One of the biggest concerns that both insurers and potential medical travelers have about going abroad for health care has to do not with going out of the country, but with care locally, in the United States. Who will make sure a prospective medical tourist is fit for travel and an appropriate patient for a chosen destination? Who will care for the patient postoperatively when he or she returns home?

Usually, patients work with their own primary care physicians to obtain pre- and post-operative care, before and after traveling abroad for surgery or treatment. Presumably, these doctors and surgeons will work with their counterparts overseas if necessary, sharing information, particularly in the event of any postoperative complication.

“Presumably” being the key word, here. In real life, the hand-off of a patient’s care from one healthcare facility to another, from one doctor to another, is not always seamless. That is why BridgeHealth International’s announcement yesterday of a partnership with Passport Health is so important. Combining the services of the two companies makes the medical part of medical travel that much safer, providing true end-to-end care for the patient.

See the full news release here:

BridgeHealth Partners With Passport Health

or, as covered by MarketWatch.com

BridgeHealth International, Inc. Partners With Passport Health to Provide Continuum of Care for Medical Travelers

The most important thing for consumers to know, probably, is that Passport Health, which counsels 60,000 clients each month, has 166 locations nationwide in 35 states. That’s a big network in the United States, now supporting medical travel and tourism through BridgeHealth International.

“BridgeHealth is well-positioned to optimize the medical travel experience, providing personalized guidance and expertise that helps individuals to address every aspect of their journey to better health, including options for accessing care prior to leaving the United States and upon their return home,” says Victor Lazzaro, Jr., CEO of BridgeHealth. “This partnership further strengthens our program offering and provides BridgeHealth clients with peace of mind before, during, and after their medical travel excursion.”

For more information on all this, contact BridgeHealth.

A question for our readers: How do you see U.S. healthcare evolving and changing to provide support for medical travelers? Clearly, it’s starting to happen …

The Motley Fool’s reason for existing is “to educate, amuse and enrich.” The website has been dispatch breezy and sometimes irreverent financial advice to millions since about 1996. (It looked pretty different back then, too.) Late last week, Fool came out with its take on medical tourism:

Medical Vacations: The Retiree Health-Care Solution?

Despite the question mark, the Fool’s verdict was pretty one-sided.

The debate over U.S. health-care reform rages on. But why wait for someone else to dictate your future? You have many options — if you’re willing to take a vacation. If recovering from a medical procedure while lying on a palm-swept beach, relaxing by the hotel pool, or shopping for terrific bargains sounds good, then medical vacations may be exactly the right solution for you.

In other words — go for it. At The Bridge — and at BridgeHealth International — most folks cringe a little when life-saving or enhancing medical care is discussed in terms of being part of a vacation, but we’ll forgive Fool’s lightheartedness as long as patients recognize it for what it is.

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The National Center for Policy Analysis, in an article released today, concludes that “as more insured patients begin to travel abroad for low-cost medical procedures, medical tourism will result in sorely needed competition in the American health care industry.”

The NCPA is a nonprofit, nonpartisan public policy research organization with a goal of developing and promoting private alternatives to government regulation and control. The latest analysis was prepared by Devon Herrick, who also authored a lengthier study of medical tourism and travel in Nov. 2007 titled Medical Tourism: Global Competition in Health Care.

The latest analysis recommends direct public policy changes at the state and federal level:

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For all that much of the news about medical travel and tourism has to do with uninsured or underinsured patients needing major surgery — much of medical tourism is about somewhat less lifesaving care.

And by that, I mean dental treatment. According to a recent report from CBS News, part of its “Other America” series, more than one hundred million Americans do not have dental insurance. The lack of coverage is leading to problems such as school absence, unemployment and even death.

Hundreds of thousands of Americans go abroad for dental work where they can save from 50 to 90 percent on major work including dental implants, crowns, veneers and full mouth reconstruction. BridgeHealth International works with dentists, oral surgeons and implantologists in several countries to get otherwise unaffordable care for clients.

(Video direct from CBS News; There’s a short advertising lead-in.)