Tuesday, May 19, 2009

What about Costa Rica Medicine?




San Jose fat lady statue

Downtown San Jose, Costa Rica







In the past, agricultural exports, like bananas, have been the staple of the Costa Rican economy. However, tourism has always played an ever increasing role, and now it has become the dominant economic force. Ecotourism travel is the most preferred for expansion because it will provide a sustainable resource for tourism for generations of Costa Ricans to come.

But with traditional tourism hit hard by the global recession, Costa Rica is seeking to draw foreign visitors by offering reasonably priced, high-quality healthcare. A combination of proximity to the US, excellent air connections, political and social stability and low crime stats make it an attractive proposition. San Jose, the capital of Costa Rica, is home to an entire third of Costa Rica's population. Like other Central America capital cities, San Jose is dirty and chaotic in some parts, but is remarkably cosmopolitan in others.

A 2008 study by Deloitte identified Brazil, Costa Rica and Mexico, boasting professional costs ranging from 25 to 50 percent of the US average, as countries in Latin America with the greatest potential for inbound medical tourism. Other contenders were Argentina, Colombia, Brazil and Chile whose dental and cosmetic treatments are about 20 percent off prices in the US.

Officials regularly quote the figure of 100,000 medical visitors to the country, but this may only be an estimate – 20,000 a year is a much more realistic sum.

To stimulate demand overseas, the government is enlisting the help of its tourism, health and trade ministries and planning a big publicity campaign.

The Association for the Promotion of Costa Rican Medicine (PROMED) has also been established, consisting of six health consortiums, three private hospitals and several local universities and hotels. But how about the weather?

The high season in Costa Rica, December through April, is the dry season. The rainy season, which lasts from May to November, usually sees sunny mornings, with rain showers in late afternoon and evening. Secondary roads can become rutted during those months, and four-wheeldrive vehicles are strongly recommended. Overall, the climate is tropical, with an average temperature of 72°F (22°C). It can be much hotter along the coastal areas of the country, and much cooler in the mountains.

Jordan the Arab Medical Tourism Champion



..ancient wall city of Petra

Jordan, officially the Hashemite Kingdom of Jordan, is an Arab country in Southwest Asia spanning the southern part of the Syrian Desert down to the Gulf of Aqaba. It shares borders with Syria to the north, Iraq to the north-east, the West Bank and Israel to the west, and Saudi Arabia to the east and south. It shares control of the Dead Sea with Israel, and the coastline of the Gulf of Aqaba with the State of Israel, Saudi Arabia, and Egypt. Much of Jordan is covered by desert. The capital city of Amman is in the north-west.

So what do we know about Jordan besides maybe the ancient wall city of Petra sometimes claimed as 'Petra, Jordan, the place in the desert that is prepared by God for the Jewish people'?.

How about medical tourists? Really.

Private Hospital Association (PHA) president Fawzi Hammouri contends the World Bank places Jordan as first among the Arab countries and among the top 10 in the world when it concerns medical travel.

A study by Jordan’s Private Hospital Association (PHA) reports that last year, 210,000 patients from 48 countries received treatment in local medical facilities. This was an increase compared with the 190,000 patients in the previous year.

Most of the patients come from Iraq, Palestine, Sudan and Yemen.

“In order to maintain this ranking, we have to keep the current markets in the Arab world and find new ones in Africa, Europe and the US,” he said. “We have already marketed in Chad, Nigeria, Russia, Azerbaijan and Kazakhstan.”

PHA is a private, voluntary, non-profit organisation established in1984 to represent the interests of 48 private hospitals in Jordan. It seeks to raise medical standards, supports national and international accreditation and promotes the Hashemite Kingdom as a medical tourism destination. To enable these ambitions to be fulfilled more quickly, it is planning to allow public and university hospitals to join its ranks. The new grouping will eventually be named Jordan Hospital Association.

PHA is working with member hospitals to promote specially designed healthcare offers to Americans and Europeans. Hammouri explains: “ We will provide them with packages that are 25 percent below market prices. This includes the plane ticket, accommodation and a visit to Petra to encourage local tourism as well.”

