Category Archives: Top Tips (all)

‘Maternity tourists’ flocking to Britain for free care on NHS

PREGNANT foreigners are flying to Britain in droves to take advantage of free NHS care.

The women are using forged doctors notes to board the aircraft [GETTY]

The women are using forged doctors notes to board the aircraft [GETTY]

More than 300 women who were about to give birth were stopped at Gatwick in a two year period, according to a government report.

Most of the women received treatment on the NHS after being deemed to close to giving birth to return home.

The total exploiting the health service is thought to much higher, as Gatwick has a limited number of flights from countries with the highest rate of so-called health tourists.

Despite airlines usually not allowing mothers-to-be who are more than 36 weeks pregnant to fly, the women were able to gain entrance to the UK by using forged doctors notes which hid how far along they were.

The already stretched health service is set to come under even more pressure next week when labour market restrictions are lifted and thousands of Romanian and Bulgarian immigrants are predicted to flood the UK.

The revelation comes from a previously unpublished report seen by the Sunday Telegraph which was prepared in 2010, outlining plans to refuse those with unpaid NHS entry to Britain.

Another report included quotes from an immigration officer, who was furious at the extent of the problem.

He said: “Sometimes they will come back for their second or third baby.

“Sometimes they will quite blatantly say, ‘I’m coming because the care is better’, and once they are here, if they are assessed to a certain gestation, then we are stuck.”

Health tourism costs the NHS up to £80 million a year – enough to pay for around 2,000 nurses – the Government has said.

source: http://www.express.co.uk / Expressy  / Home> News> UK / by Benjamin Russell / Sunday – December 29th, 2013

Concern birth tourism to CNMI poses health risks

The president of the Saipan Chamber of Commerce, Alex Sablan, says he believes the practice of women coming to the Northern Marianas to give birth should be highly discouraged.

There are concerns hundreds of pregnant Chinese tourists have travelled to Saipan in recent years to give birth, reportedly so the child would automatically qualify for US citizenship.

Recently the CNMI delegate to the US Congress, Gregorio Kilili Sablan, warned that birth tourism could put at risk the U.S. visa waiver programme for tourists from China and Russia.

Mr Sablan says the practice should be deterred because of the health and safety risks.

“There is absolute real reasons why they have not allowed women who are in their third trimester onto planes, it’s a very dangerous venture and so you know there’s huge liabilities from many people across the board here and I just believe that this should be discouraged at the origin country.”

Alex Sablan.

Visa waivers introduced in 2009 mean tourists from China and Russia can enter and stay in the CNMI for up to 45 days without needing a U.S. visa.

source: http://www.rnzi.com / Radio New Zealand International / RNZI Home News> News / by Alex Sablan / August 27th, 2013

New center to promote health tourism in India

Mohammad Raghib Qureshi, head of chancery at the Indian Consulate, browses a brochure after launching the Healthcare Tourism Information Center in Jeddah on Sunday. — SG photo

Mohammad Raghib Qureshi, head of chancery at the Indian Consulate, browses a brochure after launching the Healthcare Tourism Information Center in Jeddah on Sunday. — SG photo

Jeddah:

India on Sunday launched an information center in Jeddah to provide guidance and assistance to people seeking healthcare in the country.

To be operated by TIARAIAM on the premises of the Consulate General of India, the Healthcare Tourism Information Center (HTIC) will be open to all Saudi residents looking for treatment in India.

The center will make available informative materials about various treatment facilities, including Ayurvedic, naturopathy and yoga centers spread across India.

Mohammad Raghib Qureshi, head of chancery at the consulate, formally inaugurated the HTIC.

Speaking on the occasion, Qureshi said, “India has one of the best healthcare facilities in the world and so many patients from all over the Gulf seek treatment in the country. It’s good if they are provided specific information about various hospitals and institutions,” he said, adding that the project is expected to boost the volume of healthcare tourism traffic to the country.

“We want to give more and more facilities as well as information to them. The medical expenditure in India is a fraction of the cost of having medical treatment in the Western countries, and I am sure (with the right information available) more and more people will go to India for treatment,” said Qureshi.

Around 850,000 tourists visited India in 2011 for treatment, which increased to 1.1 million in 2012. This is a clear indication that India is becoming the most sought-after Asian destination for healthcare tourism. Industry estimates peg the growth of India’s healthcare tourism market at almost 25 percent annually.

Fareed Sardar Khan, managing director of TIARAIAM, said: “India provides value for money and the cost of treatment is lower than many other countries. We will coordinate with the patients in Saudi Arabia and send their medical reports to the best hospitals and other healthcare setups, and source the advice from the best team of doctors free of charge. This cuts down the burden on the already suffering patient.”

