While I was sitting in the ER, I thought of these three other countries with great healthcare

Guest Post by Simon Black

Around 2:30am a few days ago when I was deep asleep, my significant other suddenly shook me awake and asked me to take her to the emergency room.

She told me she was having trouble breathing and her heart was racing, so we immediately hopped in the car and raced to a nearby urgent care clinic.

Fortunately it all turned out fine. But it was my first experience seeing the Puerto Rico medical system up close and personal.

My verdict? Meh.

Frankly it was better than I thought it would be. I had pretty low expectations given the fact that this place has trouble even keeping the lights on most of the time. (But then again, so does California…)

I thought the doctor was professional and knowledgeable (and also trilingual). Plus the facility had a reasonable amount of equipment on hand to be able to perform a battery of tests.

But there were definitely limitations. And a lot of weirdness.

When we arrived, for example, we did the typical triage first. But then we had to go back into the waiting room where the receptionist presented me with a bill. So basically I had to pay before we even saw the doctor. (It was only $100 for the ER visit).

So, overall, it was so-so– decent, yet cheap. But I wouldn’t rank Puerto Rico anywhere near the pantheon of world class medical care destinations. Not by a long shot.

I imagine there are probably a lot of folks right now thinking about medical care given everything that’s happened this year.

And at the same time, countless people are now looking at their options to relocate. Remote work has made it possible for millions of employees to move anywhere they want, as long as they have a good Internet connection.

So if you’re thinking about moving abroad, but want to ensure you’ll still have access to great quality healthcare, I’ll tell you about three places I was thinking about while I was sitting in the waiting room the other night:

Thailand

Thailand is probably my favorite. The country has some of the best, most efficient hospitals in the world. Every time I’m in Bangkok, I always book a few appointments at Bumrungrad International Hospital, mostly because it’s more like a luxury hotel experience than a hospital.

They have internationally trained physicians in every specialty you can imagine, cancer treatment, dental, cosmetic surgery, sexual reassignment… pretty much everything.

And procedures tend to be far less expensive than in the US.

At Bumrungrad, total knee replacement run about $10,000 USD, compared to an average price of $50,000 in the US.

And bear in mind that Bumrungrad is probably the most expensive hospital in Thailand. There are plenty of other top-notch, internationally accredited hospitals in the country that are much cheaper– like Bangkok Hospital, Sikarin Hospital, etc.

Thai hospitals even offer package deals and specials. Bangkok Hospital, for example, currently offers an all-inclusive childbirth package for about $1,660 USD.

This includes a three day two night stay in the hospital, all meals, medical care, and any medications needed.

(In the US, the average out of pocket cost to give birth WITH insurance is around $5k according to a University of Michigan study. And without insurance, it easily runs over $10,000.)

Malaysia

Malaysia isn’t on a lot of people’s radar, but it also offers exceptional care for very low cost.

For example, you’ll pay less than $20,000 for heart bypass surgery in Malaysia, versus more than $75,000 on average in the US.

Prince Court Medical Centre in Kuala Lumpur (Malaysia’s biggest city) has consistently ranked as one of the best hospitals in the world for medical tourism. And, like Thailand, the list of specialties is numerous.

The cost of medication in Malaysia is also incredibly cheap (which is similar in Thailand as well).

Plus access to the newest, cutting edge medicines is quite easy since Singapore (one of the biggest manufacturers of pharmaceuticals in the region) is right next door to Malaysia and just a few hours’ drive from Kuala Lumpur.

Panama

For people looking for quality, specialty healthcare in a place that’s a lot closer to North America, consider Panama.

Panama is just a few hours plane ride from the US and Canada. It was a strong, stable economy, and its healthcare system is full of US-trained physicians, especially in facilities like Hospital Punta Pacifica, which is affiliated with Johns Hopkins.

Panama’s flexible legislation is also making the country a hot location for medical tourism.

So in addition to typical procedures like child birth or elective surgery (which are often 50% to 75% less than in the US), Panama is also welcoming to alternative treatment options.

For instance, I know a doctor who started a stem cell clinic in Panama which has helped people with everything from age-related mental issues, to sports injuries.

It’s also helpful that Panama is one of the easiest places in the world to gain residency. So anyone thinking about moving there can become a legal resident in no time.

Of course these aren’t the only options for high-quality healthcare destinations. There are plenty of others, especially if you’re looking for specific treatments.

People interested in IVF, for example, may look to India first. And as our Sovereign Woman Viktoria just informed me, Turkey is apparently THE spot for hair restoration.

(Viktorija is currently in Istanbul and will be sending you one of her popular reports from there soon.)

You may have noticed that each of my three suggestions– Thailand, Malaysia, and Panama– just so happen to be in beautiful, tropical destinations.

And that’s sort of the idea: you can find whatever you’re looking for. If you want beachfront paradise with great healthcare, that’s available. If you want great tax benefits, great schools, and close proximity to your home country, that’s available too.

You just have to decide for yourself what’s most important, and recognize that you have the freedom to choose the life that you want.

-----------------------------------------------------
It is my sincere desire to provide readers of this site with the best unbiased information available, and a forum where it can be discussed openly, as our Founders intended. But it is not easy nor inexpensive to do so, especially when those who wish to prevent us from making the truth known, attack us without mercy on all fronts on a daily basis. So each time you visit the site, I would ask that you consider the value that you receive and have received from The Burning Platform and the community of which you are a vital part. I can't do it all alone, and I need your help and support to keep it alive. Please consider contributing an amount commensurate to the value that you receive from this site and community, or even by becoming a sustaining supporter through periodic contributions. [Burning Platform LLC - PO Box 1520 Kulpsville, PA 19443] or Paypal

-----------------------------------------------------
To donate via Stripe, click here.
-----------------------------------------------------
Use promo code ILMF2, and save up to 66% on all MyPillow purchases. (The Burning Platform benefits when you use this promo code.)
Click to visit the TBP Store for Great TBP Merchandise
Subscribe
Notify of
guest
14 Comments
Todd H.
Todd H.
September 17, 2020 4:06 pm

If you want to get open heart surgery in Malaysia, go for it homes. I’ll be kickin’ it Stateside. These expats are a bunch of weirdos in my opinion.

