Medical tourism in Toronto Canada

Medical Tourism

Medical Tourism is also known as Medical Travel, Health Tourism, Health Travel, Medical Value Travel, Healthcare Abroad, Medical Overseas, Overseas Medical, Surgery Overseas, Medical Outsourcing and Offshore Medical. Medical tourism can be described as a healthy holiday. In most cases, medical tourists are not your average vacationers opting for medical or cosmetic treatment, just because it is available, but patients with significant health concerns for whom the cost of their health-care is a primary concern and the vacation aspect a secondary one. Indeed, someone needing medical or cosmetic treatment would not go abroad if the 'affordable healthcare' factor-quality of treatment, cost savings and wait time did not justify it. As long as you are healthy enough to travel, you stand to benefit from medical tourism’s offerings.

Medical Tourism is a combination of wellness and healthcare coupled with leisure and relaxation which is aimed at rejuvenating a person mentally, physically and emotionally, drawing away from his daily routine to a relaxed environment in an exotic location. Medical Tourism is the process of traveling abroad to receive superior medical, and cosmetic care by highly skilled surgeons at some of the most modern and state-of-the-art medical facilities in the world.  This means that those who choose medical tourism are able to utilize the services of some of the top surgeons in the world, all while enjoying exotic locales and accommodations. Patients can put the money they are saving on the procedure into turning their journey into a magnificent, world-class retreat. For millions of patients, it is the only way to get the needed or desired medical treatment, without wiping out their entire life-savings.

 Many countries offer discount medical tourism world wide. Some of the best destinations for international medical tourism include India, Thailand, Singapore and Mexico. Central and South American countries like Costa Rica, Panama, Brazil and Argentina also have top quality medical expertise to offer but also have great travel destinations where one can enjoy a medical vacation. Cosmetic surgery clinics offer services in countries such as Argentina, Austria, Belgium, Bolivia, Brazil, Costa Rica, Cuba, Cyprus, Czech Republic, Egypt, France, Germany, Greece, Hungary, India, Italy, Latvia, Lithuania, Malaysia, Poland, South Africa, Spain, Sri Lanka, Thailand, Tunisia, Turkey, United Arab Emirates (UAE) and Venezuela.

There are three categories that can suit prospective patients:

Elective surgery - A large number of medical tourists seek out elective procedures such as cosmetic, plastic, dental and wellness treatments that are not covered by insurance plans.

Underinsured - As insurers cut back on their coverage and insurance costs increase, more individuals find themselves ‘underinsured’. High deductibles, co-payments, out-of-pocket expenses, wait-lists and limited physician choices force many patients to seek out alternative treatments. Others find that the care they need is not covered under their insurance plans.

Uninsured - These individuals, many of which are self-employed, frequently find themselves delving into their hard-earned savings to finance their medical care. According to a Harvard study, half of personal bankruptcies are  related to medical expenses. Thus, medical tourism is an increasingly popular solution among the uninsured population.


Research is the first step to successful medical tourism travel. Make sure that you do your research on the following:

The Procedure:   Find out about the procedure and compare your expectations with what is achievable by the surgery. Also inquire about follow-up care needed, time required for recovery, physical therapy, etc.

The Hospital:   When selecting the hospital that is right for your needs, you should consider the hospital's accreditation, awards and recognitions, facility and equipments, statistics like success rates, etc.

The Surgeon:   Check the certifications, training and repute of the surgeon who will be treating you.

The Destination Country:   You should base your selection on quality, distance and cost.


Always work with your local doctor and inform him about your decision to travel overseas for treatment. You may need his assistance prior to the surgery for furnishing the health records required by the international hospital and post surgery for any follow-up checks that may be required.


Bring the following documents with you:
 
Medical Records:   Medical records like X-Rays, MRI's, health histories, photographs, immunization records, prescriptions, and any other health records relevant to the surgery. Remember to carry all these medical reports and any medicines in your carry-on luggage.

 Passport and Visa:  You will need a passport for yourself and your travel companion (if any). Depending upon the country you are traveling to, you may or may not need a visa. Check with your destination country's embassy for the same.

Credit Cards, Debit Cards and Travelers Checks:  Bring some local currency, travelers checks and one or two major credit cards and debit cards.

Driver's license:   Carry your driver's license and make sure it will remain valid while you're traveling.

For each document, make copies and leave one set of copies at a safe place at home.


Keep the following contact information handy:

1. Emergency contacts like relatives and friends

2. Destination embassy

3. Hospital

4. Hotel

5. Local surgeon / doctor

6. Employer

 

You should allow ample time for recovery after your surgery before you travel back home.  Be prepared to stay longer when advised by your doctor. In some other cases, you may not need to stay for as long as was expected.

Medical tourism carries some risks that local medical procedures do not have. If complications do arise, patients might not be covered by insurance or be able to seek compensation via malpractice lawsuits. New insurance products are available that do protect the patient should a medical malpractice occur overseas.   Some Medical Tourism destinations provide some form of legal remedies for medical malpractice. However, this legal venture is unappealing to the medical tourist. Advocates of medical tourism advise prospective tourists to evaluate the unlikely legal challenges against the benefits of such a trip before undergoing any surgery abroad.

