Thailand Medical Tourism Blog Contest-The Experience

Looking down Sukhumvit Bangkok from Asoke

I really want to document what I experienced on the familiarisation trip as part of the Thailand Medical Tourism Blog Contest organised by the Tourism Authority of Thailand. Not my day to day activities since you can read those on my competition blog, but more about the competition, its organisation and how I feel about the experience. My views on medical tourism and its place in Thailand.

To be honest I was impressed by the competition organisation, the sheer logistics of organising and moving 6 pairs of individuals around five different locations with pre-planned visits/schedule must have been a nightmare to organise.

In my own case, having drawn one of the two Bangkok itineraries, presented even more problems, given the normal gridlocked state of traffic in the Thai capital. Just moving from one side of Sukhumvit to the other can take an hour in a mini-van which was our mode of transport for the week!

There were certainly times when we were pushed to arrive at venues on schedule  and on two occasions we didn’t book into our sponsored hotels until very late in the evening.  I certainly felt very jaded at the end of the week. Added to this was the fact that I stayed in four different hotels in my six days in Bangkok. Understandable, since they(the hotels) were sponsors, but it did feel like I was living out of a suitcase at times and not best able to focus on the task in hand or indeed enjoy the mostly five star opulence..

So how do I feel now about medical tourism in Thailand? Has my experience changed my opinion that I shared in Medical Tourism Thailand-A Matter of Ethics.

“Personally I see medical tourism as a by-product of failing health care systems in countries like the UK and the USA where costs or long waiting times can really affect a persons quality of life.”

“The fact that countries like Thailand(there are others) take advantage of these failing systems to provide top quality health care at a much reduced cost seems to me to be sound business rather than ethics or perhaps that should read sound business ethics.”

“The only real downside that I can see in receiving medical treatment abroad is after care. What if complications arise after you return home? Is there adequate time allowed for recuperation after your procedure? “

Well having now visited some top Bangkok hospitals I have no reservations about the quality of service offered, the range of treatments and the immediate availability of different procedures. Prices are certainly low compared to the West and patient facilities are first rate.

You could simply turn up and if you are fit for surgery for example, then it could happen straight away. As for after-care, in the main I was more than satisfied that this is adequate, although I did question some of the day patient procedures from a layman’s perspective particularly of the cosmetic field and wondered how I would have coped if I had had the procedure.

That said most of the providers I spoke to also had arrangements with hotels or other accommodation providers where a post op patient could recuperate whilst still being near the medical facility.

The trip certainly opened my eyes and I would have no problem recommending Thailand as a medical tourism destination for international patients.  However it also raised an important issue for me too.

What about the Thai people and their health requirements given that treatment in most of the private hospitals I visited are way beyond the budgets of the average Thai family? Just how ethical is it for Thailand to be promoted as a health tourism destination with modern state of the art facilities, staffed in the main by Thai doctors and healthcare staff, at the apparent expense of a good proportion of the countries ordinary citizens?

Of course many Thai doctors do work both in the public and private sector and yes many of the hospitals have charitable arms that offer access to deserving local cases. Since private hospitals also contribute to the overall economy in Thailand it would also seem logical that at least some of their profits are ploughed back into local healthcare through public funding/taxation.

But despite my reasoning I am still left with the question, “is medical tourism really good for Thailand and who stands to benefit the most?”  What do you think?

Related posts:

  1. Thailand Medical Tourism Blog Contest.
  2. Thailand Medical Tourism Blog Contest-Finalist
  3. Thailand Medical Blog Contest Winners
  4. Medical Tourism Thailand-A Matter of Ethics?
  5. How to Plan a Medical Tourism Trip to Thailand
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  • http://paulgarrigan.com/ Paul Garrigan

    Hi Mike, it does sound like you had a great experience and I hope you do well when the results are in. I have my own feelings on medical tourism, but a lot of this is due to a sense of loyalty to the NHS – I was trained to be a nurse by the NHS.

