Medical Tourism in Developing Countries

242 ● Indexpublic health (continued )financing 179–84medical tourism and 10, 27–28,175–79public health insurance 182–83in source countries 152public sectorcooperation with private sector79–82in health and tourism sectors 67–70role of 10–11, 66–74public spendingCosta Rican 69Cuban 68–69perceptions of 67, 68tpublic welfare model of health care 151public/private partnership 202n65defined 80Purchasing Power Parity 15RRajadhyaksha, Neelesh 112Reddy, Narsinha 3, 5Reddy, Sangita 79regulations, international, as obstacle tomedical tourism 140–44regulatory agencies 89–91Reid, Donald 24, 26, 115Rennhoff, Christina 38research and development 95in Cuba 2, 110–11, 126, 211n1in destination countries 109–112indicators of 111tretinitis pigmentosa, Cuban treatmentfor 59revenue, generation of, by country 3Ricardo’s theory of comparativeadvantage 29Richter, Judith 80, 202n65Ross, Kim 132SSachs, Jeffrey 171, 174safety, patient 124–25, 124tin U.S., 149, 214n31Sanitary and PhytosanitaryMeasures 90Santiago Salud 82Saudi Arabia, accredited hospitalsin 148science tourism 42, 194n3Seers, Dudley 33, 36Seror, Ann 116servicesdirect foreign investment in 30–31globalization and 23increasing importance of 24–26international trade in 26–27outsourcing of 5by western hospitals/doctors 164Singapore, prices in 99Singh, Manmohan 131Slater, Peter 100Smith, Gordon 160Smith, Richard 85, 180smoking, decreased rates of 53, 55social insurance model of healthcare 151Solow’s neoclassical growth model 31source countriesinsurance portability impactson 154–55medical tourism coverage and 151price of medical care in 51–52South Africa 2air transport in 118currency fluctuation in 98diagnostic methods in 52foreign patients in 3health indicators in 171, 171tinfrastructure in 113international standards and 148medical tourism tie-ins and 91price of services in 50telemedicine in 179tourist appeal of 134Soviet bloc 2specializations, and choice ofdestination 59–60SPS 90