Stucky
Stucky
September 17, 2020 5:44 pm

Funny thing … what a coincidence!!

Just last night I was picking some scabs off my ass and I thought to myself ….. “I sure am happy I don’t live in shit-holes like Thailand, Malaysia, and Panama. “

Dennis
Dennis
  Stucky
September 17, 2020 8:34 pm

Funny thing…I’m an American living in Thailand watching the “mostly peaceful protests,” cities burning and businesses destroyed, shootings, random racial attacks and beatings, police brutality, Karens screaming about everything and I thought to myself … “I sure am happy I don’t live in a shit-hole like the US.”

Glock-N-Load
Glock-N-Load
  Dennis
September 17, 2020 9:48 pm

Dennis,

How much of a shock would it be for an American to retire to Thailand? Especially having to do with food and laws in general?

Dennis
Dennis
  Glock-N-Load
September 17, 2020 11:20 pm

The problem with retiring in Thailand is the ever changing visa, financial and health insurance requirements, which have forced out hundreds if not thousands of expats in last 2 years. The days of the carefree expat living on a few dollars for years on end are over and this is true of much of SE Asia. Sad because the people are nice, the food is varied and quite good and generally the quality of life is high but getting more expensive.

Glock-N-Load
Glock-N-Load
  Dennis
September 18, 2020 12:38 am

What if you renounce your US citizenship? Would that change anything for the better?

Dennis
Dennis
  Glock-N-Load
September 18, 2020 1:13 am

No, I would never give up my citizenship and it wouldn’t make any difference anyway. You are still a foreigner and always will be.

Stucky
Stucky
  Dennis
September 18, 2020 10:42 am

” … and I thought to myself … “I sure am happy I don’t live in a shit-hole like the US.””

If I’m honest with myself …. I can not disagree with what you wrote.

Fortunately, I am often not honest with myself. USA!USA!USA!

Anonymous
Anonymous
September 17, 2020 7:00 pm

I agree. I’ve used Bumrungrad Hospital for 7 years now to treat herniated discs and kidney stones after two awful experiences with VA hospitals in the US. I was met at the airport in a van and whisked away to the hospital where 7 beautiful young nurses looked after me. Within 24 hours I was as good as new, well pain free at least.

Statism Is A Cult
Statism Is A Cult
September 17, 2020 8:34 pm

Guess where Vietnam vets are retiring? The very place and people they fought against. Also health care is world class and cheap. And the chicks are better quality.
https://www.latimes.com/world-nation/story/2019-12-25/americans-are-retiring-to-vietnam-for-cheap-health-care-and-a-decent-living-standard

Iska Waran
Iska Waran
September 17, 2020 9:47 pm

It’s probably not worth the airfare to save a bit on a childbirth in Thailand. If I ever want a sex change, though, it’ll be Thailand for sure.

Lars
Lars
September 17, 2020 10:51 pm

Black ‘s assurances about choosing whatever life you want and finding freedom and prosperity abroad always seem breezy and superficial. One factor he does not mention is that, by all accounts I’ve heard or read, the lockdowns, hysteria, and petty tyranny in Malaysia, Thailand, and Panama were, and continue to be, more severe and more restrictive than in the U.S. So too for Viet Nam, or so I am told by neighbors who have friends and family there. Not sure about Turkey…but U.S. nationals are not permitted entry there anyway.

Thaisleeze
Thaisleeze
September 18, 2020 1:43 am

I feel obliged to chip in on this one. I have been in Asia for the best part of four decades, the last 17 years in Thailand, and have experience of hospitals in the UK, Hong Kong, Singapore, Malaysia and Australia.

My son was born in 2008 in the Thai hospital, Bumrungrad, that Mr. Black mentions. It is easily the best hospital I am aware of anywhere, if a little expensive for Thailand but way cheaper than anything the West has to offer. The other private hospitals here are very high quality whereas the state facilities are terrible.

As for living in SE Asia inexpensively, it is still possible if you avoid the larger cities. I rent a large house for 4,000 baht a month (about $130) on the west coast of the Gulf of Thailand away from the major tourist magnets. Renting does away with so many hassles, I have been in the same place for 11 years. The cost of living is ridiculously cheap, a huge range of fresh local food is available. The school my son goes to costs about $550 a year for my 12 yo and is first class, good enough for him to come 9th in the national Thai language test for his age group. I do not have a car, when I need one I make a call and a new rental is delivered to my home within the hour for $20 per day. Life is stress free.

I bought a lifetime tourist visa in 2004 for c. $20,000.

The only things I miss are quality steak and French wine, hugely expensive to buy the imported stuff.

Happy to answer any questions TPB readers may have.

Saxons Wrath
Saxons Wrath
  Thaisleeze
September 19, 2020 9:59 pm

ThaiSleaze, great comments,thanks for your input. How many square feet is your rental home? What were your up front costs to get into country and settled? How much are visas, and how long can they be good for now, one year, five years, 10, etc? What other arrangements are needed.to minimize being fleeced by locals? How difficult is the language to learn? I’ve a lot of questions, I’m certain others would have the same and more. Perhaps an article detailing your personal experiences in relocation and fitting into the country, with whatever level of anonymity you are comfortable with, would be of great assistance to TBP readership seriously considering significant relocation. Thanks again for an on the ground assessment of expat.life.