Category Archives: Asia

Baby Formula Battle Redux


In the mid-1970’s, a boycott was launched to protest the promotion of baby formula in the Third World by the Nestlé Company of Switzerland. I remember it well, because I researched it while in college.

At the crux of the boycott was that due to poor water quality, and the high cost of the infant formula which was in powder form and had to be mixed with the water, babies were not getting sufficient nutrition from the formula because of contaminated water and because their mothers only used less than the recommended amount of formula to make it last longer.

The worldwide boycott was promoted by a documentary that explained how Nestlé promoted the formula in countries mainly in Africa, and how the contaminated water supply, plus the watered down formula led to various diseases in infants.

The boycott has, according to Wikipedia, been cancelled and renewed because of business practices of Nestlé and other manufacturers.

The New York Times reported yesterday, that earlier this spring, in Geneva, a resolution regarding breast-feeding was expected to pass quickly and easily, was opposed by the American delegation to the World Health Assembly, a UN-affiliated organization.

According to the Times, American officials sought to water down the resolution by removing language that called on governments to “protect, promote and support breast-feeding” and another passage that called on policymakers to restrict the promotion of food products that many experts say can have deleterious effects on young children.

The American effort failed, so in keeping with the current regime’s bullying tactics against friends and allies and trading partners, the Times reported that they turned to threats, according to diplomats and government officials who took part in the discussions.

One of the countries they threatened was Ecuador. Ecuador had planned to introduce the measure. The fascist regime told the Ecuadoreans that if they refused to drop the resolution, Washington would unleash punishing trade measures and withdraw crucial military aid. The Ecuadorean government quickly acquiesced.

Research has proven that mother’s milk is healthiest for children and countries should strive to limit the inaccurate or misleading marketing of breast milk substitutes, the Times went on to say. A 2016 Lancet study found that universal breast-feeding would prevent 800,000 deaths a year around the world, and yield $300 billion in savings from reduced health care costs, and improved economic outcomes for those reared on breast milk.

But owing to its slavish devotion to corporate America and the pursuit of profit at any cost, the fascist regime in Washington has embraced the interests of the infant formula manufacturers.

Thus, the battle to protect the health and safety of infants and children in the developing world has been renewed. However, this time with the threat of economic blackmail, countries that dare to introduce this resolution or enact its recommendations to promote breast-feeding over that of breast milk substitutes, may not be able to defend themselves, and represents a threat not only to the health and welfare of children in developing nations, but to the health and stability of their home countries as well.

Advocates for health scrambled to find another sponsor for the resolution, but a dozen countries, mostly in Africa and Latin America, backed off citing fears of US retaliation.

The Russians stepped in to introduce the measure, but the Americans did not threaten them. Of course not, the Orangutan takes his orders from Moscow.

The Russian delegate said, “We’re not trying to be a hero here, but we feel that it is wrong when a big country tries to push around some very small countries, especially on an issue that is really important for the rest of the world.”

Oh, so I guess we can forget the over forty years the Soviet Union pushed around the smaller nations in Eastern Europe, as well as their allies in the third world? What would you call the invasions of Hungary and Czechoslovakia? Simple misunderstandings?

But getting back to the issue, it is sickening that the US, being more concerned with the financial health of some multinational formula manufacturers, would prevent mothers from getting information about how beneficial breast-feeding is for their babies, which would go along way to moving them out of poverty, and improve the overall health of people in those countries. Then maybe they wouldn’t need to rush towards our southern border to escape violence, drugs, hunger, poverty and despair. Profits before people, that’s the real American motto and values.

 

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Five and a half years

Yesterday marked five and a half years since I began the blog.

To date, it has been viewed in over 100+ countries and had over 33,600 views, as shown in the image here:

The areas in grey represent those countries that have not viewed my blog, and as you can see they are mostly in Africa and part of the Mideast, especially Iran (but you would expect that).

Of course, there are exceptions, such as Greenland and those islands to the east of Greenland. Oh, and there is one other island that has not had any views: Cuba. And one nation that has been in the news of late: North Korea.

Still, I am very happy and grateful for all the views, wherever they come from, but some have surprised even me. Take for instance, the Palestinian territories, China, Vietnam, and those in the northeast part of Africa. Even Saudi Arabia (do they know I am Jewish?)

Thank you all for the past five and a half years, and once again, I’d like to invite you to reach out to me whenever you want to discuss an article, or have something to add. I want to get to know my readers better.

