Originally Posted by ProfCrash
That if you live in a country that is developing you can afford to pay people a much lower salary then the folks who live in a developed country and hence develop niche health care markets that are insanely inexpensive. And that the malpractice liability is probably non-exisistant or really, really low. And that the land is probably less expensive to buy or rent. Probably the equipment is sold at a cheaper price then in the US because the area cannot pay as much.
All of the above, with perhaps the issue of malpractice insurance being the single biggest factor. The costs for that in the west are enormous! But there is also a very big issue of 'hospitality.' Waiting for 3-4 hours to be seen by a doctor even when you've made an appointment is unheard of. Five to ten minutes is the norm. To be sent off by yourself to flounder around a hospital trying to find the correct department is unheard of. You are always escorted by a hostess directly to the proper place, served a beverage, and often the hostess will wait with you until you are called.
Because there isn't such a need to see as many patients as possible per hour, the care seems to be more old-fashioned country doctor type. Thailand was the first place I ever experienced painless dentistry. And that was for root canal work! Absolutely painless as the dentist didn't need to hurry.
Then the issue of prescription medicines... The west believes it is 'protecting' its people by requiring prescriptions for so many drugs. Most Asian countries (except Japan) don't feel that need, except for narcotics and psychotropics. And oddly enough, people don't seem to get sick from over medicating. The pharmacies are usually staffed by people who have just about the same medical training as an American P.A. who is licensed to prescribe, as well as pharmaceutical training to dispense. People will often go to the drug store and ask the pharmacist to suggest a medicine, saving perhaps half the cost of treatment.