Medical Tourism in Developing Countries
Medical Tourism in Developing Countries Medical Tourism in Developing Countries
Promoting Medical Tourism ● 131required, calling for a slash in subsidies, privatization of state companies,and liberalization of financial markets as the only way to achieve growthand a dent in poverty. 125It was finance minister Manmohan Singh who greatly accelerated thepace of liberalizing reforms. To increase competition, almost all licensingrestrictions were removed and subsidies were lowered. The goal was to bringprices down, especially in the telecom industry, so foreign corporationscould skip the Indian telephone system and link directly to their homebases. 126 The public sector was decreased in an effort to further privatizethe economy. The 40 percent cap on foreign ownership was removed anda Securities and Exchange Board was created to regulate capital markets. Bythe twenty-first century, India had witnessed an impressive development ofthe information technology sector and the rise of an entrepreneurial class.Direct foreign investment increased, the deficit was lowered, and corruptionwas addressed.In this liberalized atmosphere, Indian businesses expanded into themedical industry. The establishment of a market economy, privatization,and the promotion of service trade and outsourcing, all combined to enablemedical tourism to take off.Advantage VI: The Confluence of High-Tech Medicineand Traditional HealingLifestyle medical tourism, as discussed in chapter 3, includes Western wellness(spa and state-of-the-art exercise machines), as well as traditional,holistic, and natural therapies. Given the growing demand for such services,those countries that can provide them in abundance have an advantage overthose that cannot. When a country can combine high-tech and traditionalmedicine, it appeals to a broader market segment.Even Western suppliers are responding to the growing demand for combinationvacation/health care by providing new features that built vacationsaround traditional health providers. When Canyon Ranch proposed theintroduction of two cruise ships, Zuckerman, the founder, said, “We arevery excited to offer an exotic travel experience consistent with our goal ofproviding a healthy, life enhancing vacation [italics mine].” 127 Also, Dialysisat Sea puts dialysis machines on cruise ships so people with kidney problemscan see the world while getting treatment. Hotel de Health in Anguillaoffers beach sports as well as eight dialysis stations with great views of theCaribbean. 128 Western suppliers are also responding to demand for alternativetherapies. In the United States, hotels and resorts are adding to theirspas, Asian, Native American, or other alternative therapies and approaches
132 ● Medical Tourism in Developing Countriesto the wellness services they offer. Kim Ross described the many possibilities:Native American traditional healing adapted for exfoliations and wraps,massages with heated stones, and spiritual encounters such as the JavaneseLulor, a body cleansing based on Balinese wedding rituals. 129 AncientHawaiian, Asian, and holistic healing arts are being combined with hightechmedicine throughout Hawaii. 130Less developed countries are also promoting their own versions of alternativemedicine. Chile and Jordan tout natural medicine from their naturalwater springs. Tours are offered into the Brazilian Amazon for people interestedin the indigenous medicinal herbs and traditional healing practices. 131The Philippine Tourism Secretary Roberto Pagdanganan claimed his countrycan provide health tourism since, “Health and wellness using traditionalhealing methods such as massage, healing and herbs is very much part ofthe Asian culture.” 132 Even in Africa, the development of traditional medicineis viewed as an important step in economic development. 133In order to capture a larger share of the market, both public and privatesectors in developing countries are promoting traditional healing side byside with high-tech medicine. 