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| Srl | Item |
| 1 |
ID:
184645
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| Summary/Abstract |
The internationalization of medical services—including organ transplantations—is driven by advances in technology and integration of trade. Patients in need of organ transplants began to seek these services outside their countries of origin in the 1980s and 1990s, and this practice expanded in the ensuing decades. While these transplants yielded benefits to some, abuses included human trafficking, preying on vulnerable populations, and negative outcomes in health equity. This case study of efforts to regulate the international transplant trade yields important findings for our understanding of global health governance. First, it provides support to the “globalization reformers” who maintain that if globalization’s benefits are to be widely distributed, institutional mechanisms must be enacted. Second, it provides another example of the externalities that occur when health concerns are absent, poorly represented, or weakened in trade negotiations. Finally, it demonstrates limits of a global health regime that lacks a centralized authority.
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| 2 |
ID:
154529
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| Summary/Abstract |
International medical travel may be viewed as an ‘assemblage’ of various components such as infrastructure, hospitals, finance, transport, technologies, staff, facilitators and patients. In this paper, we focus on the articulations of medical travel facilitators (MTFs) and private hospitals in producing international medical travel in the context of the neoliberalising processes that had led to the rise of corporate hospital care in Malaysia in the 1990s. We draw from three hospital case studies for a comparative perspective. We highlight the shifting, unstable and contingent relations and interactions of the MTFs, as one component of the assemblage of international medical travel, with hospitals and medical travellers. We identify the practices of MTFs in providing patients with information and advice about hospitals and doctors as efforts to shape patients' choices in the selection of health-care providers and in decision-making. The assemblage approach allows us to see how the MTFs emerge and stabilise as a collective identity for individuals and companies performing particular functions through their multifarious articulations with other components in various sites of assemblage.
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| 3 |
ID:
109468
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| Publication |
2011.
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| Summary/Abstract |
Access to health care in developing countries, the main destinations of medical tourists, is notoriously uneven, and often becoming more so. Medical tourism, urban bias and privatisation have combined to exacerbate this trend. This is exemplified in both Thailand and India, where regional areas have been disadvantaged by the migration of health-care workers to hospitals focusing on medical tourism, neo-liberal national financial provision for medical tourism (and related tourism campaigns) and evidence of trickle-down gains is lacking. Medical tourism challenges rather than complements local health care providers, distorts national health care systems, and raises critical national economic, ethical and social questions.
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| 4 |
ID:
109467
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| Publication |
2011.
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| Summary/Abstract |
Medical tourism' has frequently been held to unsettle naturalised relationships between the state and its citizenry. Yet in casting 'medical tourism' as either an outside 'innovation' or 'invasion', scholars have often ignored the role that the neoliberal retrenchment of social welfare structures has played in shaping the domestic health-care systems of the 'developing' countries recognised as international medical travel destinations. While there is little doubt that 'medical tourism' impacts destinations' health-care systems, it remains essential to contextualise them. This paper offers a reading of the emergence of 'medical tourism' from within the context of ongoing health-care privatisation reform in one of today's most prominent destinations: Malaysia. It argues that 'medical tourism' to Malaysia has been mobilised politically both to advance domestic health-care reform and to cast off the country's 'underdeveloped' image not only among foreign patient-consumers but also among its own nationals, who are themselves increasingly envisioned by the Malaysian state as prospective health-care consumers.
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| 5 |
ID:
154524
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| Summary/Abstract |
This paper addresses the growing phenomenon of cosmetic surgery tourism through a focus on the development of this industry in South Korea. Unlike many discussions of this topic, the paper decentres dominant narratives based on west-goes-east or north-goes-south journeys. Instead, we look at regional flows by exploring the experiences of Chinese patients travelling to South Korea in search of facial cosmetic surgery – procedures often referred to as the ‘Korean Look’ and associated with exported Korean popular culture. We focus on the contested understandings of the motives for and outcomes of this surgery between Korean surgeons and Chinese patients, documenting one example of the cultural investments and (mis)understandings that can impact on the experiences of medical tourists as they travel across national borders in search of treatment. We situate the development of cosmetic surgery tourism in Korea in the context of a discourse we call ‘medical nationalism’, showing how surgeons in particular reproduce this discourse in terms of pride in their contribution to the economic and reputational success of South Korea on a world stage. However, we demonstrate finally that, as a privatised, feminised and trivialised form of medicine, cosmetic surgery will always fail to deliver in this respect.
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