Really.

Indonesians seeking treatment overseas


..the famed ancient Borobudur complex in Yogyakarta, Indonesia

About a million Indonesians go overseas annually seeking treatment, an exercise that amounts to well over US$1 billion, research by analysts Frost and Sullivan shows.

The study, presented at a health forum in Singapore in April, indicates that despite the huge potential and spending power of Indonesia’s large population, the domestic healthcare industry has proven incapable of meeting their needs. Instead, countries such as Singapore, Australia, Malaysia and the US have been benefiting from the visits of wealthy local residents.

Frost and Sullivan contend that Malaysia has been gaining over Singapore in attracting Indonesian patients. It said: “Indonesian medical tourists going to Malaysia comprise around 70 percent of its total (inventory of) international patients, while those going to Singapore are only around 65 percent.”

Last year, Malaysian hospitals treated 288,000 Indonesian patients, up from 221,538 in 2007 and 170,414 in 2006.

In 2007, Singapore hospitals treated 226,200 Indonesian patients, a drop from the 266,500 recorded in 2006. However, its revenue in 2007 from this market was recorded to have increased.

Affordable pricing was Malaysia’s edge over Singapore, while political stability put it ahead of another rival Thailand.

With Singapore’s healthcare infrastructure being world class, its treatment costs are higher than Malaysia’s as are accommodation and incidentals. This reality has led it emphasise quality, and focus on the highly affluent Middle East sector.

A Muslim country, Malaysia has also decided to go for an Arab clientele, as well as those from destinations within the eight-hour flight range including China, Japan, Korea and the Asean.

Medical Tourists are Reluctant to come to Malaysia because the Nurses wear Headscarves?



A Malay Muslim Nurse



Student Nurses


Pity the Malaysian.
Actually only slightly more than half of the nurses in this beautiful country wear head scarves. The country had been accused to be associated so often with Islamic aggression and Al Qaeda connection that tourists formed pre-conceived ideas even before touching down at the Kuala Lumpur International Airport which itself consistently voted the world's top three airports.

So what's all this about the frightening Islamic headscarves?

Queens University, Kingston, Ontario, Canada:
The veil or the head cover is considered in the West as the greatest symbol of women's oppression and servitude.
Is it true that there is no such thing as the veil in the Judaeo-Christian tradition?
According to Rabbi Dr. Menachem M. Brayer (Professor of Biblical Literature at Yeshiva University) in his book, The Jewish woman in Rabbinic literature, it was the custom of Jewish women to go out in public with a head covering which, sometimes, even covered the whole face leaving one eye free. He quotes some famous ancient Rabbis saying," It is not like the daughters of Israel to walk out with heads uncovered" and "Cursed be the man who lets the hair of his wife be seen....a woman who exposes her hair for self-adornment brings poverty." Rabbinic law forbids the recitation of blessings or prayers in the presence of a bareheaded married woman since uncovering the woman's hair is considered "nudity". Dr. Brayer also mentions that "During the Tannaitic period the Jewish woman's failure to cover her head was considered an affront to her modesty. When her head was uncovered she might be fined four hundred zuzim for this offense." Dr. Brayer also explains that veil of the Jewish woman was not always considered a sign of modesty. Sometimes, the veil symbolized a state of distinction and luxury rather than modesty. The veil personified the dignity and superiority of noble women. It also represented a woman's inaccessibility as a sanctified possession of her husband.

The veil signified a woman's self-respect and social status. Women of lower classes would often wear the veil to give the impression of a higher standing. The fact that the veil was the sign of nobility was the reason why prostitutes were not permitted to cover their hair in the old Jewish society. However, prostitutes often wore a special headscarf in order to look respectable. Jewish women in Europe continued to wear veils until the nineteenth century when their lives became more intermingled with the surrounding secular culture. The external pressures of the European life in the nineteenth century forced many of them to go out bare-headed. Some Jewish women found it more convenient to replace their traditional veil with a wig as another form of hair covering. Today, most pious Jewish women do not cover their hair except in the synagogue.Some of them, such as the Hasidic sects, still use the wig.

