It’s been two years since you’ve had a physical exam. You need to have your vision checked and your teeth cleaned. But you are one of 44,000,000 U.S. citizens without health insurance.
Who ya gonna call?
Your local travel agency for an airplane ticket to Thailand - or a handful of other developing countries with top-rate medical care at rock-bottom prices.
Bangkok, Thailand
It was news to me when I heard about Bangkok’s world-class hospitals. Wasn’t Thailand a third world country? I was preparing to return home after living in Asia for eight months when I learned that my U.S. health care policy had expired.
No worries. The word among expats in southeast Asia was that in Bangkok, I could get state-of-the-art health care for as little as $10 per doctor visit.
I learned that over the past seven years, the number of private hospital beds in Bangkok had doubled to over 16,000. Twenty years ago the major Asian health care destinations were Singapore and Hong Kong. But in the past 20 years, Thailand has moved ahead with a vastly improved medical infrastructure. And the devaluation of the baht, which makes medical care a bargain for foreigners.
From over 24 hospitals, I chose Bumrungrad because of its focus on international patients. On a computer in Bali, I logged into the hospital’s website at www.bumrungrad.com. There I set up appointments with various specialists as well as a dentist. Two days later, I pulled up in a taxi in front of Southeast Asia’s Number 1 certified hospital, Bumrungrad, in Bangkok, Thailand.
In the circular drive fronting the 12-story hospital, the largest private hospital in all of Southeast Asia, uniformed doormen and a concierge loaded and unloaded passengers. A soft-spoken Thai woman dressed in a suit and high heels greeted me at the door and directed me to the International floor. As I was being swept up the wide escalator, I took in the 5-star hotel-like lobby with its teak columns, plush seating , computer kiosks, and a Starbucks Cafe. The second floor atrium was ringed with French, Japanese, and Indian restaurants -and a McDonald’s.
Starbucks coffee shop in the lobby of the Hospital.
The International lobby felt like a convention of the United Nations. Egyptians in white turbans filled the waiting room alongside Indians in saris, Muslims in kabalas, South Africans in colorful caftans, and Westerners in shorts and tennis shoes.
I saw two familiar faces - Peter, an American who lives in Bali and Kathryn who lives in Katmandu. I also met an family of four who told me they were from Florida but were living in India while Dad worked as an agriculture consultant for a National Government Organization. They were in Bangkok to get their visa’s renewed and so had added a trip to the hospital. The day before the children had seen a dentist, dad had had a physical exam, and Mom was seen by an OB-GYN and had an ultrasound. Their total bill was $125.
Out of 850,000 patients treated at Bumrungrad last year, 300,000 were foreigners from more than 100 countries - a number expected to increase 10% in 2004. Most physicians at Bumrungrad are either American or U.K.-trained and all speak some English. Translators are provided for over 22 languages. The average cost for an operation is 50-80% below the cost in Europe or the U.S. And at Bumrungrad there is no wait. As if all of this were not enough, add Thailand’s renowned hospitality and you have a prescription for a luxurious healing environment that won’t break the bank.
Connected to the hospital by a sky walk, BH Residence is a convenient housing option for recovering patients and their families . But in the hospital, private rooms have marble countertops, plush couches, cable-TV, internet connections, and refrigerators full of sodas and soy milk - with price tags as low as $80 per night. I was ready to move in. At what other hospital could I send a postcard home saying “Wish you were here?”
Chefs from the city’s finest restaurants prepare meals to order for patients and their guests. The Mandara Spa offers bedridden patients body work to help with healing . Mothers in labor are given a choice of delivery styles, complete with nurses who massage them throughout labor.
… The pediatric wing, dubbed “Kid’s Village” looks more like Disneyland’s Main Street than a scary hospital ward. The curved ceilings have been painted with clouds, and the hallways leading into pediatricians’ offices are a splash of bright contrasting colors. The Village is completely self-contained with its own Treatment Rooms, Children’s Pharmacy and Cashier for one-stop service. A host of kid-sized and parent friendly features include “The Kids Zone” a play area with jungle gym , a miniature movie theater, and child-scaled computer modules. The Center is home to almost 50 highly qualified pediatricians representing all pediatric specialties from general pediatrics to specialists in pediatric cardiology, pulmonary, nephrology (kidneys), allergy, endocrinology (growth & diabetes), genetics, neonatology, psychiatry, neurology, oncology (cancer), gastroenterology and rheumatology. There are 29 beds in the pediatrics inpatient wing, a pediatric intensive care and a complete newborn nursery including a Level III regional neonatology center treating premature and sick babies from throughout Thailand and the ASEAN region.
