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Abstract

The arguments of this chapter are as follows:

  • More and more reliable data are needed to be able to construct a complete picture of the phenomenon of cross-border medical care.

  • Medical tourism is the result of the liberalisation and commercialisation of health care.

  • The ethical management of medical travelling should be organised on the basis of the benchmarks of fairness. This list of criteria avoids a too simplistic approach of the developments.

  • The effects of medical travelling will be evaluated differently depending on the theory of just distribution of scarce resources: utilitarianism, egalitarianism, prioritarianism and sufficientarianism.

  • The migration of medical personnel (the ‘brain drain’) is a perfect topic to study the effects of medical travelling and the implications of the theories of distributive justice.

  • The commercialisation of health care invites new players to the field (private insurance companies, brokers, corporate hospitals and so on) whose rights and duties still have to be determined.

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References

  • Alleman, W. B., Luger, T., Reisinger, S. H., Martin, R., Horowitz, D. M. and Cram, P. (2011) ‘Medical tourism services available to residents of the United States’ Journal of General Internal Medicine 26, 5, 492–7.

    Article  Google Scholar 

  • American Medical Association (2009) ‘New AMA guidelines on medical tourism’ http://www.ama-assn.org/amal/pub/upload/mm/31/medicaltourism.pdf date accessed 19 September 2012.

    Google Scholar 

  • Cattaneo, O. (2009) Trade in Health Services. What’s in it for Developing Countries? (The World Bank: International Trade Department).

    Book  Google Scholar 

  • Chinai, R. and Goswani, R. (2005) ‘Are we ready for medical tourism?’ The Hindu, 17 April 2005 http://www.thehindu.com/thehindu/mag/2005/04/17/stories/2005041700060100.htm date accessed 15 November 2011.

  • Cohen, E. (2008) ‘Medical tourism in Thailand’ AU-GSB e-Journal 1, 1, 24–37.

    Google Scholar 

  • Cohen, G. I. (2011) ‘Medical tourism, access to health care, and global justice’ Virginia Journal of International Law 52, 1, 1–56.

    Google Scholar 

  • Commonwealth (2003) Commonwealth Code of Practice for the International Recruitment of Health Workers, http://www.thecommonwealth.org/shared_asp_files/uploadedfiles/%7B7BDD970B-53AE-441 D-81DB-1 B64C37E992A%7D_ CommonwealthCodeofPractice.pdf date accessed 23 November 2011.

    Google Scholar 

  • Cortez, N. (2008) ‘Patients without borders: The emerging global market for patients and the evolution of modern health care’ Indiana Law Journal 83, 71–132.

    Google Scholar 

  • Daniels, N. (1985) Just Health Care (Cambridge: Cambridge University Press).

    Book  Google Scholar 

  • Daniels, N. (2006) ‘Equity and population health: Toward a broader bioethics agenda’ Hastings Center Report 36, 4, 22–35.

    Article  Google Scholar 

  • Daniels, N., Bryant, J., Castano, A. R., Dantes, G. O., Khan, S. K. and Pannarunothai, S. (2000) ‘Benchmarks of fairness for health care reform: A policy tool for developing countries’ Bulletin of the World Health Organisation 78, 6, 740–50.

    Google Scholar 

  • European Parliament and the Council of the European Union (2011) ‘Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients’ rights in cross-border healthcare’ Official Journal of the European Union 4 April 2011, L. 88/45-L. 88/65.

    Google Scholar 

  • Feinberg, J. (1986) ‘Wrongful life and the counterfactual element in harming’ Social Philosophy and Policy 4, 1, 145–78.

    Article  Google Scholar 

  • Glinos, A. I., Baeten, R. and Maase, H. (2010) ‘Purchasing health services abroad: Practices of cross-border contracting and patient mobility in six European countries’ Health Policy 95, 103–12.

    Article  Google Scholar 

  • Gupta, S. A. (2008) ‘Medical tourism in India: Winners and losers’ Indian Journal of Medical Ethics 5, 1, 4–5.

    Google Scholar 

  • Healy, C. (2009) ‘Surgical tourism and the globalization of healthcare’ Irish Journal of Medical Sciences 178, 125–7.

    Article  Google Scholar 

  • Hermans, H. (2008) ‘Cross-border health care in the European Union: Recent legal implications of “Decker and Kohll”’ Journal of Evaluation in Clinical Practice 6, 431–9.

