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Save thousands of dollars with surgery in Panama

Date: 10/03/2007

By Catherine McCabe

"Americans are in the midst of a global shift in healthcare service: in a few short years, big government investments, corporate partnerships, and increased media attention have spawned a new industry-medical tourism-bringing with it a host of encouraging new choices, ranging from dental care and cosmetic surgery to some of the most costly procedures, such as hip replacement and heart surgery." Josef Woodman in his 2007 book, Patients Beyond Borders

Bangkok, Singapore, and India host tens of thousands of medical tourists each year. Their patients come mostly from Europe but, more and more, from the

The benefit from health travel
*Between 43 and 46 million are without medical insurance in the U.S., many of whom are self-employed

*120 million Americans don't have dental insurance

*250 million insured Americans have highly restricted coverage because of pre-existing conditions

*According to 2005 statistics, 782,936 Canadians were forced to wait more than a year for necessary surgery

Travelers who seek medical care abroad are:
*Those desiring elective procedures (cosmetic or wellness treatments) not covered by their insurance plans

*The "underinsured" whose insurance company has cut back on coverage while raising premiums, thus making some medical procedures cost prohibitive

*Patients wishing to explore "alternative" treatments not covered by insurance

*Baby boomers who do not yet qualify for Medicare and Medicaid benefits

*People who find treatment abroad costs less than their insurance plan deductible payment

*Those who have lost their company group coverage due to retirement and need a procedure not covered by Social Security, Medicare or Medicaid benefits

*Travelers on vacation or business who decide to combine their trip with a medical procedure

Past patients saved thousands
Pana-Health is protective of the people who use their service, respecting doctor-patient confidentiality. Therefore the names have been withdrawn for the three patients given as an example below. All have had procedures through Pana-health.

"Patient X" is a 28-year-old who came to Panama from St. Louis for a Gastric Bypass. The total bill was $14,716, which included the surgeon's costs, surgical assistants and nurses, anesthesiologist, all hospital fees, lab work, and medications. Average U.S. cost: $25,000.

"Patient Y" is a 33-year-old woman from Washington D.C. who traveled to Panama for In Vitro Fertilization. She paid $5,250, which covered hormonal and follicle monitoring, anesthesia, follicle aspiration, oocyte recognition, all lab work, semen preparation, embryonic transfer, and hormone profiles. Average U.S. cost: $9,000 to $18,000.

"Patient Z," age 57, came from Philadelphia for cataract surgery using a monocular lens at $2,500 per eye. This cost included the surgeon's fees, anesthesiologist, and lab tests as an ambulatory outpatient. Average U.S. cost: $5,000 to $6,000 per eye.

U.S. and Canada. Previously, if you needed top medical attention, you went to the U.S. Now the trend is reversing with patients seeking the same excellent care abroad. Foreign countries are recognizing the need to provide medical care that is equal to, or surpasses, what is available in the U.S.-but at a much lower cost.

Panama is one such country. Pana-Health is an organization in Panama City which caters for tourists coming to Panama for cheaper medical care.
Pana-Health, which works hand in hand with IPAT (Panama Ministry of Tourism), has gathered a membership of nearly 100 physicians collectively specializing in: Assisted Reproduction, Cardiology, Dental Implants, Dermatology, Endocrinology and Diabetes, Gastroenterology, General and Oncologic Surgery, General Dentistry, Geriatrics, Internal Medicine, Ophthalmology and Allergies, Periodontics, Plastic Surgery, Prosthodontics, Psychology, Urology, Speech and Language.

Dr. Richard Ford (Periodontist and CEO of Pana-Health) explains that all of their physicians are bilingual. They have received their specialist training abroad, mostly in the U.S., where many are also board certified. Dr. Ford became a Periodontist at the Louisiana State University School of Dentistry and is an active member of the American Dental Association. Keeping it in the family, Dr. Ford's wife, Natacha (multi-lingual and Swiss born), runs the Pana-Health office and coordinates all patient requests.

Because of Panama's historically long association with the U.S., potential patients find the country "Americanized," and especially friendly to visitors. "More importantly," Dr. Ford points out, "all the medical equipment and medicines we use come from the U.S. and Europe, and is top of the line."

