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NYT: Total knee arthroplasty in Mexico

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  • okayplayer
    replied
    Presumably the patient is not staying in Mexico all that long (maybe a week). Who deals with more delayed postop complications, since the surgeon is located nowhere near the patient geographically?

    I would not have anything permanently implanted in me in a third world country to save a few bucks, but that is just me. I’d be very worried about sterilization processes, who is anesthetizing me and what is their competency, etc. I’ll pay my $5,000 copay and sleep in my own bed on POD 1/2, thank you very much.

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  • AR
    replied
    OK, it looks like this thread is one where some of the posts are missing.   I can only see a few.

    Apologies for double posts and or repetition of something someone else may have already said.

    Leave a comment:


  • AR
    replied




    https://www.google.com/amp/s/www.nytimes.com/2019/08/09/business/medical-tourism-mexico.amp.html

    I’m surprised an orthopod could be bothered to fly to Mexico, miss work in the US, etc for $2700. The article implies he was flying down for this one procedure only.

    Who does the postop care? What happens if there are complications?
    Click to expand...


    Did you actually read the article?  It said that a local orthopedic surgeon (who apparently did a fellowship at Harvard) assisted on the case and checked on her post-op.  So it seems like post op care should have been adequate.


    Genuinely curious about the aneshesia. Not surprisingly, there was no mention of it in the article. Anesthesia just happens, right?
    Click to expand...


    They didn't mention it, but there is no reason they couldn't do the same thing with an anesthesiologist.  Just set up a day full of cases, pay them a bit of a premium per case, and cover a free trip to Cancun. I'm sure they wouldn't have much trouble filling that position.

    But it wouldn't surprise me if your implication is correct. Patients probably don't even consider anesthesia (at least not nearly as much), so they could just use a local anesthesiologist and most patients wouldn't think twice.  Just as the journalist didn't even think to mention it.

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  • ACN
    replied
    He's making double Medicare reimbursement in cash. Seems like a genius. Do 6 joints in Mexico for cash for the same as 12 in the US with overhead and taxes not included.

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  • nephron
    replied
    they probably hire some illegal crna's do do the anesthesia.

     

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  • G
    replied




    Genuinely curious about the aneshesia. Not surprisingly, there was no mention of it in the article. Anesthesia just happens, right?
    Click to expand...


    You get what you pay for: a couple aspirin and a local.

     

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  • PhysicianOnFIRE
    replied
    Genuinely curious about the aneshesia. Not surprisingly, there was no mention of it in the article. Anesthesia just happens, right?

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  • SValleyMD
    replied
    I like the idea.

    The fly down for one case seems a little silly but group 4-10 cases together, pay cash and I can see how that’s appealing

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  • Panscan
    replied
    Why can't they just get post op care in America? I doubt there's going to be an immediate complication for a knee replacement unless they're like a raging diabetic or etc.

    Just shows how convoluted and screwed up our system is.

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  • okayplayer
    started a topic NYT: Total knee arthroplasty in Mexico

    NYT: Total knee arthroplasty in Mexico

    https://www.google.com/amp/s/www.nytimes.com/2019/08/09/business/medical-tourism-mexico.amp.html

    I'm surprised an orthopod could be bothered to fly to Mexico, miss work in the US, etc for $2700. The article implies he was flying down for this one procedure only.

    Who does the postop care? What happens if there are complications?
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