What about the Christian tradition?
It is well known that Catholic Nuns have been covering their heads for hundreds of years, but that is not all. St. Paul in the New Testament made some very interesting statements about the veil:
"Now I want you to realize that the head of every man is Christ, and the head of the woman is man, and the head of Christ is God. Every man who prays or prophesies with his head covered dishonours his head. And every woman who prays or prophesies with her head uncovered dishonours her head - it is just as though her head were shaved. If a woman does not cover her head, she should have her hair cut off; and if it is a disgrace for a woman to have her hair cut off or shaved off, she should cover her head. A man ought not to cover his head, since he is the image and glory of God; but the woman is the glory of man. For man did not come from woman, but woman from man; neither was man created for woman, but woman for man. For this reason, and because of the angels, the woman ought to have a sign of authority on her head" (I Corinthians 11:3-10).
St. Paul's rationale for veiling women is that the veil represents a sign of the authority of the man, who is the image and glory of God, over the woman who was created from and for man.
St. Tertullian in his famous treatise 'On The Veiling Of Virgins' wrote, "Young women, you wear your veils out on the streets, so you should wear them in the church, you wear them when you are among strangers, then wear them among your brothers..." Among the Canon laws of the Catholic church today, there is a law that requires women to cover their heads in church. Some Christian denominations, such as the Amish and the Mennonites for example, keep their women veiled to the present day. The reason for the veil, as offered by their Church leaders, is that "The head covering is a symbol of woman's subjection to the man and to God", which is the same logic introduced by St. Paul in the New Testament.
It is obvious that Islam did not invent the head cover. However, Islam did endorse it. The Quran urges the believing men and women to lower their gaze and guard their modesty and then urges the believing women to extend their head covers to cover the neck and the bosom:
"Say to the believing men that they should lower their gaze and guard their modesty......And say to the believing women that they should lower their gaze and guard their modesty; that they should not display their beauty and ornaments except what ordinarily appear thereof; that they should draw their veils over their bosoms...." (Quran 24:30,31).

Some people, especially in the West, would tend to ridicule the whole argument of modesty for protection. Their argument is that the best protection is the spread of education, civilised behaviour, and self restraint. We would say: fine but not enough. If 'civilization' is enough protection, then why is it that women in North America dare not walk alone in a dark street - or even across an empty parking lot ? If Education is the solution, then why is it that a respected university like Queen's has a 'walk home service' mainly for female students on campus? If self restraint is the answer, then why are cases of sexual harassment in the workplace reported on the news media every day? A sample of those accused of sexual harassment, in the last few years, includes: Navy officers, Managers, University professors, Senators, Supreme Court Justices, and the President of the United States!
The following statistics, written in a pamphlet issued by the Dean of Women's office at Queen's University:
* In Canada, a woman is sexually assaulted every 6 minutes,
* 1 in 3 women in Canada will be sexually assaulted at some time in their lives,
* 1 in 4 women are at the risk of rape or attempted rape in her lifetime,
* 1 in 8 women will be sexually assaulted while attending college or university, and
* A study found 60% of Canadian university-aged males said they would commit sexual assault if they were certain they wouldn't get caught.

Something is fundamentally wrong in the society we live in. A culture of modesty is badly needed, modesty in dress, in speech, and in manners of both men and women. Otherwise, the grim statistics will grow even worse day after day and, unfortunately, women alone will be paying the price. Actually, we all suffer but as K. Gibran has said, "...for the person who receives the blows is not like the one who counts them." Therefore, a society like France which expels young women from schools because of their modest dress is, in the end, simply harming itself.

It is one of the great ironies of our world today that the very same headscarf revered as a sign of 'holiness' when worn for the purpose of showing the authority of man by Catholic Nuns, is reviled as a sign of 'oppression' and possible 'suicidal attackers' when worn for the purpose of protection by Muslim women.

Sherif A A, Ph.D.

Wednesday, April 22, 2009

Malaysia - Your preferred healthcare destination?






