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HERITAGE: MEDICAL VACATIONS
A Viable Choice
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"There
is tremendous scope for medical tourism. More people can benefit
from expertise available here."
Dr Naresh Trehan, EHIRC
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"We
should now have an independent regulatory authority to accredit
the hospitals in India."
Dr Dev Saxena,
Bombay Hospital
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Patients also find
solace in the personal attention given by Indian doctors. Nine-month-old
Govind had acute complications since birth, kidney and heart problems
and a missing anal tract. Govind's mother Meeta Toholoo saw no hope until
she got in touch with Bombay Hospital's Dr Dev Saxena, head of thoracic
and cardiovascular surgery. Despite financial problems, Meeta and her
husband, a driver in Mauritius, arrived in India and later left quite
contented.
In the US and UK, it is not unusual to have
waiting periods of six months to a year for simple procedures like a cataract
or for semi-emergency cases like coronary angiograms and angioplasty.
"Patients there cannot avail insurance for non-critical surgeries
like knee replacements or cosmetic surgeries. This makes India a viable
choice for them," says Dr B.K. Goyal, dean of Bombay Hospital.
The Indian medical system also provides a patient
the freedom to consult specialists without references. Nandita Desai from
New York who underwent treatment at the Malpani Infertility Clinic explains,
"Doctors here are more accessible. For fertility treatment in the
US, I would have had to wait for several months before I got to see a
specialist." Desai planned her visit so that she could meet her relatives,
enjoy a much deserved holiday and get treated. For these patients, the
Internet is a goldmine of information. Dr Aniruddha Malpani feels his
clinic's overseas clientele has almost tripled since the its website was
put up. "Patients ask us very specific questions and weigh the pros
and cons before they take any treatment. We are not dealing with novices
here," he adds.
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COMPARATIVE COSTS
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Procedure
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Abroad # |
India * |
Hip replacement
Cataract
D&C
Hysterectomy
Hernia repair
Breast augmenting
Facelift
Arthroscopy
Vasectomy |
5.6 lakh
68,000
37,400
2.9 lakh
78,200
74,800
91,800
54,400
68,000 |
2.3 lakh
23,800
17,000
98,600
51,000
51,000
57,800
47,600#
17,000 |
Rupee equivalent of charges
in UK, excluding doctors' fees
* Charges in rupees at the Hinduja Hospital, Mumbai; including
doctors' fees |
B.M. Aiyanna, director of medical services at
Delhi's Indraprastha Apollo Hospital, says health care is poised to become
the biggest service-sector industry in the world. But he regrets that
no formal attempt has been made to promote indigenous expertise. It would
be helpful if Indian missions abroad could service visa requirements promptly.
Hospitals hope that with the arrival of private
insurance companies, medical centres will get accredited. "We need
an independent regulatory body to accredit our hospitals," says Dr
Saxena. Says Dr Trehan: "There must be an organised system for helping
patients on arrival, departure and in other procedures."
Union Health Minister C.P. Thakur says among
other things the Government plans to set up a review committee to identify
those hospitals that meet international standards. "Initially, we
want to market ourselves in SAARC countries, Japan and Hong Kong where
our expertise has great demand," he says.
Critics demand justification for the use of
resources to benefit a few. But perhaps Dr Mohit Bhatt, neurologist at
Jaslok Hospital, has the answer: "I do not use my skills and specialised
equipment only for those who can pay. It is for everyone and revenues
from overseas patients reduces the burden on health institutions considerably."
Clearly, initiative and collaboration between the government and medical
authorities may be the right prescription.
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