The story of modern medical tourism in the United States, as told by the media, has changed over time and now comes in a package of inevitability. It hit home for me last week, when the American Medical Association acknowledged medical travel and tourism and set some broad guidelines (reported here) and, again today, with a significant story by MSNBC Health Writer JoNel Aleccia that advances the storyline for consumers very nearly to a frontier that, until recently, was the province of industry insiders.

Hip surgery in India? Insurance may pay:
Burgeoning benefits could send hordes of U.S. patients abroad for care

The paragraph that jumped off the screen at me was this:

Once the province of the poor and uninsured, medical tourism is gaining attention of industry giants such as CIGNA, Aetna and Blue Cross/Blue Shield, who say they either have begun or are considering pilot programs that provide limited coverage for foreign care. One Montana firm, Employee Benefit Management Services Inc., recently began offering medial tourism plans to its 120 self-insured clients in the Northwest.

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The American Medical Association (AMA) has taken a formal stance on medical tourism, and the biggest news is, perhaps, this: They aren’t against it.

“We need to address the cost of care in the U.S. and cover the uninsured so that every American who needs health care can get it right here at home,” said AMA Board Member J. James Rohack, M.D. “Until there is significant action at home, patients with limited resources may turn elsewhere for care. It is important that U.S. patients have access to credible information and resources so that the care they receive abroad is safe and effective.” (Emphasis added by the moderator)

Rohack’s statement was part of a news release today coming out of the AMA’s annual policy meeting in Chicago. The association said its nine principles regarding medical travel and tourism “are the first-of-its-kind, and outline steps for care abroad for consideration by patients, employers, insurers and third-parties responsible for coordinating travel outside of the U.S.”

“For those patients considering medical tourism, the new AMA principles are an important starting point for consideration before making the decision to go abroad for health care,” said Dr. Rohack.

In a preliminary statement, Stephanie Sulger, RN, MS, vice president of the consumer division of BridgeHealth International, said she “is very pleased to see the AMA addressing this issue.”

“The guidelines the AMA has put out are comprehensive and show that they have given a lot of thought to the implications of medical travel for the U.S. healthcare system and, most importantly, for patient safety and well-being,” Sulger said. “We welcome the AMA to the discussion of how to make sure patients who travel for medical care, often for financial reasons, get the best possible care.”

To ensure that insurance companies and others that facilitate medical tourism adhere to the new principles, the AMA said it will introduce model legislation for consideration of state lawmakers.

The nine principles given by the AMA are:

(a) Medical care outside of the U.S. must be voluntary.

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