The hospitals work a little differently here. In your home country you are probably used to your doctor working for a particular hospital. If you're having a procedure, he'll tell you which hospital to use. In Panama, it's just the opposite…the hospitals work for the doctors. This means your doctor has a choice which hospital he thinks most appropriate for the procedure you're having.

Panama has many hospitals and clinics scattered throughout the country, but the top four private ones are in Panama City. All four hospitals measure up to the highest U.S. standards in terms of quality of care, sophistication of medical procedures and equipment used, and up-to-date technology.

You may find that some medical procedures are less expensive in Bangkok, Singapore, or India…but when you compare the price difference in airfares and long travel times, Panama becomes a far more reasonable alternative. Continental, Delta, and American Airlines fly nonstop to Panama from the United States. So does Copa, the national airline of Panama, which has daily nonstop flights from L.A., San Francisco, Houston, Miami, New York, and Washington.

Of course, when choosing medical or dental procedures, regardless of where you opt to seek care, always ask a lot of questions and devote much thought before making your decision.

Pana-Health can coordinate your doctor appointments and consultations, hospital or clinic services, hotel or apartment arrangements, airport pickup, and mountain, beach, or rainforest vacations. They also provide a 24-hour hotline for all your medical questions and guidance while in Panama. After you explain the procedure you want, they will provide a complete quote of anticipated medical charges to include expected hospital time (if needed) and when you can plan on traveling. For more information, contact Natacha at Pana-Health; tel. (in the U.S.) (305)675-7306; or (in Panama) (507)223-6766.
e-mail: info@pana-health.com www.pana-health.com.

Average medical and dental costs in Panama
When reading the following cost comparisons, keep in mind that because Pana-Health has nearly 100 physician members, there will be price variances which underscores the importance of reviewing your chosen doctor's resume and asking questions. However, the estimated Panama costs do include doctor fees, preliminary medical tests, anesthesiologist, operating room, hospital (if needed), nursing care, and whatever follow-up is prescribed…which is something we can't always say about the U.S. Try pricing a procedure in New York City, Omaha, and Los Angeles and you'll get estimates all over the map (literally). So, the following U.S. figures are ball-park and may be considerably higher where you live. IL

Procedure Cost in the U.S. Cost in Panama
Cardiology:    
Angioplasty with stent $20,000 $10,000-$15,000
Pace Maker $5000 plus $1,500-$2,300
     
General & Oncologic Surgery:    
Laparoscopic Hernia $7,000 $4,000
Laparoscopic Gastric Bypass $25,000 $15,000
     
Plastic Surgery:    
Face/Neck Lift $11,000 $6,800
Rhinoplasty $4,900 $3,100
Breast Augmentation $5,400 $3,900
Breast Reconstruction $7,000 $3,000
Liposuction (multiple areas) $6,500 $4,400
Dermabrasion $3,100 $1,500
Chemical Peel $1,000 $600
     
Gynecology & Obstetrics:    
Intrauterine Insemination $1,500 $850
In Vitro Fertilization $9,000-$18,000 $5,000
In Vitro Fertilization with donated egg $16,000-$20,000 $7,500
     
Dental Implants & Periodontics:    
Dental Implant $2,000-$2,500 $1,000
Periodontal Regeneration $1,200-$1,500 $600
     
General Dentistry:    
Porcelain Crown $950-$1,200 $550
Porcelain Veneer $1,200-$2,000 $600
Root Canal $500-$900 $200-$400
     
Orthopedics & Traumatology:    
Hip Prosthesis $20,000 $12,000
Artroscopy $10,000 $5,000
Knee Replacement $20,000 $12,000
Herniated Disc $20,000 $6,500
Carpal Tunnel Release $7,000 $3,000
     
Ophthalmology:    
Cataract Surgery $5,000-$6,000 $2,500
Glaucoma Surgery $5,000-$6000 $2,000
Blefaroplastic Surgery (eyelids) $6,000 $2,500
Refractive Surgery (Eximer Laser) $5,000 $2,000
 

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