geauxtohell
Choose your weapon.
anyone with bad knees has considered medical tourism....
you can get a knee done in thailand for about 20k....but if they fuck you up.....you have zero recourse...no medical malpractice suits etc...
I have a feeling that significant percentage of these patients are going off shore not out of financial necessity, but due to different standards of care.
A prosthetic joint lasts about ten years. So most orthopods try and push off the surgery as long as possible. That makes a lot of people unhappy, but there is good evidence based medicine that argues against early intervention. Putting someone through 3-4 more surgeries when they can still be managed medically makes little sense. I've dealt with a lot of patients that were frustrated that a neurosurgeon wouldn't do spinal surgery on them. The fact is, some people are of the mind that medicine in this country should be a supermarket atmosphere where the customer gets what they want and is always right. That's not the case.
On the other hand, any 18 year old who has a penetrating abdominal wound is going to go to the OR no questions asked. Any person with appendicitis is going to the OR no questions asked.
There is a big difference between elective and emergent procedures. Apparently people don't understand that on this thread. However, if you have the time to hop a plane, it's not emergent.