’s Economy • Promed, medical tourism agents • 67% of Costa Rica’s GDP is commerce, tourism, and services* • Tourism needs to be a sustainable industry *www.state.gov/r/pa/ei/bgn/2019.htm
My Conclusion • Not just a fad • US isn’t competitive in healthcare industry • US healthcare industry cannot be completely eliminated • Benefits developing countries • Non-tariff barriers are largest threat • Regulations are necessary