    I’m also an advocate of free health care, but I understand your views that people should have this choice. I personally don’t believe that the allocation of health care resources in any country should be determined by the ability to pay. There is no doubt in my mind that those who can’t pay in Thailand get shafted – even though there is almost free medical health care (such as it as) for a lot of people.

    I doubt the NHS in the UK is going to be around in a few years– maybe when it is gone people will see that going abroad for treatment wasn’t the best option after all.

    • http://paulgarrigan.com/ Paul Garrigan

      I just want to clarify my last point as I realise it could be misinterpreted. I’m not blaming people for choosing medical tourism. What I’m saying is that it would be better to improve the NHS than encourage people to go elsewhere. It could be argued that going abroad takes a burden off the NHS, but it could also be argued that removal of this burden takes the pressure off the Government to improve things – it also makes the NHS seem that less vital.

    • http://www.thailand-blogs.com Mike

      Paul some very valid points, including your second comment. It was during my trip that it suddenly dawned on me that here I was visiting all this state of the art stuff, while the average Thai has to rely on the 30Baht healthcare package(good as it is). I just hope some of the profits find there way back into the economy to improve general services here.

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  • Lloyd

    9 years ago an Australian oncologist told me I had less than 2 years to live, I boarded a plain to the UK saying to best mate that was it, I’ll die in old “blighty”, I gave away most of what I had and headed to Europe. 6 years ago an Asian oncologist asked me if I would take a ‘risk’, its would be my only choice, no recourse and no regrests.

    Last year I rode my moutainbike 6,000 Km, this year I’ll double that.

    • http://www.thailand-blogs.com Mike

      Lloyd, glad to hear you cheated the grim reaper however I am unsure of the point you are making….just call me thick!

  • http://www.danploy.com/diary.htm DanPloy

    Having watched both my parents slowly die under the ‘care’ of the NHS in the UK and then seen the remarkable care and attention shown to Ploy when she got ill in Singapore and needed an operation I know where I would rather be should I get ill.

    The disparity in the health care between rich and poor is inevitable with the social and economic structures we currently have. But assuming the rich – and those affording medical tourism I include in that loose banding – contribute to the wealth of the country then hopefully the care for the poor will also improve. Our little experience here of the ‘poor’ end of treatment has been good also.

    The difference between Thailand and the UK is that Thailand can afford to invest in the care of the poor (should it so wish) because the country is basically run ‘in profit’. This is not the case in the UK and the people themselves unnecessarily burden the NHS through their immediate recourse to ‘support’ structures and the fragmented family. The UK cannot afford the NHS anymore and hasn’t been able to for some time. The US has the same issues.

    Once a country is effectively ‘running in the red’ then the free treatments start to get limited or have to be paid for. That could yet happen here as these things seem cyclical – look at Japan.
    So treatment for the poor is a lottery depending on the economic state of the country; we are fortunate to be in the right place at the right time. But as with the climate, change happens more and more quickly these days so be ready to become a medical tourist yourself in the future.

    • http://www.thailand-blogs.com Mike

      Dan, some interesting points. I do have a fair bit of time for the NHS or at least compared to what might be the alternative e.g. prior to 1946. My Mum has certainly benefited from the service with numerous treatments etc she is now 90!

      I do agree that we were born in the right era and yes in the right place at the right time.

  • http://thailandlandofsmiles.com Talen

    I think if going abroad for medical treatment is what a person wants then so be it. The tourism dollars don’t stop at the hospital door.

    As for free health care for the most part it sucks. I have had 2 friends from England die unnecessarily because NHS in it’s infinite wisdom thought they should wait to have procedures that would have saved their lives if done in a reasonable amount of time.

    • http://www.thailand-blogs.com Mike

      Talen, I’m not sure that the NHS is free since it is funded by various taxes, that said people do sometimes have to wait and tragically that can sometimes be too long.

      Nowhere is perfect and Thailand certainly isn’t if you are outside the social net.