Medical Tourism in Developing Countries

Medical Tourism in Developing Countries Medical Tourism in Developing Countries

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AcknowledgmentsWe would like to thank Jelena Zarkovic, whose personal experience withmedical tourism planted the seed for this project. Richard Bookman’sknowledge of Western medicine has been invaluable as we tried to understandwhat pushes Americans to buy health care in developing countries.For their help in moving this project forward, we are grateful to LjubisaAdamovic, Grace Agnetti, Henri Barkey, and Elissa Vanaver. Eric Beuhrenswas instrumental in introducing us to contacts abroad.Milica would like to thank the following people for their enthusiasticinput: Tom Burke, Christina Rennhoff, Linda Richter, Bob Schwartz andJane Wooldridge. She is grateful to Lee Tourscher for his help with datacollection. Thanks are also due to John McCall, George Prendergast,Brice Wachterhauser, Bill Conway, and Dori Pappas for their unwaveringassistance on the funding and administrative side of this research.Karla is grateful to Harold Edgar at Columbia Law School for engagingher in brainstorming sessions about medical tourism. She would like tothank all the hospital staff interviewed in India, in particular NarsinhaReddy, Manish Ved, and Neelesh Rajadhyaksha at the Bombay Hospitaland Medical Research Center, for their hospitality and enthusiasm. RobertThurer at Healthcare City in Dubai was an essential resource.Thanks are also due to the anonymous reader whose comments haveimproved the final manuscript. We are equally grateful to Aaron Javsicas atPalgrave Macmillan who believed in the idea, as well as Julie Cohen andKate Ankofski for their attention to detail.This book has been a mother-daughter project from the inception to theconclusion. As an economist and an attorney, we have been able toapproach issues of medical tourism in a multidimensional way, and it wasalways a thrill to work together. Throughout the research and writing, wewere both aware that we do not exist in a vacuum, and without the consistentsupport of Richard, Aleksandra, and Pirojsha, this project would nothave been realized.

List of AcronymsAIDS Acquired Immunodeficiency SyndromeAPEC Asia Pacific Economic CooperationATM Automated Teller MachineBBC British Broadcasting CorporationBPO Business Process OutsourcingCII Confederation of Indian IndustryEU European UnionFDA Food and Drug AdministrationGATS General Agreement on Trade in ServicesGATT General Agreement on Tariffs and TradeGDP Gross Domestic ProductGMP Good Medical PracticeGNP Gross National ProductGNI Gross National IncomeHDI Human Development IndexHMO Health Maintenance OrganizationIFC International Finance CorporationITInformation TechnologyIMF International Monetary FundISO International Organization for StandardizationJCAHO Joint Commission on Accreditation of HealthcareOrganizationsJCI Joint Commission InternationalLDC Less Developed CountryMDC More Developed CountryMSAs Medical Savings AccountsNAFTA North American Free Trade AgreementNHS National Health ServiceMERCOSURSpanish: Mercado Comun del Sur

AcknowledgmentsWe would like to thank Jelena Zarkovic, whose personal experience withmedical tourism planted the seed for this project. Richard Bookman’sknowledge of Western medic<strong>in</strong>e has been <strong>in</strong>valuable as we tried to understandwhat pushes Americans to buy health care <strong>in</strong> develop<strong>in</strong>g countries.For their help <strong>in</strong> mov<strong>in</strong>g this project forward, we are grateful to LjubisaAdamovic, Grace Agnetti, Henri Barkey, and Elissa Vanaver. Eric Beuhrenswas <strong>in</strong>strumental <strong>in</strong> <strong>in</strong>troduc<strong>in</strong>g us to contacts abroad.Milica would like to thank the follow<strong>in</strong>g people for their enthusiastic<strong>in</strong>put: Tom Burke, Christ<strong>in</strong>a Rennhoff, L<strong>in</strong>da Richter, Bob Schwartz andJane Wooldridge. She is grateful to Lee Tourscher for his help with datacollection. Thanks are also due to John McCall, George Prendergast,Brice Wachterhauser, Bill Conway, and Dori Pappas for their unwaver<strong>in</strong>gassistance on the fund<strong>in</strong>g and adm<strong>in</strong>istrative side of this research.Karla is grateful to Harold Edgar at Columbia Law School for engag<strong>in</strong>gher <strong>in</strong> bra<strong>in</strong>storm<strong>in</strong>g sessions about medical tourism. She would like tothank all the hospital staff <strong>in</strong>terviewed <strong>in</strong> India, <strong>in</strong> particular Nars<strong>in</strong>haReddy, Manish Ved, and Neelesh Rajadhyaksha at the Bombay Hospitaland <strong>Medical</strong> Research Center, for their hospitality and enthusiasm. RobertThurer at Healthcare City <strong>in</strong> Dubai was an essential resource.Thanks are also due to the anonymous reader whose comments haveimproved the f<strong>in</strong>al manuscript. We are equally grateful to Aaron Javsicas atPalgrave Macmillan who believed <strong>in</strong> the idea, as well as Julie Cohen andKate Ankofski for their attention to detail.This book has been a mother-daughter project from the <strong>in</strong>ception to theconclusion. As an economist and an attorney, we have been able toapproach issues of medical tourism <strong>in</strong> a multidimensional way, and it wasalways a thrill to work together. Throughout the research and writ<strong>in</strong>g, wewere both aware that we do not exist <strong>in</strong> a vacuum, and without the consistentsupport of Richard, Aleksandra, and Pirojsha, this project would nothave been realized.

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