S**thole Countries and Medical Travel

The comment yesterday that the current occupant of 1600 Pennsylvania Avenue said, is not only revolting, disgusting, sick and racist. It is also a threat to the national security of the United States, and to the economic health of the nation, and of the medical travel industry.

A host on the Fox News network defended what was said Thursday by saying that this is how forgotten men and women talk. If by “forgotten men and women” he means the men and women who lost their jobs because their wealthy bosses sent their jobs overseas or they were lost due to automation, then they only have to blame themselves for voting against their economic interests, and not the immigrants they blame for losing their jobs.

As to what this means for medical travel, think carefully about who travels from the US to other countries like India, Thailand, Singapore, Costa Rica, Mexico, and others, and not to mention those countries he did mention as “s**tholes”, especially in Africa, the Caribbean, and the Middle East (a region he did not mention yesterday, but has singled out for a Muslim ban).

And consider also what this means for inbound medical travel from those continents and countries that American hospitals might want to attract. Would you, as a citizen of those countries, travel to the US if that was what the leader of the US thought about you and your country? I don’t think so.

The notion that we should take in people from Norway (not that there is anything wrong with Norwegians, in fact, I am watching a series on early Norwegian history, Vikings on the cable channel History) is proof that he is a racist and a white supremacist.

Comments on social media have even gone so far as to indicate that Norwegians would never consider moving to the US because they have a better standard of living and have free education, health care, and rank higher on all social metrics.

So, those of you in the medical travel industry should be aware that some of the resistance to medical travel from America, and from the very people who would benefit greatly from it, are the forgotten men and women the Fox host mentioned. If so, it will be a tough sell to get them over there.

Disgusted!

I want to take a break from writing about medical travel, health care and workers’ comp, and address my comments to my many readers around the world from Africa, Asia, Europe, and Latin America and the Caribbean.

As a second-generation American, whose paternal grandparents arrived here from Russia more than a century ago, and whose maternal grandparents also arrived from Russia (they both held Polish passports when they emigrated) almost a hundred years ago, 1921 and 1923, respectively, I am disgusted, angry, and outraged that the Chief Executive of my country is an outright racist and bigot.

I am only glad that my parents, the children of my aforementioned grandparents did not live to see this asshole either become President, or was unable to understand that he was President due to suffering from Alzheimer’s.

I, like this moron, was born and grew up in New York City, having been born in Brooklyn, and lived in two different neighborhoods that had diverse populations. I also lived on NY’s Long Island, and while my town was less diverse than my previous residences; nevertheless, the proximity of New York City to where I lived, went to school and worked meant that I was never too far away from people of different cultures, ethnicities, racial makeups, and religions. When I had the chance, I always visited the United Nations and felt a great deal of joy knowing that such an organization, as flawed as the world is, existed and that my hometown was its headquarters.

On September 11, 2001, I was more than a thousand miles from NY when the planes struck the two towers, places I had spent time in during my early working life. In point of fact, I was driving to work in Houston, Texas when the first plane struck, and was listening to the local classical radio station on my car’s radio, The news came on at 8 am, local time, and the announcer said a plane had struck the World Trade Center. My first thought was terrorism, but I soon realized that many small planes fly up and down the Hudson, and that perhaps this is what happened.

When I arrived at my office, because we had very little work to do, and because we were all new, I took a brief nap, and when I went out into the hallway of my floor, I was told to go upstairs to the break room and watch the newscast on television. When I arrived in the break room, the first tower collapsed, and this boy from New York City saw my hometown under attack.

I never lashed out at an entire group of people, but knew immediately and from what the reporters were saying, that this was the work of Al Qaeda and Osama bin Laden. But I will tell you what I did see on television. I saw people in the West Bank cheering the attacks, not people in Jersey City, like the current occupant of the Oval Office has claimed he saw.

In fact, one of my high school alumna was interviewed on television, and has been on American television and written of in the New York Times many times. She came to the US from India and is a Muslim woman, married to the Iman who wanted to build a cultural center near the WTC. Our yearbook pictures are diagonally opposite each other in our school’s yearbook, and she was very friendly with a neighbor, whose brother was responsible for the biggest financial disaster of the last decade.

There have been American presidents of this person’s party who I did not vote for, or agree with, but at no time in my life, or that of my parents and grandparents, did they have to feel ashamed, disgusted, and incensed at the blatant racism, sexism, homophobia, crudeness, and Antisemitism of any of them, including FDR, who many have accused as not doing enough to save the six million Jews who perished in the Holocaust, including my maternal grandfather’s older brother, his wife and six children.

