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Vocapedia > Health > Medicine > Surgery

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

surgery        USA

 

http://www.npr.org/sections/health-shots/2016/04/27/
475880565/that-surgery-might-cost-you-a-lot-less-in-another-town

 

http://www.nytimes.com/2009/06/10/
opinion/10milstein.html

 

http://www.usatoday.com/news/health/2006-11-30-
hand_x.htm

 

 

 

 

surgical robots        UK

https://www.theguardian.com/technology/2018/jul/29/
the-robot-will-see-you-now-could-computers-take-over-medicine-entirely

 

https://www.theguardian.com/society/2017/aug/19/
worlds-smallest-surgical-robot-versius-keyhole-hospital-revolution

 

 

 

 

perform robot-assisted, or robotic, surgery        USA

https://www.npr.org/2019/06/23/
735216904/doctors-learn-the-nuts-and-bolts-of-robotic-surgery

 

 

 

 

surgery > cost > health care        USA

http://www.npr.org/sections/health-shots/2016/04/27/
475880565/that-surgery-might-cost-you-a-lot-less-in-another-town

 

 

 

 

surgery        UK

http://www.guardian.co.uk/lifeandstyle/2011/apr/04/
brutal-early-nose-surgery-techniques

 

http://www.guardian.co.uk/lifeandstyle/video/2010/dec/13/
sickness-health-donating-kidney-husband-video

 

 

 

 

heart surgery        UK

http://www.theguardian.com/society/2015/apr/02/
uk-childrens-heart-surgery-deaths-halve-10-years-open-heart

 

 

 

 

gastric surgery        UK

http://www.guardian.co.uk/society/2012/jun/01/
gastric-surgery-first-person-experience

 

 

 

 

cosmetic surgery        UK

http://www.theguardian.com/lifeandstyle/2014/feb/09/
is-cosmetic-surgery-normal-modern-life

 

http://www.guardian.co.uk/lifeandstyle/2011/feb/09/
dangers-cosmetic-surgery

 

 

 

 

Michael DeBakey, Rebuilder of Hearts, Dies at 99        USA        2008

http://www.nytimes.com/2008/07/13/
health/13debakey.html

 

 

 

 

UK > GP surgery        UK

http://www.theguardian.com/society/2013/nov/03/
behind-the-scenes-gp-surgery-evenings-weekends

 

 

 

 

op

 

 

 

 

on the operating table

 

 

 

 

 have a preventive double mastectomy        USA

http://www.nytimes.com/2013/05/14/
opinion/my-medical-choice.html

 

 

 

 

undergo heart surgery        UK

http://www.guardian.co.uk/football/2011/nov/02/
tottenham-harry-redknapp-heart-surgery

 

 

 

 

undergo an operation

 

 

 

 

undergo a caesarean delivery

 

 

 

 

undergo bypass open-heart surgery

 

 

 

 

undergo tracheotomy

 

 

 

 

hysterectomy        UK

http://commentisfree.guardian.co.uk/ann_robinson/2007/03/
prolapse_of_judgment.html

 

 

 

 

silicone breast implants        USA

http://www.usatoday.com/news/health/2006-11-17-
silicone_x.htm

 

 

 

 

going under the knife

http://blogs.reuters.com/reuters-wealth/2011/06/15/
medical-tourism-wins-fans/

 

 

 

 

tonsils

 

 

 

 

tonsillectomy

 

 

 

 

take out

 

 

 

 

cataract surgery        UK

http://www.nhs.uk/Conditions/Cataract-surgery/Pages/How-it-is-performed.aspx

 

 

 

 

 

 

 

 

 

Op-Ed Contributors

Overseas, Under the Knife

 

June 10, 2009

The New York Times

By ARNOLD MILSTEIN,

MARK D. SMITH

and JEROME P. KASSIRER

 

ONE consequence of the high cost of medical care in the United States has been the rise of medical tourism. Every year, thousands of Americans undergo surgery in other countries because the allure of good care at half the price is too good to pass up.

Average total fees at well-regarded hospitals like Apollo and Wockhardt in India are 60 percent to 90 percent lower than those of the average American hospital, according to a 2007 study by the consulting group Mercer Health and Benefits (where Dr. Milstein is affiliated). Even compared with low-cost American hospitals, the offshore fees are 20 percent to 50 percent lower.

Most medical travelers seek cosmetic procedures like facelifts and liposuction, but an increasing number have high-risk operations like heart surgery and joint replacement in places like India, Singapore and Thailand.

Is this a good idea? The only way to know is to find out how foreign hospitals and surgeons compare with their American counterparts.

Which Americans consider this option? Typically, they are people who have either no health insurance or meager coverage. Though not poor enough to qualify for Medicaid, they cannot afford a good health plan. But lately, even some people with good coverage have been encouraged to take advantage of cost savings abroad.

A few pioneering American insurers like Blue Cross Blue Shield of South Carolina and self-insured employers like the Hannaford Brothers supermarket chain sent American doctors to evaluate foreign hospitals. Favorably impressed, they now offer payment for travel expenses and cash incentives as high as $10,000 for choosing offshore hospitals.

For very costly operations like open heart surgery or hip joint replacement, savings far exceed these payments. That is not to say that offshore surgery could substantially lower health care costs. Less than 2 percent of spending by American health insurers goes to the kind of non-urgent procedures that Americans seek overseas.

Other negatives are obvious: people having surgery done halfway around the world are far from their regular doctors as well as friends and family. Consider, also, what happens if an American abroad falls victim to negligent care. Arranging transfer to another hospital may be difficult — and malpractice suits typically face longer odds and smaller payments than in the United Sates. To mitigate these problems, some insurers and free-standing medical travel services offer coordination with American doctors, local concierge services and supplementary medical malpractice insurance.

There is reason to think the quality of care at some foreign hospitals may be comparable to quality in the United States. More than 200 offshore hospitals have been accredited by the Joint Commission International, an arm of the organization that accredits American hospitals. Many employ English-speaking surgeons who trained at Western medical schools and teaching hospitals.

So should offshore surgery be welcomed as a modest way to make American health care more affordable? We can’t know until we can directly compare the outcomes with those of American surgery. To begin, we must adopt a uniform way for American hospitals and surgeons to report on the frequency of short-term surgical complications.

Medicare could do this by requiring that all participating hospitals and surgeons count pre-surgical risk factors and post-surgical complications during hospitalization and for 30 days afterward, when most short-term problems become evident. The system used for many years by Veterans Affairs hospitals to reduce surgical complications is the best option for this, since it is available to all American doctors through the American College of Surgeons. So far, however, only a small minority of surgeons participate in this or any other valid national system of reporting surgical outcomes.

Patients and their surgeons also need comparable measurements of long-term success. Medicare should lead by adopting Sweden’s method of monitoring hip joint replacement outcomes. It tracks, for example, a patient’s ability to walk without pain six years after surgery.

Finally, Medicare should invite accredited offshore hospitals and their affiliated doctors to participate in all of its comparative performance reporting systems. Beyond informing Americans contemplating treatment abroad, such comparisons would allow us to learn if our care is the world’s best — and to accelerate our improvement efforts if it is not.

 

Arnold Milstein is a doctor specializing

in health care improvement.

Mark D. Smith is an internist

and the chief executive of a health care foundation.

Jerome P. Kassirer is a professor

at Tufts University School of Medicine.

Overseas, Under the Knife,
NYT,
9.6.2009,
http://www.nytimes.com/2009/06/10/
opinion/10milstein.html

 

 

 

 

 

 

 

 

 

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