Some countries, such as India, Malaysia, Costa Rica, or Thailand have different infectious diseases than Europe and North America, and different strains of the same diseases compared to nations such as the U.S., Canada, and the UK. Exposure to disease without having built up natural immunity can be a hazard for weakened individuals, specifically for gastrointestinal diseases (e.g Hepatitis A, amoebic dysentery, paratyphoid) which could weaken progress, also mosquito-transmitted diseases, influenza, and tuberculosis (e.g., 75% of South Africans have latent TB).

Travel soon after surgery can increase the risk of complications, as can vacation activities. For example, scars will be darker and more noticeable if they sunburn while healing. Long flights can be bad for those with heart (thrombosis) or breathing-related problems.
Since diseases run the gamut in poor tropical nations, doctors seem to be more open to the possibility of infectious diseases, including HIV, TB, and  typhoid.  There are cases in the West where patients were consistently misdiagnosed for years because such diseases are perceived to be "rare" in the West.

For hospitals and doctors seeking to provide Medical Tourism services, there is the risk of being sued by an unsatisfied  patient, so medical indemnity services such as those provided by the Medical Protection Society are essential .

More Toronto info...


  • Toronto By bus
    Greyhound provides transportation from most major Northeast cities, Ontario Northland provides service from the northern parts of Ontario and Coach Canada links Montreal and Toronto. GO Transit provides buses from outlying Toronto areas. Greyhound, Coach Canada and Ontario Northland buses stop at Toronto Coach Terminal, which is a short walk to the Dundas or St. Patrick subway stations of the Toronto Transit Commission.
    [edit] -


  • Toronto By plane
    Pearson International Airport (YYZ) (or LBPIA - Lester B. Pearson International Airport) is about 45 minutes by car from the downtown core and is serviced by most major international carriers. There are two terminals: Terminal 1 hosts all Air Canada flights and a few other international carriers, while Terminal 3 hosts all other airlines including WestJet and Zoom. (There is no Terminal 2 anymore.)

    Several options exist for getting downtown from Pearson:

    Airport Express bus service is quick, convenient, and frequent (peak periods: every 20 minutes; off-peak periods: every 30 minutes). It picks up at both terminals, and stops at several major hotels in the downtown core. Adult fares are $16.45 one way, $28.35 for round trips. -

Plastic Surgery News...

  • The US Food and Drug Administration (FDA) has advised additional changes to the Ortho Evra Contraceptive Transdermal (Skin) Patch label to include the results of a new epidemiology study that found that users of the patch were at higher risk of developing venous thromboembolism (VTE), than women using the oral contraceptive pill. According to the report by the US FDA, the changes have been advised based on the results of the most recent epidemiological study conducted by the Boston Collaborative Drug Surveillance Program (BCDSP) which found that patients using the Ortho Evra patch were two-times more likely to develop a VTE compared to patients taking the combined oral contraceptive consisting of 30 micrograms of ethinylestradiol and the progestogen levonorgestrel (absolute data not presented in FDA statement). The FDA advice also highlights data from two previous studies: • The first study also conducted by the BCDSP found that the risk of non-fatal VTE events associated with the use of the Ortho Evra contraceptive patch is similar to the risk associated with the use of oral contraceptive pills (OCs) containing 35 micrograms of ethinylestradiol and the progestogen norgestimate. • The second study included a review of patients’ charts and showed an approximately two-fold increase in the risk of medically-verified VTE events in users of Ortho Evra compared to users of OCs containing 35 micrograms of oestrogen and the progestogen norgestimate. The FDA states that although data from the 3 studies are conflicting, results from two of these studies support concerns regarding the potential use of Ortho Evra to increase the risk of blood clots in some women.

  • Context  Comorbidities may increase the negative effects of specific anticancer treatments such as androgen suppression therapy (AST).

    Objectives  To compare 6 months of AST and radiation therapy (RT) to RT alone and to assess the interaction between level of comorbidity and all-cause mortality.

    Design, Setting, and Patients  At academic and community-based medical centers in Massachusetts, between December 1, 1995, and April 15, 2001, 206 men with localized but unfavorable-risk prostate cancer were randomized to receive RT alone or RT and AST combined. All-cause mortality estimates stratified by randomized treatment group and further stratified in a postrandomization analysis by the Adult Comorbidity Evaluation 27 comorbidity score were compared using a log-rank test.

    Main Outcome Measure  Time to all-cause mortality.

    Results  As of January 15, 2007, with a median follow-up of 7.6 (range, 0.5-11.0) years, 74 deaths have occurred. A significant increase in the risk of all-cause mortality (44 vs 30 deaths; hazard ratio [HR], 1.8; 95% confidence interval [CI], 1.1-2.9; P = .01) was observed in men randomized to RT compared with RT and AST. However, the increased risk in all-cause mortality appeared to apply only to men randomized to RT with no or minimal comorbidity (31 vs 11 deaths; HR, 4.2; 95% CI, 2.1-8.5; P < .001). Among men with moderate or severe comorbidity, those randomized to RT alone vs RT and AST did not have an increased risk of all-cause mortality (13 vs 19 deaths; HR, 0.54; 95% CI, 0.27-1.10; P = .08).

    Conclusions  The addition of 6 months of AST to RT resulted in increased overall survival in men with localized but unfavorable-risk prostate cancer. This result may pertain only to men without moderate or severe comorbidity, but this requires further assessment in a clinical trial specifically designed to assess this interaction.

    Trial Registration  clinicaltrials.gov Identifier: NCT00116220


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