    Article  Google Scholar 

  • Hopkins, L., Labonte, R., Runnels, V. and Packer, C. (2010) ‘Medical tourism today: What is the state of existing knowledge?’ Journal of Public Health Policy 31, 185–98.

    Article  Google Scholar 

  • Labonte, R. (2004) ‘Globalization, health and the free trade regime: Assessing the links’ Perspectives on Global Development and Technology 3, 1/2, 47–72.

    Article  Google Scholar 

  • Lunt, N., Smith, R., Exworthy, M., Green, T. S., Horsfall, D. and Mannion, R. (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review (Paris: Directorate for Employment, Labour and Social Affairs, OECD).

    Google Scholar 

  • Mattoo, A. and Rathindran, R. (2006) ‘How health insurance inhibits trade in health care’ Health Affairs 25, 2, 358–68.

    Article  Google Scholar 

  • Mechanic, D. (2002) ‘Disadvantage, inequality, and social policy’ Health Affairs 21, 2, 48–59.

    Article  Google Scholar 

  • Meghani, Z. (2011) ‘A robust, particularistic ethical assessment of medical tourism’ Developing World Bioethics 11, 1, 16–29.

    Article  Google Scholar 

  • Melnick, A. G. and Fonkych, K. (2008) ‘Hospital pricing and the uninsured: Do the uninsured pay higher prices?’ Health Affairs 27, w116–22.

    Article  Google Scholar 

  • Morreim, H. E. (1983) ‘Conception and the concept of harm’ Journal of Medical Philosophy 8, 137–57.

    Article  Google Scholar 

  • Ormond, M. (2011) ‘Shifting subjects of health-care: Placing “medical tourism” in the context of Malaysian domestic health-care reform’ Asia Pacific Viewpoint 52, 3, 247–59.

    Article  Google Scholar 

  • Pennings, G. (2007) ‘Ethics without boundaries: Medical tourism’ in R. Ashcroft, A. Dawson, H. Draper and J. McMillan (eds) Principles of health care ethics, 2nd edn (London: John Wiley and Sons).

    Google Scholar 

  • Pocock, S. N. and Phua, H. K. (2011) ‘Medical tourism and policy implications for health systems: A conceptual framework for a comparative study of Thailand, Singapore and Malaysia’ Globalization and Health 7, 12.

    Article  Google Scholar 

  • Pogge, T. (2005) ‘Severe poverty as a violation of negative duties’ Ethics and International Affairs 19, 1, 55–83.

    Article  Google Scholar 

  • NaRanong, A. and NaRanong, V. (2011) ‘The effects of medical tourism: Thailand’s experience’ Bulletin of the World Health Organisation 89, 336–44.

    Article  Google Scholar 

  • Smith, D. R., Chanda, R. and Tangcharoensathien, V. (2009) ‘Trade in health-related services’ The Lancet 373, 9663, 593–601.

    Article  Google Scholar 

  • Turner, L. (2007) ‘“First world health care at third world prices”: Globalization, bioethics and medical tourism’ BioSocieties 2, 303–25.

    Article  Google Scholar 

  • Turner, L. (2010) ‘“Medical tourism” and the global marketplace in health services: US patients, international hospitals, and the search for affordable health care’ International Journal of Health Services 40, 3, 443–67.

    Article  Google Scholar 

  • UNCTAD Secretariat (1998) ‘International trade in health services: Difficulties and opportunities for developing countries’ in UNCTAD-WHO (eds) International Trade in Health Services: A Developmental Perspective (Geneva: UNCTAD) http://www.ictsd.org/issarea/services/resou.rces/Docs/WHO-UNCTAD1.pdf date accessed 8 December 2010.

    Google Scholar 

  • World Health Organisation (2010) WHO Global Code of Practice on the International Recruitment of Health Personnel http://apps.who.int/gb/ebwha/pdf_files/WHA63/A63_R16-en.pdf date accessed 13 January 2011.

    Google Scholar 

  • Youngman, I. (2009) ‘How many American medical tourists are there?’ International Medical Travel Journal http://www.imtj.com/articles/2009/how-many-americans-go-abroad-for-treatment-30016/?locale=en date accessed 12 June 2010.

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© 2013 Guido Pennings

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Pennings, G. (2013). The Ethical Management of Medical Tourism. In: Botterill, D., Pennings, G., Mainil, T. (eds) Medical Tourism and Transnational Health Care. Palgrave Macmillan, London. https://doi.org/10.1057/9781137338495_11

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