134 These countries have used yoga, ayurveda,and siddha, alternative, holistic, and naturopathic medicine for centuries.For the Westerners it is exotic, and receiving exotic care in its home environmentmakes it twice as exotic (and also authentic).India is exploiting its niche in traditional medicines such as unani andayurveda. Homeopathic and holistic health-care centers have sprung upthroughout the country and the ayurvedic school has a center in Kottakkal(Kerala) that is especially popular with Western tourists who are drawn toits long history. Indeed, all forms of traditional medicine are part of India’shistory. The Rig Veda and Atharva Veda, texts from 5000 b.c., have referencesto health and diseases. Ayurvedic texts like Charak Samhita andSushruta Samhita were documented about 1000 years b.c. The term“ayurveda,” meaning the Science of Life, deals with healthy living acrossone’s lifespan and across body, brain, and spirit. It also includes therapiesfor some illnesses. Unani seeks bodily equilibrium with one’s temperamentand the environment in an effort to maintain good health. Similarly, yogahas a long tradition of promoting wellness for body and soul as it seeks topromote balance and harmony within individuals.Acupuncture has been an integral part of Chinese civilization for almost5,000 years. It consists of the insertion of a variety of different-sized needlesacross the body in order to open up pathways for the transmission ofenergy. That in turn brings balance to the physiology and promotes wellbeing.Today in China, Western medicine is practiced side by side withtraditional medicine. Students study and practice it, taking advantage of
- Page 93 and 94: 80 ● Medical Tourism in Developin
- Page 95 and 96: 82 ● Medical Tourism in Developin
- Page 97 and 98: 84 ● Medical Tourism in Developin
- Page 99 and 100: 86 ● Medical Tourism in Developin
- Page 101 and 102: 88 ● Medical Tourism in Developin
- Page 103 and 104: 90 ● Medical Tourism in Developin
- Page 105 and 106: 92 ● Medical Tourism in Developin
- Page 107 and 108: This page intentionally left blank
- Page 109 and 110: 96 ● Medical Tourism in Developin
- Page 111 and 112: 98 ● Medical Tourism in Developin
- Page 113 and 114: 100 ● Medical Tourism in Developi
- Page 115 and 116: 102 ● Medical Tourism in Developi
- Page 117 and 118: 104 ● Medical Tourism in Developi
- Page 119 and 120: 106 ● Medical Tourism in Developi
- Page 121 and 122: 108 ● Medical Tourism in Developi
- Page 123 and 124: 110 ● Medical Tourism in Developi
- Page 125 and 126: 112 ● Medical Tourism in Developi
- Page 127 and 128: Table 5.4 Indicators of physical in
- Page 129 and 130: 116 ● Medical Tourism in Developi
- Page 131 and 132: 118 ● Medical Tourism in Developi
- Page 133 and 134: 120 ● Medical Tourism in Developi
- Page 135 and 136: 122 ● Medical Tourism in Developi
- Page 137 and 138: 124 ● Medical Tourism in Developi
- Page 139 and 140: 126 ● Medical Tourism in Developi
- Page 141 and 142: 128 ● Medical Tourism in Developi
- Page 143: 130 ● Medical Tourism in Developi
- Page 147 and 148: 134 ● Medical Tourism in Developi
- Page 149 and 150: 136 ● Medical Tourism in Developi
- Page 151 and 152: This page intentionally left blank
- Page 153 and 154: 140 ● Medical Tourism in Developi
- Page 155 and 156: 142 ● Medical Tourism in Developi
- Page 157 and 158: 144 ● Medical Tourism in Developi
- Page 159 and 160: 146 ● Medical Tourism in Developi
- Page 161 and 162: 148 ● Medical Tourism in Developi
- Page 163 and 164: 150 ● Medical Tourism in Developi
- Page 165 and 166: 152 ● Medical Tourism in Developi
- Page 167 and 168: 154 ● Medical Tourism in Developi
- Page 169 and 170: 156 ● Medical Tourism in Developi
- Page 171 and 172: 158 ● Medical Tourism in Developi
- Page 173 and 174: 160 ● Medical Tourism in Developi
- Page 175 and 176: 162 ● Medical Tourism in Developi
- Page 177 and 178: 164 ● Medical Tourism in Developi
- Page 179 and 180: 166 ● Medical Tourism in Developi
- Page 181 and 182: 168 ● Medical Tourism in Developi
- Page 183 and 184: 170 ● Medical Tourism in Developi
- Page 185 and 186: 172 ● Medical Tourism in Developi
- Page 187 and 188: 174 ● Medical Tourism in Developi
- Page 189 and 190: 176 ● Medical Tourism in Developi
- Page 191 and 192: 178 ● Medical Tourism in Developi
