Tag Archives: Latin America

Don’t Shoot Me, I’m Only The Messenger

From the “I Think It’s Time for Another Rant” Department

In response to my last post, The Further Adventures of Ashley Furniture in Medical Travel, I received several comments about the facts presented in the article, which by the way was also published in The New York Times, A Mexican Hospital, an American Surgeon, and a $5,000 Check (Yes, a Check).

Now I don’t mind comments, I welcome them. But they should not be directed towards me personally, because I am not responsible for any misleading or inaccurate reporting by the author or authors of articles I write about.

Some of the comments should, rightly be directed to the individuals or organizations mentioned in the article, as they are the active participants in what the article was describing, namely the knee replacement surgery of the spouse of an employee of Ashley Furniture Company.

I would like to point out one fact I failed to mention. Ashley has sent about 150 employees or dependents to either Mexico or Costa Rica, and since 2016, they have saved $3.2 million in health care costs, according to Marcus Gagnon, the company’s manager of global benefits and health.

Mr. Gagnon, as a side note, was featured in two previous articles published by Medical Travel Today.Com back in October and November 2017. (See my posts: Ashley Furniture and Medical Travel, part 1 and Ashley Furniture and Medical Travel, part 2)

Points were raised as to why NASH is sending patients and exporting surgeons to other countries to perform cheaper surgery pricing? NASH stands for North American Specialty Hospital. To answer that question, go to the source, NASH.

Another point was raised about pricing, and it was mentioned that US facilities charge as low as $14,990 for a total knee replacement, implant included, as a transparent bundled case rate. Hotel room for that is $149 plus tax, no hospital overnight required. And that malpractice insurance has no additional cost, plus there is no need for expensive flights, passports, etc.

Good question, Then why does the medical travel industry exist at all in the US, if what was commented is true? The fact is, it isn’t. That’s why Ashley, and HSM, a furniture manufacturer in North Carolina has been doing this for some time, as I have previously reported, and because I met the patient advocate for one of HSM’s employees at the ProMed event in 2014.

The patient in the KHN article, Donna Ferguson, also works for a furniture manufacturer in her Mississippi home town, and I bet that her employer was sure glad it wasn’t his dime that paid for her surgery, but that her husband’s company did.

Another point was made about the “concerns about quality of care” and the way Mexico does not require continuing education credits, and other criticisms of the Mexican health care system. Yet, as the article stated, they went beyond the JCI standards, and even got an extra autoclave to sterilize instruments more quickly.

Also, a comment was made about where the surgeon was from. In this instance, he was a Mayo Clinic trained, orthopedic surgeon from Milwaukee, and he would not have done this if he felt it would ruin his standing in the profession. Oh, and maybe there have been other physicians who have traveled to meet patients elsewhere. So what. The article was talking about this one, not a whole list of them.

Yes, I have not visited Galenia or Bumrungrad, as many of you have. That has been the point of my writing a blog for nearly seven years. But I have only been to three events, and only one invited me to speak. What am I, chopped liver? I post my articles to my blog and LinkedIn so that folks can read them and invite me.

Of course, I’d like to take fam tours of facilities. Of course, I’d like to meet other people in the industry, but since October 2012 when I began, I have struggled financially, personally, and medically to just stay alive. A little concern and interest on your part would have been nice.

The other points raised in the comments about the $5000 dollars she received and fees and patents, waiving deductibles and copayments were more than likely handled by Ashley’s medical travel plan administrator, IndusHealth, who also happened to be the administrator for HSM, and whose president I also met at ProMed in 2014. Again, I am only a messenger.

Finally, a comment was made that my next to last paragraph was a stretch. Perhaps so, but in light of this past weekend’s protests in Portland between anti-fascists and fascists, and the shootings in Dayton and El Paso, not to mention, three that were foiled last week, and Trump’s Nuremburg-style rallies, I can be forgiven if I want to express an idea that could bring some people to understand what the rest of the world is like.

I am not interested in what other protests happen around the world. I am only concerned, as far as Americans and medical travel are concerned, with showing them that there are no “shithole” countries, and that there are good and bad everywhere. I believe a little on-the-ground education, especially among the working class, white or otherwise, will improve racial and ethnic relations. Call me an idealist, but that is all we have to go on if we are ever going to have peace in the world.

There was something mentioned in the article that is kind of puzzling. A medical travel expert was quoted as saying that “Building a familiar culture in a foreign destination may be appealing to some American consumers, but I do not see it as a sustainable business.” If that is so, then why is he in the business in the first place, and why is he partnered with someone else on a podcast on that very subject, and who are both known in the medical travel world?

That’s the end of my rant. I invite anyone who wants to invite me to the next event or fam tour, to do so. Please let me know in advance what you are willing to pay for, and give me enough time to make arrangements for traveling with my medical condition, as traveling outside the US is somewhat problematic, depending on where it is, and other factors that might prevent me from doing so.

And again, Don’t Shoot Me, I’m Only the Messenger.