A Malay girl: pretty, polite & quiet





Logically Malaysia should do well with Middle Eastern medical tourists. And why not?

Among the factors working to Malaysia’s advantage, are its cost-competitiveness compared to the regional and international markets, the good infrastructure, and the fact that English is widely spoken. It has highly-trained and skilled medical personnel, state-of-the-art diagnostic equipment, modern facilities, accreditation based on international healthcare standards, competitive cost of treatment, and excellent hospitality.

But although Malaysia is an Islamic country, tourists from the Middle East make Thailand and Singapore their choice of destination over Malaysia when it comes to getting medical treatment, said a top Malaysian official.

“Although we have the clear edge in terms of religion, Muslim hospital staff, halal food and other aspects, Middle East tourists prefer to go to Thailand and Singapore. Due to this, the country continues to be left far behind the two neighbouring countries in the sector which is growing annually.’ Making this statement, Secretary General of the National Chambers of Commerce and Industry Malaysia (NCCIM), Datuk Syed Hussien Al-Habshee said the lack of effective marketing strategy was the reason for Malaysia being left behind the two countries in medical tourism. He says that in 2008 6,000 medical tourists from the Middle East went to Thailand for various forms of treatment in the country's hospitals.

Syed Hussien argues that there is an urgent need for more integrated strategies from government agencies. The three ministries involved, namely the Ministry of Health, Ministry of International Trade and Industry and Tourism Ministry should have a strategy to promote and market Malaysia as a premier medical tourism destination, rather than leaving it all to the private hospital sector, he said.

A recent study by the National University of Singapore shows that the process of transforming Malaysian healthcare into a global commodity is well under way. This is underpinned by the Government’s effort in institutionalising various incentives such as tax support, accreditation, sales promotion and marketing activities to promote the country as a healthcare hub. The report echoes Syed Hussein as it says that the initiatives are fragmented and that the private healthcare sector has been tasked to be the driver of medical tourism in Malaysia.

Malaysian hospitals are known for their resources and expertise in cardiology, orthopedics, cancer treatment, fertility treatment, and reconstructive surgery. What it is poor at is integrated marketing, promotion and advertising. The private sector has 230 private hospitals and 4000 medical and dental clinics. 35 private hospitals have been recognised by the Malaysian Ministry of Health for the promotion of health tourism.

As a step to promoting itself in the Middle East, The Ministry of Health and the Association of Private Hospitals of Malaysia (APHM) recently took ten leading providers of medical care, wellness, health tourism and healthcare technology to MSE 2009, a trade exhibition in Dubai, with a forum on 'Malaysia - Your preferred healthcare destination'.

After achieving JCI status, Prince Court Medical Centre (PCMC) in Kuala Lumpur wants to become a leading healthcare provider in Asia and promote medical tourism, says chief executive Stuart Rowley, "We are targeting the Asian region, Middle East and there is a lot of existing demand coming from Australia and New Zealand for medical tourism."

Thursday, February 12, 2009

Indian Singaporean




Pirated DVD seller in Singapore






Prostitutes lined up waiting for johns, Singapore Red Light District





Private sector eyes opportunities abroad

The private sector of Singapore’s medical tourism industry is looking beyond the Lion City to grow their business.

ParkwayHealth, controlled by the US-based private equity firm Texas Pacific Group (TPG), has plans to set up several multispeciality hospitals in India.

The group is also tying up with some of the leading healthcare providers in India apart from its plans to build hospitals on its own.

Currently, it has an agreement with Apollo Hospitals Group and has bought a 50 percent stake in the Khubchandani Hospital in Mumbai that is jointly owned by the Mauritius-based Koncentric Investments.

ParkwayHeath plans to initially invest approximately US$83 million in Khubchandani Hospital. Starting with five or six hospitals in large cities, the former has plans to set up 300-400-bed multispeciality hospitals all over the country.