Services provided by the HTIC include recommendation of the best doctors, hospitals, and Ayurvedic, naturopathy and yoga centers for different types of diseases, consultation from abroad, post-treatment follow-up, and many more.

“When the patient decides to visit India, we provide assistance with regard to visa formalities, airport pickups, ambulance service and translators, as well as guidance and advice on leisure tourism. The best thing is all these services are provided at no cost at all,” added Khan.

source: http://www.saudigazette.com.sa / Saudi Gazette / Home> Kingdom / by Syeda Amtul, Saudi Gazette / Monday – May 20th, 2013

Nigeria: Caretaker Service for Medical Tourism

To support Nigerians and Africans seeking medical help in the United States, there is a Medical Concierge Services, writes Adeola Akinremi

“We feel pained that people come here and get stranded,” says Adebowale Adeleke, the chief Executive Officer at the Washington DC, United States based Medical Concierge Services. “It is not useful to travel miles and get to United States to become stranded not knowing what hospital to go or medical expert to consult or spend more for less trying to seek medical solution to ailment.”

In Washington DC, Where Medical Concierge Services (MCS) operates as a health care hospitality services, Nigerians and other Africans who seek medical help abroad thronged the city, but in most cases, Adeleke says, “they spend more for less.”

“We started MCS as a response to bottlenecks of finding and establishing contacts with a specialist hospital in United States by foreign patients coming from Nigeria and Africa. It is the traditional model of international medical travel support where patients generally journey from less developed nations to major medical centres in highly developed countries for medical treatment that is unavailable in their own communities without having to go through the trouble involved themselves,” he says.

Firmly ensconced in the capital city of United States with at least over a few years of experience in providing first-class health care services to patients from international countries, patients coming from abroad to the United States for medical care now turn to MCS because of its excellent reputation for personalised services, custom-tailored to each patient according to their individual needs.

Adeleke says, “all treatments are performed by the best-suited specialist physicians at the leading state-of-the-art facilities in the Washington DC Metropolis for the specific procedure indicated. We help to find the most affordable quotes for our clients and also help to arrange their appointments.”

He adds: “Medical Concierge Services is the one-stop resource for accessing premium medical services in the metropolitan Washington DC area. Our concierge approach helps reduce the stress of looking for a physician or awaiting a referral to see a specialist. We organize our clients’ medical appointments to ensure a hassle free visit to the physician/specialist based on our vast network of medical professionals, knowledge of the medical industry standards and experience. Other services we offer include airport pickup, transportation services to and from all medical appointments, as well as other ancillary needs. We offer assistance with logistics such as hotel accommodation and short-term lease apartments for clients who require such service. ”

In the US, health care system though advanced, remains very complex especially to those paying for these services out of pocket. MSC according to Adeleke will bridge such gap “from the point of arrival of any client and through the duration of their stay, we will serve as their guide and facilitator on all medical affairs. We are committed to making your medical experience smooth and stress-free. We offer various forms of medical packages that include: prenatal and delivery packages for pregnant women, executive health Physicals for Men and Women; age and gender appropriate health physicals and cancer screening, annual physicals, job physicals, screening Colonoscopy, and medical referral programs for specialist evaluation.”

Clearly, more Nigerians seek medical support from abroad and United is one of the countries frequently visited for medical reasons.

Indeed, for Nigerians, this is not a normal time. Improvement in health care services across the country is of major concern, as Federal Medical Centres and teaching hospitals remain ill-equipped, under-staffed and under-funded. The increased burden of preventable diseases such as polio, malaria, cholera and heart- related diseases that have now over-stretched Nigeria’s health care facilities, and lack of improvement in medical services is forcing more and more Nigerians, who can afford it, to seek better health care services abroad.

According to a 2012 BGL report on Nigeria health care system, infrastructure decay, brain drain, incessant workers’ strikes and low investment in the sector characterize health care services in Nigeria. Collectively, all tiers of the healthcare system have suffered. In 2011, national spending on teaching hospitals and federal medical centres was estimated at N204 billion, approximately 79% of the government’s health expenditure. However, only N20.25 billion (10 per cent of total hospital expenditure) was allotted to capital expenditure in spite of insufficient medical equipment.

In the BGL report, the Federal Ministry of Health alluded to the fact that, the human development indices for Nigeria were among the worst in the world. Nigeria shoulders 10 per cent of the global disease burden and it’s making slow progress towards achieving the 2015 targets for the MDGs on health care.

