Notes ● 18940. Cetron et al., Hospitality 2010, p. 37.41. Warner, “Globalization of <strong>Medical</strong> Care,” p. 74.42. A 2006 study by Exponent, a Philadelphia technology research firm, found thatas a result of an ag<strong>in</strong>g active population, artificial knee implants are expectedto <strong>in</strong>crease 673% by 2030 and hip replacements will <strong>in</strong>crease 174% dur<strong>in</strong>g thesame period. Daniel Coyle, “What He’s Been Pedal<strong>in</strong>g: How Floyd Landis HasManaged to Compete <strong>in</strong> the Tour de France Despite a Busted Hip,” New YorkTimes Magaz<strong>in</strong>e, July 16, 2006, p. 34.43. Henderson, “Healthcare <strong>Tourism</strong>,” p. 113.44. Ross, “Health <strong>Tourism</strong>: An Overview.”45. Warner, “Globalization of <strong>Medical</strong> Care,” p. 75.46. Prestowitz, Three Billion New Capitalists, p. 98.47. Mike Rob<strong>in</strong>son and Mar<strong>in</strong>a Novelli, “Niche <strong>Tourism</strong>: An Introduction,” <strong>in</strong> Niche<strong>Tourism</strong>, ed. Mar<strong>in</strong>a Novelli (Oxford: Elsevier Butterworth-He<strong>in</strong>emann, 2004).48. Stephen Clift and Stephen J. Page, eds., Health and the International Tourist(London: Routledge, 1996).49. David Hancock, The Complete <strong>Medical</strong> Tourist (London: John Blake, 2006); JeffSchult, Beauty From Afar: A <strong>Medical</strong> Tourist’s Guide to Affordable and QualityCosmetic Care Outside the U.S. (New York: Stewart, Tabori, and Chang, 2006);Josef Woodman, Patients Without Borders: The Smart Traveler’s Guide to Gett<strong>in</strong>gHigh-Quality, Affordable Healthcare Abroad, (Chapel Hill, NC: Healthy TravelMedia, 2007). The memoir is Maggi Grace and Howard Staab’s, State of theHeart: A <strong>Medical</strong> Tourist’s True Story of Lifesav<strong>in</strong>g Surgery <strong>in</strong> India (Oakland, CA:New Harb<strong>in</strong>ger Publications, 2007).50. CII-McK<strong>in</strong>sey, Healthcare <strong>in</strong> India: The Road Ahead (New Delhi: Confederationof Indian Industries, 2002).51. US Department of Commerce, Results of the Services 2000: A Conference andDialogue on Global Policy Developments and US Bus<strong>in</strong>ess (Wash<strong>in</strong>gton, D.C.,1998), cited <strong>in</strong> Ellen Wasserman, “Trade <strong>in</strong> Health Services <strong>in</strong> the Region ofthe Americas,” <strong>in</strong> WHO, Trade <strong>in</strong> Health Services, p. 137.52. Wasserman, “Trade <strong>in</strong> Health Services <strong>in</strong> the Region of the Americas,” p. 125.53. D. Frechtl<strong>in</strong>g, “Health and <strong>Tourism</strong> Partners <strong>in</strong> Market Development,” Journalof Travel Research 32, no. 1 (1993): pp. 52–63, cited <strong>in</strong> Henderson, “Healthcare<strong>Tourism</strong> <strong>in</strong> Southeast Asia,” p. 112.54. Chanda, “Trade <strong>in</strong> Health Services,” (CMH), p. 12.55. World Travel and <strong>Tourism</strong> Council, Country League Tables, the 2004 Travel and<strong>Tourism</strong> Economic Research, (Madrid: Travel and <strong>Tourism</strong> Economic Research,2004), Table 46.56. This is based on growth of aggregate GDP dur<strong>in</strong>g 1980–1992. World Bank, WorldDevelopment Report 1994 (Wash<strong>in</strong>gton, D.C.: World Bank, 1994), Table 2.57. New York Times, October 1, 2004.58. Ted Fishman, “The Ch<strong>in</strong>ese Century,” New York Times Magaz<strong>in</strong>e, July 4, 2004.59. Gustaaf Wolvaardt, “Opportunities and Challenges for Develop<strong>in</strong>g <strong>Countries</strong> <strong>in</strong>the Health Sector,” <strong>in</strong> UNCTAD-WHO Jo<strong>in</strong>t Publication, International Trade<strong>in</strong> Health Services, p. 63.