Bangkok is known world wide as THE place to go for sex reassignment surgery. It makes sense then, that if Thailand’s plastic surgeons can convincingly turn a man into a woman and vice versa, erasing a few wrinkles would be a cinch. So after my appointment with the dermatologist, I slipped into The Plastic Surgery Center across the hall to pick up some brochures for future reference. I noted that the most expensive procedure, a complete facelift including eyes, neck, brow, nose, lips (and what ever else is left) including pre and post doctor visits and hospital stay , is $3,500.
The Pediatric Center and the Plastic Surgery Center are just two of over 30 “Centers” in the hospital. There is also The Wellness Center that focuses on preventative health care. Low lights, meditative music, and rich wood walls give the clinic a serene ambience. In the Wellness Center vitamins and mineral compounds are prepared individually for patients depending on their needs.
American-born director of the International Center, Rubin Toral, told me that in 2002, a year when most hospitals world-wide had growth rates of just 3%, Bumrungrad’s revenue grew by 22%.
“Unlike the US ,” Toral said, “where doctors often have their own practices, all our services are offered under one roof - the family practitioner, the surgeon, a physical therapy center, the lab, the pharmacy… During the 1997 economic crisis, we invested in a state of the art computer software system which digitizes everything from patient registrations, clinical systems, operating room scheduling, billing, purchasing, inventory management, and gives doctors instantaneous access to medical records, including digital x-ray’s. Thailand’s labor costs are low, as is overhead, and there is virtually no litigation. The result is world class health care at rock bottom prices.”
Director of the International Center, Rubin Toral.
A Day In the Life Of A Patient At Bumrungrad Hospital
Upon my arrival on the International floor, I approached the desk, where they printed up a patient card with my name along with a list of my prearranged appointments (remember, I had set them up online two days earlier). There were no forms to fill out. A woman was assigned to be my guide for the day. I had signed up for Bumrungrad’s “comprehensive exam”. She took me first to the waiting room where I would see a general practitioner. Thai kick boxing was on the overhead TV. A nurse in a uniform and triangular cap rolled a cart my way and asked, “Would you like some fruit juice or water?
As the afternoon progressed, she guided me from appointment to appointment. Each doctor had on his or her desk a computer which he referred to and to which he added his own notes. My x-rays and ultrasound were there along with all doctors’ notes for each doctor to access with the click of a keyboard.
By the end of the afternoon, I’d seen eight specialists including a dentist, and had had every inch of my body from my toenails to my scalp scanned, poked, and tested. My final appointment was with the general practitioner I began the day with. He opened a 10 page bound medical report with my name on the front, just under a photo of the hospital, and we proceeded to go through the report line by line, word by word until he was satisfied that I understood everything from the significance of my blood count to my HDL levels to my liver function.
Next stop was the pharmacy. I handed the pharmacist my I.D. card, and he handed me my meds in a small chic shopping bag with the Bumrungrad logo on its front.
My last stop was the cashier.
“That will be $470,” she said.
With my personal medical report tucked under my arm, and my shopping bag of meds in the other, I took the escalator to Au Bon Pain for a croissant and a cappuccino and thought to myself that I’d never had so much fun in a hospital.
Note:
I have focused on Bumrungrad’s International services in this article because of the nature of this magazine. The hospital also offers outstanding outreach programs to locals including heart replacement valves for local children.
Bumrungrad Hospital, multilingual, interactive website www.bumrungrad.com.
Bangkok Hospitals:
www.traveller2000.com/bangkok/hospitals.htm
BRAZIL
I asked Jim Kirby, a part-time resident of Brazil and a writer for this magazine, to talk about health care in Brazil.
He said, “The health care value in Brazil can far surpass that available in the USA for everyone, especially for the local rich and those who have dollars.
Drugs cost a fraction of what they do in the U.S., especially considering you can buy them without a prescription. For a very small fee ($5), you can get a piece of glass taken out of your foot or an even drug injection right in the pharmacy. Eyeglasses cost probably 1/5th what they do in the U.S. A dentist will clean your teeth for $15, fill a tooth for $30. And the dentist does it herself, not a dental technician.
Along with the Argentines, Brazilians are the world leaders in cosmetic surgery,
teaching physicians from around the world. A nose job in Sao Paulo will cost you about $900.
