Medical Tourism Takes Flight

Leslie Norton:

A growing number of U.S. insurers are paying for patients to have medical procedures performed more cheaply overseas. And that’s raising the profile of a few companies you’ve probably never heard of. Video: Bangkok Bypass Surgery

IN THE PAST THREE MONTHS, THE CREAKY Barron’s staff has replaced a hip, two knees and undergone various nips and tucks. Based on average prices, these cost a total of at least $100,000. But abroad, say in Singapore, the tab would have been about $50,000, including stays in a private room, airfare and a vacation for the patients and their companions. Elsewhere in Asia, medical care is even cheaper. That’s why more U.S. insurers are considering financing treatment for Americans willing to travel abroad. In fact, “medical tourism” could help rein in the health-care costs that devour 16% of America’s gross domestic product.


That possibility is raising the profile of a few publicly traded companies you’ve probably never heard of: Thailand’s Bumrungrad Hospital (ticker: BH.Thailand) and Bangkok Dusit Medical Services (BGH.Thailand), Singapore’s Parkway Holdings (PWAY.Singapore) and Raffles Medical (RFMD.Singapore), and India’s Apollo Hospitals (APHS.India). Says Prathap Reddy, the U.S.-trained cardiologist who founded Apollo in 1983 and is its chairman: “We bring excellent care at a cost benefit. If the U.S. were to cover all its people, there would be a demand/supply gap. India can step in with equivalent care at one-fifth the cost.”

Paranoid Survivor: Andrew Grove

The Economist:

EARLIER this year Andrew Grove taught a class at Stanford Business School. As a living legend in Silicon Valley and a former boss of Intel, the world’s leading chipmaker, Dr Grove could have simply used the opportunity to blow his own trumpet. Instead he started by displaying a headline from the Wall Street Journal heralding the recent takeover of General Motors by the American government as the start of “a new era”. He gave a potted history of his own industry’s spectacular rise, pointing out that plenty of venerable firms—with names like Digital, Wang and IBM—were nearly or completely wiped out along the way.



Then, to put a sting in his Schumpeterian tale, he displayed a fabricated headline from that same newspaper, this one supposedly drawn from a couple of decades ago: “Presidential Action Saves Computer Industry”. A fake article beneath it describes government intervention to prop up the ailing mainframe industry. It sounds ridiculous, of course. Computer firms come and go all the time, such is the pace of innovation in the industry. Yet for some reason this healthy attitude towards creative destruction is not shared by other industries. This is just one of the ways in which Dr Grove believes that his business can teach other industries a thing or two. He thinks fields such as energy and health care could be transformed if they were run more like the computer industry—and made greater use of its products.



Dr Grove may be 73 and coping with Parkinson’s disease, but his wit is still barbed and his desire to provoke remains as strong as ever. Rather than slipping off to a gilded retirement of golf or gallivanting, as many other accomplished men of his age do, he is still spoiling for a fight.

Documenting the decline of two US industries



Claire Holland:

Eirik Johnson’s quietly theatrical photographs carry the sense of a way of life and work that is on the cusp of slipping away. For four years, Seattle-born Johnson travelled through Oregon, Washington and northern California, around the former boomtowns that were built on the now-declining salmon and timber industries.


He describes the resulting series, published as Sawdust Mountain, as “a melancholy love letter of sorts, my own personal ramblings”. Many of Johnson’s works are informed by the epic, picturesque 19th-century landscapes of Carleton Watkins, who took some of the earliest known images of the region. In others, his use of space and colour pays homage to several living photographers.


Johnson’s images are rendered all the more intense by his palette, through which he uses the region’s faded light to emphasise the down-at-heel tones of the man-made environment. His muted colours are a counterpoint to William Eggleston’s photographs of the American south, whose “harsh bright light and colours … seemed like the mirror opposite of what I saw present in the northwest,” says Johnson.