190 ● Notes60. Emerg<strong>in</strong>g markets <strong>in</strong>clude former Soviet Union or Soviet bloc countries as wellas develop<strong>in</strong>g countries that are undergo<strong>in</strong>g rapid rates of economic growth. Ofthe emerg<strong>in</strong>g markets recently featured <strong>in</strong> a Harvard Bus<strong>in</strong>ess Review study,Argent<strong>in</strong>a, Chile, India, and South Africa are <strong>in</strong>cluded <strong>in</strong> this book (TarunKhanna and Krishna Palepu “Emerg<strong>in</strong>g Giants” Harvard Bus<strong>in</strong>ess Review,October 2006, p. 62). The BRIC group of countries, considered the new economicpowerhouses, consist of Brazil, Russia, India and Ch<strong>in</strong>a. India is part ofthis study.61. Chanda expla<strong>in</strong>s this fact by the presence of external and <strong>in</strong>ternal barriers(Chanda, “Trade <strong>in</strong> Health Services,” (CMH), p. 40).62. Dubai Healthcare City, “About DHCC,” www.dhcc.ae, accessed June 15, 2006.63. Friedman, The World is Flat ; and Prestowitz, Three Billion New Capitalists.64. Paul Kennedy, The Rise and Fall of the Great Powers (New York: Random House,1987).65. Economist, January 21, 2006, pp. 69–70.66. These chang<strong>in</strong>g demarcations require a change <strong>in</strong> term<strong>in</strong>ology. We can nolonger use the term “third world” because, with the end of the Cold War, thefirst and second worlds no longer exist and with their disappearance, the conceptof a third world has become mean<strong>in</strong>gless. Perhaps the World Bank term,“emerg<strong>in</strong>g economies,” might be appropriate, given the growth rates of manydevelop<strong>in</strong>g countries, especially those under study. However, that term <strong>in</strong>cludesthe countries of the former Soviet bloc and Soviet Union, all with hugely differentlegacies and potentials. The term<strong>in</strong>ology issue rema<strong>in</strong>s unresolved asscholars cont<strong>in</strong>ue to refer to develop<strong>in</strong>g countries by a variety of names.67. Milica Z. Bookman, Tourists, Migrants and Refugees: Population Movements <strong>in</strong>Third World Development (Boulder, CO: Lynne Rienner, 2006), chap. 1.68. Donald Lundberg, M<strong>in</strong>k Stavenga, and M. Krishnamoorthy, <strong>Tourism</strong> Economics(New York: Wiley, 1995), p. 8.Chapter 21. Mike Rob<strong>in</strong>son, foreword <strong>in</strong> Niche <strong>Tourism</strong>, ed. Mar<strong>in</strong>a Novelli (Oxford:Elsevier Butterworth-He<strong>in</strong>emann, 2004), p. xix. The transformative power oftourism, discussed <strong>in</strong> the literature, is amplified <strong>in</strong> medical tourism becausetransformation takes place both at the level of the imag<strong>in</strong>ation as well asthe body.2. World Bank Group, “World Bank Revisits Role of <strong>Tourism</strong> <strong>in</strong> Development,”Trade Research 17, no. 12, (1998).3. Cited <strong>in</strong> Deborah McLaren, Reth<strong>in</strong>k<strong>in</strong>g <strong>Tourism</strong> and Ecotravel, 2nd ed.(Bloomfield, CT: Kumarian Press, 2003)4. Donald Lundberg, M<strong>in</strong>k Stavenga, and M. Krishnamoorthy, <strong>Tourism</strong> Economics(New York: John Wiley, 1995), p. ix.5. Based on a study by the Wharton Economic Forecast<strong>in</strong>g Association, cited <strong>in</strong>Lundberg et al., <strong>Tourism</strong> Economics, p. 3.
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244 ● Indextourism sectormarket s