So I say to you, my dear and devoted readers around this wonderful world of ours, I am sorry if this idiot offends you, your country, your race, ethnicity, religion or culture. He does not speak for me, nor does he speak with the vast number of Americans who feel like I do. We, the American people, apologize. It is our fault, and our fault alone.

An Open Letter to the Medical Tourism Industry

Dear Medical Tourism Industry,

I am writing you all to address some issues I am having with the industry on the occasion of my having past my five year anniversary writing this blog, and nearing another milestone, that of publishing 400 articles. At present, I am at 396.

For the past few weeks, I have noticed on the social media site, LinkedIn that some of my connections in the industry have been attending conferences around the world, and more recently, I have replied that I wished I was there and posted a recent post with the message to advertise my willingness to collaborate, or attend such conferences.

With the exception of one person this evening, not one person has responded positively, nor in the past five years has anyone other than one person invited me to speak at a conference, and that was three years ago in Mexico. The other two conferences I attended were here in Florida; one in Miami Beach, the other in Hollywood, Florida. The first in 2014, the second in 2012, and was the reason why I started writing my blog three days after it ended.

My intention then, as now, was to transition into a new career path, so that I could be employed and enjoy the things other people enjoy, and see the world before I am unable to. But In the past five years, while I have connected with practically all the major players in the industry, defended the industry in numerous posts, and even been critical of the industry at times; no one, not here in the US, nor anyone in Latin America or the Caribbean has invited me to a conference or a fam tour, nor to any other part of the world that is not part of some current conflict.

Recently, an American filmmaker had the premier of her film on medical travel on American television, on what we call the “Public Broadcasting System”. or PBS. I missed most of it, but was able to see two names in the credits that I recognized. One person I met in Miami Beach in 2014,  the other I am connected with on LinkedIn, but have never met. I tried to contact the filmmaker, but when she did not respond, I contacted my connection, who told me she was leery about responding because I had had an association with an organization we all know, but do not like that purports to represent the industry. He had to tell her that I am legitimate.

Folks, after five years of writing, and six, almost seven, of researching the industry, and being viewed on every major continent, you would think that many of you would know that I am honest, sincere, and definitely a legitimate advocate for medical travel.

Last week, I discovered that there was a conference in Dusseldorf, Germany, and today, I learned that one of my other connections, who I did meet in Reynosa in 2014. was invited to a conference in China. What does it take to be taken seriously and given the respect and courtesy of being invited to attend these functions after all this time?

I began my work in 2011. This coming March will be seven years since I wrote my White Paper. The paper is on my blog. My articles, even those covering Workers’ Comp and Health Care have not generated many views on a daily basis, save for a few here and there. I admit, they all cannot be prize winners, but at least I am persistent. Yet, I am not making headway with the industry, nor am I getting any compensation for writing,

I don’t want to sound like I am complaining, but I feel that after all this time, it is wrong for me to be ignored. I have committed long hours of my time and my life to this industry, even as my health over the summer was an issue. I am not out of the woods yet, but I am doing ok, and with the proper treatment, and eventual surgery, I should be healthy in the future, and can travel until such time, as long as I have more than two weeks notice.

In the beginning of my blog writing, I added a section where I asked readers to tell me where they are from and who they were. No one responded, so I stopped the practice. I still would like to hear from you, but after reading this letter, I hope you will do more than just dropping me a note.

I am waiting to meet you and to participate in future conferences.

Sincerely,

Richard Krasner, MA, MHA

Map shows countries to date where my blog has been viewed.

Top 10 Orthopedic Hospitals by Procedure

Last year, Christmas Eve, to be exact, I wrote a short post about the top ten hospitals for total knee replacement under $50,000.

This year, I’d like to expand on that and discuss the top ten orthopedic hospitals outside of the US for such procedures as Arthroscopy (knee or shoulder), Disc Replacement, and Rotator Cuff Repair.

The website I linked to in my post last year, Archimedicx.com, is the same website I used now to illustrate the difference between costs in the US and elsewhere in the world.

This website is by no means the definitive source of such information. There are other websites that provide similar prices and are only ballpark figures, not actual quotes, or firm prices. Archimedicx’s website will give you a quote once you have chosen from among a list of hospitals you searched for, depending on what procedure you want to have.

I have limited the discussion here to only the three I mentioned above, as arthroscopic procedures for both knees and shoulders, resulted in the same hospitals being displayed.