 

Medical Travel/Health Care Thought Leader Seeks Employment Opportunities

Medical Travel/HealthCare Thought Leader and Blogger, seeks part-time, remote employment opportunities. I am willing to speak, write, and collaborate on projects to bring about greater participation of patients to global medical travel facilities.

I am not a physician, nor do I have clients to refer to you. I offer my services in an administrative or managerial capacity.

Experience:

Over six years’ experience creating, maintaining, and analyzing current issues in Medical Travel, Health Care, and other topics.

Over six years research into the Medical Travel industry.

Promoted the implementation of medical travel into Workers’ Compensation insurance industry.

Analyzed the cost of healthcare and the options of alternative treatments abroad.

Presented White Paper to Medical Travel conference in Mexico in Nov. 2014.

Extensive experience in Insurance and Claims Management, especially in medical-related claims (Workers’ Compensation).

Strong administrative and financial skills.

Education:

Master’s in Health Administration, 2011

Interested in working remotely, willing to travel, willing to write and speak at conferences, has valid US passport.

Resume can be found here.

Blog: richardkrasner.wordpress.com

Phone number: +1 561-603-1685 (mobile)

Immigrants in construction — key facts « Working Immigrants

Peter Rousmaniere posted the following fact sheet about immigrants working in construction. While this has no bearing on health care at present, it does have some bearing on workers’ comp, especially in light of the current regime’s draconian policy towards immigrants from Central America.

As this “crisis” progresses, it may be harder for construction companies to find workers to employ on construction sites.

This, in turn would mean that they may be less construction work, and for the insurance industry, less risk and less profit to be made from insuring these projects.

In workers’ comp, that would translate into less frequency of losses, but it would also cut off revenue from carriers covering such risks.

And he promised to create jobs? Hardly.

Source: Immigrants in construction — key facts « Working Immigrants

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.

 

The Cry of the Children

Taking a break from writing about health care, workers’ comp, and medical travel, I want to talk about something I saw, or rather heard yesterday afternoon on MSNBC.

It was an audio (furnished by ProPublica) of children crying at a detention center (more like Concentration Camp) that broke my heart. I was in tears, and very seldom do so. But those cries went right to me.

If they did to you, then you are a good human being. If not, then you have no soul. And please, don’t quote me that that’s the law, or it is in the Bible, or they are illegal and have no rights.

EVERY HUMAN BEING HAS RIGHTS.

And as for whether or not they are “illegal”, I guess you forgot that when your ancestors arrived on the Mayflower or whatever ship they sailed on, the landlords here for thousands of years knew you were “illegal” too.

The ancestors of all of these people now streaming to our border came to this hemisphere some 20,000 years ago, so by those standards, you, me, and all the rest of us are undocumented aliens. But no one tells us to leave. Or yanks our kids from our arms.

That we do this and many other things to minorities is a symptom of our greed, ignorance, and stupidity that never seems to die out. Take for example, our Confederate-era Attorney General, Jeff “Foghorn Leghorn” Sessions. That refugee from the set of “Gone With the Wind” is not only a religious zealot, but a full-out bigot and racist from a region of the nation that still has not given up its racism and hatred of non-whites, and non-Christians. In this case, non-Protestants from Catholic Latin America.

Too many of our fellow Americans have been poisoned by talk radio, Fox News, and local politicians to see that we are all immigrants and that at times in the long history of the human species, we were migrants too. Our prehistoric ancestors migrated, as did many more recent peoples. But none ever subjected to such cruelty, except during the 1930’s and 1940’s.

We were all taught in school to believe in the ideals of America as a shining city on a hill (incidentally, an idea the Puritans created), and was more about a religious view than a secular one. We were all taught about why we fought a revolution, why we have a Declaration of Independence, and why we have a Constitution that secures our rights and liberties.

And now we are throwing all that away because of a clique of neo-fascist, racist bullies and bigots, headed by a pathological liar and con man, who has conned a large segment of the American people (by which I mean White people) that he can make America great again, all the while cozying up to dictators and dissing our friends.

Folks, this is how Hitler and the Nazis began. And it ended with 6 million dead (my maternal great-uncle, aunt and their six children among them), so don’t tell me it is legal or biblical. You know where you can put that.

And those of you who say they have stolen our jobs or they are criminals and rapists, I have news for you…next time you are in a restaurant, or a family member is in a hospital, bus your own table, and clean up your family member’s dirty linen. Because if Herr Miller (Stephen) gets his way, there won’t be any bus boys, nurses’ aides, home health aides, janitors, and other occupations Americans won’t be filling begging for workers. Oh, and you can come to Florida and pick your own fruits and vegetables, because there won’t be anyone to do it for you.

AMERICA IS A NATION OF IMMIGRANTS, SO WE NEED THESE PEOPLE.

 

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.

In-bound Medical Travel and Immigration

U.S. Domestic Medical Travel.com published the following article this morning that discusses the impact of in-bound medical travel on an individual’s immigration status.

http://medicaltraveltoday.com/spotlight-renata-castro-founder-of-castro-legal-group/