The Khubchandani Hospital, which will be a 1,000-bed facility, is expected to be operational by 2011. The agreement with Apollo Group is intended to help ParkwayHealth develop hospitals across West Bengal. This joint venture currently runs Apollo Gleneagles Hospital, a 325-bed multispeciality hospital in Kolkota. This hospital will cater to Eastern India and neighbouring countries like Bangladesh, Myanmar, Nepal and Bhutan.

Another group that believes while some patients will come to you, you can get many more by going to them is Singapore Medical Group (SMG).

SMG originally entered the medical tourism market through the Lasik Surgery Clinic (LSC), a specialist centre that treats myopia.

The company's business model, which draws a clear line between management and medicine, has been so successful that SMG has exported the model to the Philippines. LSC Manila is a joint venture with STI Dela Santos, which owns the largest nursing school in the Philippines in Alabang. SMG operates LSC Alabang with Bumungrad Thailand, while LSC Angeles City is a joint venture with Angeles University Foundation.

“Although it is not a traditional market for Singapore companies, the Philippines is an English-speaking country of 85 million people and refractive surgery is in its infancy. No, we rank No. 1 there in volume with all three LSC clinics combined,” said SMG founder Dr Cheryl Baumann.

After lasik surgery, SMG pioneered sports medicine in Singapore by partnering with Changi General Hospital to set up the Singapore Sports Medicine Centre. SMG then went on to open The Dental Studio, focusing on cosmetic dentistry, the Singapore Aesthetic Centre, which offers weight management and dermatology treatment, Singapore Vision Centre for patients with eye conditions other than myopia and oncology in The Cancer Centre. This year, SMG expects to establish presence in Japan, China and Vietnam.

MALAYSIAN ROBUST MEDICAL TOURISTS





Malay girls

Old Kuala Lumpur road scene

MALAYSIA: Study says medical tourism to remain robust

Medical tourism will remain robust and resilient despite the economic slowdown, according to the Malaysian investment and research group OSK Research.

The majority of medical tourists to Malaysia seek curative medical treatment instead of aesthetic purposes, it said in its research note.

“Based on this fact, we believe demand for medical tourism in Malaysia will remain resilient as patients with a medical condition will seek treatment regardless of whether there is a recession or not, although those considering treatment for aesthetic reasons may defer their decision,” the OSK study said.

OSK Research predicted Malaysia could gain from the slowdown given the competitive advantage over the main competitors, namely Singapore and Thailand.

Since Indonesians formed the biggest number of medical tourists to Singapore and Malaysia, the slowdown might result in some Indonesian patients seeking treatment in Malaysia rather than in Singapore because of the former has cheaper cost.

“We believe Malaysia will always have a price advantage over Singapore unless Singaporean players adjust their pricing drastically - which we believe is highly unlikely, due to the higher labour and operating costs,” it noted.

Also, it noted that the recent turmoils in Thailand provided an opening for Malaysia to raise its profile as an alternative destination for medical travel.

“Our discussions with the major players in Bangkok indicate that they have not seen any sign of recovery in the sector as a large number of its foreign markets such as the United Kingdom, the United States, Canada, New Zealand and Australia are still warning their citizens against travelling to Thailand due to high political risk,” OSK Research said.

Nevertheless, Thailand expects the recovery to come in the second half of 2009 once the political landscapestabilises, it added.

“This situation offers great opportunities for Malaysia to capture some of Thailand's market share in medical tourism given that Malaysia offers comparable services at competitive prices," the OSK study stated.

Malaysia is also eager to woo medical tourists from the Gulf. Apart from the low cost of procedures in Malaysia, the government offers discounted tickets to family members of patients travelling to the country.

Syed Muhadzir Jamallulil, head of Tourism Malaysia in Dubai said: "There are a lot of facilities in Malaysia that can take care of the medical needs of travellers from the Middle East. They are much cheaper than the Gulf."

Malaysia is fast emerging as a value-for-money destination for medical tourism, thanks to its world-class health and medical facilities, said Frost & Sullivan Asia-Pacific healthcare practice consultant Tham Lin Hui.

“The growing awareness about medical tourism in Malaysia will attract more foreign patients to seek treatment in the country,” she added.