The price range column indicates those hospitals who charge the amount stated or less, as the website allows an individual to choose the price range they want.

In the table below, the quality score is the ranking algorithm that generates a unique quality score for each procedure in each analyzed hospital (on a scale of 1 to 5). For the sake of clarification, a certain hospital can have different quality scores, depending on the procedure or treatment in question.

 

Table – Top Ten Orthopedic Hospitals by Procedure

top-ten-ortho-hosp

For each procedure examined, there were at least a few hundred other hospitals that one could look at, but I only wanted the top ten, as you see, ranked by quality scores. There are no doubt other hospitals on the website that may score better on other websites, or can provide these procedures for far less than they do.

The idea here is to point out that the US is more expensive than others, and as the following chart shows, we are dead last in terms of care.

nhs-best-system

But it is sad that Americans do not realize this and do what the other countries in that chart have done, provide health care to all.

It is also sad that our system for treating on the job injuries also does not allow people to seek medical care outside of their states or the country. Only two states do that, Washington, and Oregon, but as I’ve said before, there have been exceptions.

Now with a new administration seeking to destroy the social safety net and the ACA, we may see more case shifting and more crowded ER’s and not enough medical personnel to treat them.

And for what?  The commodification of health care for those who can afford it, and for the profit of those who pay for it.

Foreign-born Workers on the Rise: What it Means for Work Comp and Medical Travel

Working Immigrants.com posted a report this weekend that indicated that the percentage of foreign-born workers in the US will rise from 16% to 20% of the workforce over the next 26 years.

It will grow for the next 15 years, then the pace will slow considerably. Citing a Census Bureau publication from March 2015, Working Immigrants said that the total population of the US is expected to grow from about 319 million in 2014, to 359 million in 2030, and 380 million in 2040, which is an increase of 19% over the next 26 years.

According to the report, the working age population will grow by 12%.

There is a higher rate of employment among foreign-born, due to the fact that they mainly come here to work, and they are more concentrated in working age brackets ― 80% between 18 and 64, vs 62% among native born.

Modest increases in the foreign-born population will result in higher shares of employment for these workers.

By 2040, foreign-born workers will be one fifth of the workforce.

It is a given that not many of these workers will have a great command of English, and the most likely foreign-born workers will be Hispanics and Asians.

A workforce that does not have a command of English, is mainly from Central and South America and Asia, will no doubt put a strain on an already strained social welfare system, especially workers’ comp, since they are more likely to be injured on the job.

So those of you in the medical travel industry looking for patients and trying to entice well-off Americans down to Latin America for dental work, cosmetic surgery, plastic surgery, and other treatments not available in the US or that are too expensive, should consider expanding your offerings to your fellow Latino immigrants, or change direction and consider doing so by offering to facilitate less expensive surgeries for common injuries found in the workers’ comp space.

And those of you in workers’ comp who have shut your minds to new ideas and refuse to listen to what I am saying, either should learn Spanish or Chinese, or deal with the changing nature of health care globally, and stop worrying about stepping on the toes of the vested interests, and start thinking about the interests of all those new foreign-born workers who will be coming here in the next 26 years (24 now that it is 2016).

They may not feel comfortable going to a hospital for surgery if the staff there does not speak their language, or the food is unfamiliar, and they may even recover faster if they know they are surrounded by friends and family in their home country. That will lead to a more productive and happier employee.

And a happier employee will improve your bottom line.


I am willing to work with any broker, carrier, or employer interested in saving money on expensive surgeries, and to provide the best care for their injured workers or their client’s employees.

Ask me any questions you may have on how to save money on expensive surgeries under workers’ comp.

I am also looking for a partner who shares my vision of global health care for injured workers.

I am also willing to work with any health care provider, medical tourism facilitator or facility to help you take advantage of a market segment treating workers injured on the job. Workers’ compensation is going through dramatic changes, and may one day be folded into general health care. Injured workers needing surgery for compensable injuries will need to seek alternatives that provide quality medical care at lower cost to their employers. Caribbean and Latin America region preferred.

Call me for more information, next steps, or connection strategies at (561) 738-0458 or (561) 603-1685, cell. Email me at: richard_krasner@hotmail.com.

Will accept invitations to speak or attend conferences.

Connect with me on LinkedIn, check out my website, FutureComp Consulting, and follow my blog at: richardkrasner.wordpress.com.

Transforming Workers’ Comp Blog is now viewed all over the world in over 250 countries and political entities. I have published 300 articles and counting, many of them re-published in newsletters and other blogs.

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