Instructively, health care delivery indices in Nigeria have largely remained below country targets and internationally-set benchmarks due to weaknesses inherent in the system.

Chief Medical Director at Lagos University Teaching Hospital (LUTH), Prof. Akin Osibogun says medical tourism is a global phenomenon, stating that there are several reasons why people all over the world leave their countries for medical assistance abroad. According to him, “medical tourism is a global phenomenon. People travel from United States to Cuba for medical assistance too. It is the human spirit, which is adventurous. People go on medical tourism for issues of privacy and preference.”

Usually Concierge physicians care for fewer patients than in a conventional practice, ranging from 100 patients per doctor to 1,000, instead of the 3,000 to 4,000 that the average physician now sees every year, especially in United States. The Concierge physicians generally claim to be accessible via cell phone or email at any time of day or night or offer some other “special” service above and beyond the “normal” care provided and their annual fees vary widely for an individual.

Some concierge practices do not accept insurance of any kind. These are also referred to as cash-only or direct primary care practises. By refusing to deal with insurance companies, these practises they believe can keep overhead and administrative costs low, thereby providing affordable healthcare to patients.

And they are called “concierge” only if the practise assesses an annual or monthly fee instead of or in addition to a fee for each medical service.

While concierge patients get a special contact number, dedicated appointment time, and various other benefits that enable the doctor to offer more advice and advocacy, the quality of the care, Adeleke says remains the same for patients and it is all about cost control.

source: http://www.allafrica.com / Home> Health / April 04th, 2013

New rules issued on “surrogacy tourism”

India has issued new rules barring foreign gay couples and single people from using surrogate mothers to become parents, drawing sharp criticism from gay rights advocates and fertility clinics.

Commercial surrogacy is a booming industry in India and in recent years ranks of childless foreign couples looking for a low-cost, legally simple route to parenthood have been joined by gay couples and singles.

The measures, circulated to Indian missions abroad in late 2012, which only came to light in the Indian media on Friday, mark the first step to the regulation of “surrogacy tourism” in India.

The rules say foreign couples seeking to enter into a surrogacy arrangement in India must be a “man and woman (who) are duly married and the marriage should be sustained at least two years”.

The rule changes, posted on the Indian home ministry’s website, were denounced by fertility clinics and gay rights activists as “discriminatory”.

“Parenting is everybody’s right and now we’re withdrawing that right,” said Dr Rita Bakshi, who heads the International Fertility Centre in New Delhi.

“These rules are definitely not welcome, definitely restrictive and very discriminatory,” she told AFP. “This is a huge heartbreak for homosexual couples and singles,” commented fertility doctor Anoop Gupta.

Gay rights campaigners also denounced the changes to the rules on surrogacy, which was legalised in 2002.

“It’s totally unfair — not only for gay people but for people who are not married who may have been living together for years and for singles,” Mumbai gay rights advocate Nitin Karani told AFP.

India is a popular destination for gay couples seeking children even though it remains a largely conservative country and only decriminalised consensual sex between homosexuals in 2011.

The home ministry would not comment on the changes which stipulate that would-be parents provide proof that their home country will give citizenship to any baby born of a surrogate mother.

There have been several publicised cases of babies born through cross-border surrogacy in recent years who have been trapped in citizenship limbo because their parents’ countries refused them passports.

Surrogacy is banned in some European countries and is subject to strict regulation in the United States.

The new India rules, which also state applicants must apply for a medical instead of a tourist visa, come as legislation to regulate the industry has yet to be passed by parliament.

The bill says only women aged between 21 and 35 can act as surrogates but sets no minimum payment for the mother.

Critics have said a lack of legislation governing surrogacy encourages “rent-a-womb” exploitation of young, poor Indian women.

While the government has been pushing the country as a medical tourism destination, the issue of wealthy foreigners paying poor Indians to have babies has raised ethical concerns in many Indian minds.

Clinic owners deny ill-treatment of mothers, saying it is in their interest to treat the women well in order for them to have healthy babies,

The cost of surrogacy is about $18,000 to $30,000 in India, said Bakshi, of which around $8,000 goes to the surrogate mother. The figure is roughly a third of the US price.

Hari Ramasubramanian, founding partner of Indian Surrogacy Law, said the new measures were introduced without “proper consultation” and needed to be challenged in the courts.

“A lot of people who will be affected had seen India as a wonderful option for getting into parenthood and now this option is closed. It’s quite sad,” he said.

source: http://www.KhaleejTimes.com / Home> International /AFP  / January 18th, 2013