- Page 193 and 194: 180 ● Medical Tourism in Developi
132 ● <strong>Medical</strong> <strong>Tourism</strong> <strong>in</strong> Develop<strong>in</strong>g <strong>Countries</strong>to the wellness services they offer. Kim Ross described the many possibilities:Native American traditional heal<strong>in</strong>g adapted for exfoliations and wraps,massages with heated stones, and spiritual encounters such as the JavaneseLulor, a body cleans<strong>in</strong>g based on Bal<strong>in</strong>ese wedd<strong>in</strong>g rituals. 129 AncientHawaiian, Asian, and holistic heal<strong>in</strong>g arts are be<strong>in</strong>g comb<strong>in</strong>ed with hightechmedic<strong>in</strong>e throughout Hawaii. 130Less developed countries are also promot<strong>in</strong>g their own versions of alternativemedic<strong>in</strong>e. Chile and Jordan tout natural medic<strong>in</strong>e from their naturalwater spr<strong>in</strong>gs. Tours are offered <strong>in</strong>to the Brazilian Amazon for people <strong>in</strong>terested<strong>in</strong> the <strong>in</strong>digenous medic<strong>in</strong>al herbs and traditional heal<strong>in</strong>g practices. 131The Philipp<strong>in</strong>e <strong>Tourism</strong> Secretary Roberto Pagdanganan claimed his countrycan provide health tourism s<strong>in</strong>ce, “Health and wellness us<strong>in</strong>g traditionalheal<strong>in</strong>g methods such as massage, heal<strong>in</strong>g and herbs is very much part ofthe Asian culture.” 132 Even <strong>in</strong> Africa, the development of traditional medic<strong>in</strong>eis viewed as an important step <strong>in</strong> economic development. 133In order to capture a larger share of the market, both public and privatesectors <strong>in</strong> develop<strong>in</strong>g countries are promot<strong>in</strong>g traditional heal<strong>in</strong>g side byside with high-tech medic<strong>in</strong>e. 134 These countries have used yoga, ayurveda,and siddha, alternative, holistic, and naturopathic medic<strong>in</strong>e for centuries.For the Westerners it is exotic, and receiv<strong>in</strong>g exotic care <strong>in</strong> its home environmentmakes it twice as exotic (and also authentic).India is exploit<strong>in</strong>g its niche <strong>in</strong> traditional medic<strong>in</strong>es such as unani andayurveda. Homeopathic and holistic health-care centers have sprung upthroughout the country and the ayurvedic school has a center <strong>in</strong> Kottakkal(Kerala) that is especially popular with Western tourists who are drawn toits long history. Indeed, all forms of traditional medic<strong>in</strong>e are part of India’shistory. The Rig Veda and Atharva Veda, texts from 5000 b.c., have referencesto health and diseases. Ayurvedic texts like Charak Samhita andSushruta Samhita were documented about 1000 years b.c. The term“ayurveda,” mean<strong>in</strong>g the Science of Life, deals with healthy liv<strong>in</strong>g acrossone’s lifespan and across body, bra<strong>in</strong>, and spirit. It also <strong>in</strong>cludes therapiesfor some illnesses. Unani seeks bodily equilibrium with one’s temperamentand the environment <strong>in</strong> an effort to ma<strong>in</strong>ta<strong>in</strong> good health. Similarly, yogahas a long tradition of promot<strong>in</strong>g wellness for body and soul as it seeks topromote balance and harmony with<strong>in</strong> <strong>in</strong>dividuals.Acupuncture has been an <strong>in</strong>tegral part of Ch<strong>in</strong>ese civilization for almost5,000 years. It consists of the <strong>in</strong>sertion of a variety of different-sized needlesacross the body <strong>in</strong> order to open up pathways for the transmission ofenergy. That <strong>in</strong> turn br<strong>in</strong>gs balance to the physiology and promotes wellbe<strong>in</strong>g.Today <strong>in</strong> Ch<strong>in</strong>a, Western medic<strong>in</strong>e is practiced side by side withtraditional medic<strong>in</strong>e. Students study and practice it, tak<strong>in</strong>g advantage of