Ditching the impossibly cost-prohibitive medical procedures in the U.S. for costeffective
alternatives overseas is not an easy decision for many Americans who are
often skeptical about what to expect in Third World countries like India. But like Willy
Bearden, a documentary filmmaker from Memphis, Tennessee, many are giving a
resounding thumbs up for this route, and not just for the low costs.
In 2008, around the same time that increasing health
insurance costs forced 62-year-old Willy Bearden to take
a gamble and go without insurance, he started noticing
a worrying tightness in his chest. For three years he tried
to live with the problem, afraid that a diagnosis and the
following treatment would be too expensive. He finally saw
a cardiologist, who confirmed that he had clogged arteries.
Willy learned that the costs of a heart bypass surgery
which he might end up requiring, would be high enough to
bankrupt him.
The following extract from consumer guru Clark
Howard’s latest book, Living Large for the Long Haul, recounts
how Willy found a way out.
“The price I was quoted here was a nebulous
‘$150,000 to $300,000’ figure [for the bypass.] That
stopped me in my tracks and got me on the path
of searching out alternatives,” Willy
says. Within 14 days, he used the
research skills critical to documentary
filmmaking to learn everything he could
about medical tourism. He honed in on
India mainly because of his wanderlust
for a place he’d never been before.
Willy targeted a Fortis Hospital
location in the bustling Indian city of
Bangalore and read the bios of all their
doctors online. He emailed a Doctor
Vivek Jawali and got a response within
a day. He asked for a picture of the
hospital rooms where patients stay—and they weren’t what he imagined. “I was relieved to
see a modern hospital room with a desktop computer,
TV, and modern amenities…It was simply the nicest
hospital room I had ever seen,” Willy says.
He probed for further info, such as the hospital’s rate
of staph infection and patient testimonials. Everything
he read put his mind at ease. “I think we’re all wired to
think there’s some gimmick, some catch, but there was
none here. Admittedly, I took a huge risk, but I could see
no other option.”
Willy Bearden, after speaking at the third
annual India Summit at Atlanta’s Emory University. (Photo: Suzanne Sen)
On January 10, 2011, Willy started his trip to India.
When he arrived in Bangalore, hospital staffers were
there to pick him up and help him settle into his hospital
room. Everybody spoke English.
Willy told me he felt like these people genuinely
cared about him—a feeling he had not necessarily gotten
from the U.S. medical establishment.
That’s something money can’t buy.
“The nurses and staff were so friendly
and interested in me. I have always
been a good judge of character, and
have always prided myself in seeing
beyond what is said. My dealings with
the Indian people, whether the janitors
or the X-ray technicians, were positive
and very human. I felt the compassion
and care from these former strangers
at a very deep, very personal level.”
The next day he had a heart
catheterization and learned all four
coronary arteries were blocked 70 to 90 percent. He was
going to need bypass surgery. At that point, reality set in.
Here was Willy, a stranger in a strange land, 9,028 miles
from home, needing to have his sternum sawn open
and his heart dissected.
That was when he met Dr. Vivek Jawali in person
for the first time. It was Friday. “I had deluded myself,
somewhat, by believing that mine would be an easy
fix, and I was staring at the reality of having my chest
cracked open and my heart completely re-plumbed.
It was scary,” Willy remembers. “After a while, I sat
and talked with Dr. Jawali, who drew on a piece of
paper exactly what he was going to do to my heart. I
was so moved by his manner, his compassion, and his
intelligence, that I was completely OK with going ahead
with the surgery. That, and the fact that I probably
would have been dead in six months if I hadn’t had
the surgery.”
After their talk, the five-hour bypass surgery was
scheduled for the following Monday. It went off without
a hitch. Willy’s post-op care consisted of attentive
nurses and regular visits from Dr. Jawali. “[Following
the surgery,] he looked at me and said, ‘You are just
as important in this as I am. You have a huge role to
play in your recovery, but I can tell from your face and
your demeanor that you’ll come through this just fine.
In fact, you will be so surprised at how quickly you’ll
bounce back and be healthy again.’”
Two days later, Willy was up and ambling around
the hallways. “I had the surgery on a Monday, and by
Friday I had been up walking around the hospital floor so
much that I was feeling great. I decided to put my T-shirt
and blue jeans on. The nurses were very concerned
about this and wanted me to put my pajamas back
on, but Dr. Jawali told them to let me do what I felt like
doing. I think the act of putting my clothes on was a
very important psychological step for me. I felt as if I
had gone through this incredible journey and I was on
the other side of it—alive.”
Within a few days, Willy was able to check out of
the hospital and into a 4-star Bangalore hotel called
the Woodrose for $100 a day, which included three
vegetarian meals daily in the restaurant.
He had continuing checkups with Dr. Jawali, but
the balance of the conversation switched to the doctor’s
curiosity about Willy’s film work. That’s when he knew
he was fully on the mend.
After 18 days in India, Willy got on a plane and
made the long flight back to Memphis. Back stateside,
he gets free follow-up care from a friend who’s a nurse
practitioner, and his long-term post-op recovery is
overseen virtually by Dr. Jawali. (Willy is now even
Facebook friends with Dr. Jawali!)
The total cost for the extensive medical care Willy
received in India? $9,000. That is not a typo. That’s nine-thousand-
dollars. He paid for it on his debit card! His
airfare, meanwhile, was $1,500 and his hotel stay cost
him $500.
Willy has since become something of an
ambassador for medical tourism. He’s done interviews
with local Memphis papers and appeared at the third
annual India Summit at Atlanta’s Emory University to
share a patient’s perspective on medical tourism.
According to Deloitte Center for Health Solutions,
875,000 Americans went abroad for procedures ranging
from dentistry to elective hip replacement to bypass
surgery in 2010. And that number was estimated to
have increased to as much as 1.6 million in 2012.
Now Willy plans to pay it forward. Another friend of his is going to Bangalore for heart valve
replacement surgery, so he’ll pick up the tab for that
friend’s post-hospital hotel stay.
| What to look for if you are considering medical tourism |
| Check with your insurer first Like all medicine, the path to medical tourism basically has two routes: You can either buy services at the going market rate and pay cash out of pocket, or you can run a procedure through your insurer if they allow it. Of course, not all insurers are on board with medical tourism. But it’s always worth calling your insurer during the planning stage and asking about your options. |
|
Carefully vet all facilities and doctors Meanwhile, the American Medical Association also has its own succinct recommendations for patients and insurers interested in medical tourism. Do a Google or Bing search for “AMA medical tourism guidelines” to see them. [These are edited excerpts from Living Large for the Long Haul by consumer guru Clark Howard.] |
Website Bonus Feature (12/10/13)
Link:
“Three Ways to Improve U.S. Healthcare, as Demonstrated in India
A cardiologist’s experience in practice and travel”
By JOHN MANDROLA, DEC 10 2013.
http://www.theatlantic.com/health/archive/2013/12/three-ways-to-improve-us-healthcare-as-demonstrated-in-india/282032/