Medical Tourism in Developing Countries

Index ● 233class, and time of death/types ofillness 172clinical trials, regulation of 144codes of conduct 83Cold War, national classificationsfollowing 22–23corporate power, globalization and 24corruption, police 124, 124tcost savings 2from economies of scale 76Costa Ricadistance to 58economic development in 15, 18economic ranking of 15foreign patients in 3health indicators in 171, 171thealth insurance in 152public spending in 69R&D in 110research and development in 2tourist appeal of 134–35costs, of medical care 169credentialing 149–51internationalization of 150“crème skimming,” 177Cuba 65biotech and pharmaceutical advancesin 111cell phone/Internet use in 116–17competitiveness index rankingsof 126dependence on medical tourismand 34economic ranking of 15foreign investment by 86foreign investment in 86foreign patients in 3government monopoly in 75health indicators in 171, 171tinvestment in public health 180medical apartheid in 177, 220n30medical tourism marketingstrategies 62medical tourism revenue in 3medical tourism tie-ins and 91–92political characteristics of 120 –21,120tprivate sector links of 84public health expenditures in 68–69public sector in 71, 73–74R&D awards of 111R&D in 2, 110–11, 126, 211n1right to health care in 68specializations in 59state’s role in medical tourism 70 –71,70ttourist appeal of 134 –35website of 61cultural affinity 56–57currency, fluctuations in 98DDeepsouth v. Laitram 142demand 41– 64determinants of 53– 60cultural affinity 56–57distance 57–59income 53 –54individual expectations 55–56individual propensity 55need for specialization 59– 60reputation 60taste 54–55elasticity of 36–37inconsistency of 34increased, reasons for 3– 4price and 49–53services in 42–45dental work 43lack of insurance for 52dependencyon medical tourism 18reverse relationships in 38–39,194n67tourism-related 34 –35dependency theories 22,33–35medical tourism and 9