The big news lately is that the Brazilians lead the world in combating AIDS. They dishonor HIV-drug patents and produce and distribute generics themselves at very low cost.
There are several tiers of general care available, from free community clinics spread around the neighborhoods, to crowded, but cheap public hospitals, to world-class private hospitals. The three southern states of Paran
Check out this famous plastic surgery hospital in Rio:
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Left by Kevin McLaughlin on February 9th, 2006
I can confirm that the Bumrungrad hospital is awesome, I was on vacation in Bangkok last month and a hospital was the last thing on my mind. I ended up there for 7 days due to an emergency and I decided not travel back to Canada with a nurse but attend my medical issues there (an extra seven days) There was a bed waiting for me when I got there as the doctor had called from my hotel 20 mins before….
I came back to our “free” health care system and tried to book an appointment to see a specialist and was told that I would need to wait for one and a half months just to see one and a day surgery would be booked at that time.
The total cost for the seven day stay and surgery (with extremely polite medical staff at any time of the day or night) $5500.00!!
Left by Al Smith on July 4th, 2006
I was at Bumrungrad in July, 2006. Absolutely incredible! Having lived in the US for 45 years, I was simply not prepared for having the phrase, “Customer Service” redefined for me. Don’t ever stay at a Four Seasons again. Instead, go stay at this hospital!
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Robin, you’re a redneck, and a typical American. If it’s not an English-speaking country, the people are poor and living in trees, right? What’s a third-world country anyway, you nincompoop? Of course, you can’t afford medical care in the US, so what does that say about you? That’s right…you’re a third class citizen in your own country. Were you surprised that there were cars in Thailand? That the hospital had computers. The tendency to judge other cultures on the basis of your imagination is the reason you people aren’t liked wherever you go.
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You guys do a wonderful job! Keep up the good work!!!s
Left by sveta on July 1st, 2007
Thanks so very much for taking your time to create this very useful and informative site. I have learned a lot from your site. Thanks!!o
Left by Bill on July 1st, 2007
Oh o ho! very nice site!
Left by Bill on July 2nd, 2007
You guys do a wonderful job! Keep up the good work!!!b
Left by Hillary on July 2nd, 2007
Excellent web site I will be visiting often
Left by Hillary on July 3rd, 2007
Great site. I will bookmark for my sons to view as well!!!a
Left by Hillary on July 3rd, 2007
Nice post. I\’ll return.b
Left by Britney on July 3rd, 2007
I enjoy your site very much! THANK YOUs
Left by Helga on July 3rd, 2007
Nice site… Cool guestbook…
Left by sveta on July 3rd, 2007
I have been looking for sites like this for a long time. Thank you!
Left by Bill on July 4th, 2007
824850463 [url=http://www.472134399.com]472134399[/url] http://www.758822631.com
Left by LittleB on July 4th, 2007
Hi, good morning to all of you… Nice Guestbook
!!!
Left by Bill on July 5th, 2007
I\’m love this great website. Many thanks guys
Left by Bill on July 5th, 2007
huyak
Left by Hillary on July 6th, 2007
You have an outstanding good and well structured site. I enjoyed browsing through it.o
Left by sveta on July 6th, 2007
keep up the good work!t
Left by Helga on July 6th, 2007
Da nu Nahi
Left by Bill on July 6th, 2007
Thank for making this valuable information available to the public.u
Left by Helga on July 7th, 2007
Hi, all. Nice site…I really like your site ! Good job man..
Left by Hillary on July 7th, 2007
This is very interesting sitea
Left by Helga on July 7th, 2007
Thanks so very much for taking your time to create this very useful and informative site. I have learned a lot from your site. Thanks!!
Left by Hillary on July 8th, 2007
Thanks so very much for taking your time to create this very useful and informative site. I have learned a lot from your site. Thanks!!
Left by Helga on July 8th, 2007
Wow!!! Good job. Could I take some of yours triks to build my own site?
Left by Britney on July 8th, 2007
Just wanted to say hello
Left by Bush on July 9th, 2007
Great Site - really useful information!s
Left by Britney on July 9th, 2007
Hello stupid pendosegi.k
Left by sveta on July 10th, 2007
Robin–Edit the spam comments, please! Feed the blog or kill it–what you’ve got now devalues the brand. Good luck in ‘Stambool.
Left by Christopher Reed on February 22nd, 2008