Feb 24, 2012

World - Forget global. Think local... The upside down world of medical tourism



By now you all know what medical tourism is…..you think?

Millions of words online and in print, conference presentations by the hour, almost all say the same thing.

The legend

Healthcare is now global, so medical tourism is about travelling long distances to get the cheapest possible deal on treatment.

The media and the medical tourism industry - hospitals, clinics, agencies, tourism boards, and governments have convinced themselves of that.

So where is the medical tourism boom? With countries going bust and people accepting a lower real income, why are they not queuing at the airport to fly away and save money?

Is it that we are almost all so short of cash that we are not paying for medical or dental care at all, if we cannot get it free?

Do not panic, say the ‘experts’, when the global recession is over, all those millions we promised will become medical tourists. Come to the conferences, pay our consultancy fees for a bit longer, and be patient.

The reality

Yes, there are success stories in some countries. Very often these are the ones that are rarely mentioned as the destination leaders.

But the whole thing is upside down.

In reality, people are travelling either within their own country or nearby.

In reality, probably two out of three medical tourists are travelling simply because they cannot get treated at home.

In reality, the destinations - both country and hospital/clinic – doing best are offering quality – either high-end treatment or value for money.

Regionalism and localism

What's the most important factor in business today? Globalisation? The digital economy? Or is place actually the key to success even in today's economy?

A new business book ‘All Business Is Local’ by John Quelch and Katherine Jocz says that opportunities are on offer to marketers and business leaders who stay focused on the power of locality. They propose a radically different way of looking at marketing. As society becomes increasingly globalized and obsessed with the virtual world, businesses can easily forget that place is more relevant than ever, and remains a major factor in the way we organize our lives.

Redefining place as a business imperative, Quelch and Jocz explore five categories (psychological, physical, virtual, geographical and global) and say that just as customers' relationships to places affect their relationships to businesses, today's companies have to be local as well as global to succeed.

What they say rings very true. In recent medical tourism figures for India, South Africa, and others, the same picture emerges. The medical travellers are not Europeans or Americans fleeing from the much vaunted high prices and lengthy waiting lists. 85 to 95% come from nearby, often very poor, countries.

Looking at it another way, Americans rarely go to Asia; they mostly go to Mexico, Central or Southern America. Europeans almost always stay in Europe.

Domestic medical tourism is seen as growing fast in the USA. But we should not be surprised. Much medical tourism in countries such as India is within the country.

So localism and regionalism are the new reality

The pursuit of quality

For years, the medical tourism business has pondered why insurance companies and companies have not embraced medical tourism. The pundits say that there will be big deals coming soon, but they have now been saying that for five years or more.

Offering a corporate buyer a 50% or 80% saving sounds a great deal. Even if true, this approach scares them off. They listen…. but their mind is thinking risk… disease, lawsuit, poor quality, upset employees, terrorism, weather disaster.

Countries or companies offering low price to businesses and insurers, and increasingly to individual customers too, are pushing the wrong buy button.

For employers, insurance companies and individuals, what they are looking for is value for money.

It is also about having more control, choosing where an employee is treated. Or as an individual not waiting for state treatment.

Employers and insurers have struggled for years to control health costs and they are using carrot/stick incentives to improve the quality of healthcare and break the circle of ever-rising costs.

Price is no longer the be all and end all of healthcare. Quality of care and safety of travel and care matter more.

If I am shopping and the store says I can save 20% for a television by buying in a sale, and that television is as good or better than what I have, then I will buy. But when I see offers online or from retailers I have never dealt with and some which have doubtful reputations, but could have paid 50% less, I am nervous and avoid the deals in favour of a reasonable price, guarantee of aftercare and high quality.

You may argue that healthcare is not retail, but consumer and corporate behaviour is the same whatever product or service they are buying.

Medical tourism has not grasped that price is about fourth or fifth down the list when it comes to purchasing healthcare. On health insurance, what we are seeing is about being in control of who is treated for what, where, at what cost, with what flexibility etc. The days of going for the cheapest deal are gone.

For companies it is about keeping employees in work and using rehab care and improving the health of the workforce.

In a global recession you may expect price to dominate- but what seems to be happening globally is that companies offering top-end services and products are doing well, but many of those selling a poor value for money proposition are crashing, and some are doing very well at the bottom  “pound shop” end.

Medical tourism is prospering at the high quality high cost level.  It is also doing well at the low end of the market for poor Africans and Asians where the bottom line really is very low price.

But the targeted European and American markets are in the middle zone, where hospitals trying to sell cheap treatment are missing the mark. These people want a reasonable price and good quality. The hotel trade will tell you that if you are offering the same price-value proposition as three years ago, you will fail. The quality of care, pampering and facilities once thought of as luxury, is now what this middle group demands as standard.

Where do we go now?

The answer is in different targets and marketing for different types of potential medical tourists.

The days of selling the same message to all countries and customers of  “Come to Country X…we can save you 75%” are gone.

The answer is in quality, value for money, regional and local offerings and targeted marketing.

Ian Youngman
IMTJ



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