Why India is a boon for Australians seeking treatment abroad?

Comparing the healthcare systems of two of the world’s biggest countries highlights the changes we can make to improve the infrastructure in our country while bringing to the fore some of our potential strengths. While prima facie, it might appear that Australia has perfected its healthcare spending, access, and infrastructure, the rising number of Australians seeking treatment abroad shows cracks in the uthopia

No doubt, Australia holds a significant edge over India when it comes to healthcare services. Perhaps the difference in the availability of doctors per 1000 (0.759 for India and 3.587 for Australia) is reflected in the difference between the average life expectancy in the two countries (69 years for India and 82.7 years Australia). However, it is important to note how unfair this comparison is. Challenges imposed by a developing economy exert a significant influence over the healthcare system in India. Australia, on the other hand, already a “developed nation,” has its own challenges. And this is, precisely, where India comes into picture.

With its highly skilled and trained professionals, ease of travel, quality healthcare services, India has steadily risen in the ranks of premium healthcare service providers in the world. So much so that according to a report published by the Ministry of Commerce, the medical tourism industry is expected to reach $9 billion in 2020; so much so that the Ministry of Tourism reports a 166 per cent jump on the number of people entering India on medical visas – from 75, 688 in 2014 to 201,333 in 2016.

A number of factors, together, have led to this substantial rise in medical tourists in the country, especially from Australia – lower costs of medical treatments as compared to the patients’ home countries, highly skilled doctors, trained professional staff with an ability to provide a ‘home away from home’ stay to the patients, internationally accredited hospitals, world class technology, and other logistics such as cheap accommodation costs. Additionally, the growing popularity of alternative medicine such as Ayurveda and Yoga in the world, and India’s storied history has the originator of those, has further piqued medical tourism from Oz.

For the purpose of comparison, compare the following: The cost of a Spinal Fusion surgery, in any NSW Public Hospital in Australia, can run upto AU$ 53,700. The same procedure, including travel costs and accommodation for the patient and one attendee, in India can be done in only AU$ 7,800. Similarly, knee replacement surgery can cost upto AU$ 19,700 in a NSW Public Hospital in Australia, when the same can be done under AU$ 6,500 in India, all travel and accommodation costs included.

It is important to note that the low cost of these services does not mean low quality of services. Healthcare is cheap in India as compared to other “western”/”developed” countries because of lower labour costs. A large population means a large batch of readily available pool of labour – doctors, nurses, janitors, etc – and this brings down the cost per head per hour, especially when compared to the West. Further, low labour costs bring down the taxation on the same since the two are directly correlated. Along the same lines, hospitals dealing with a large and steady influx of medical tourists need to obtain certifications and accreditations from the Government of India, a number of which deal with proper hygiene and sanitation. Further, hospitals in general need to maintain a certain standard of cleanliness at their premises if they want to be internationally recognised. Again, cheap healthcare does not mean substandard sanitation and dirty premises; it is because of cheap labour costs.

Streamlined processes, advanced technologies, state-of-the-art infrastructures, specialised & interdisciplinary care, along with highly knowledgeable and skilled doctors, supported by a thoroughly trained and compassionate staff makes India one of the premium destinations for healthcare service providers in the world, and a prime alternative for Australians seeking affordable and excellent treatments by experts abroad.

Hepatology in India

Capitalising on its highly skilled and trained professionals, India has steadily risen in the ranks of premium healthcare service providers in the world. So much so that according to a report published by the Ministry of Commerce, the medical tourism industry is expected to reach $9 billion in 2020; so much so that the Ministry of Tourism reports a 166 per cent jump on the number of people entering India on medical visas – from 75, 688 in 2014 to 201,333 in 2016. One branch of medicine whose rise in India has paralleled this rise in medical tourism, almost as if the two are dependent on one another, is hepatology. A number of specialised hospitals in India with highly skilled and trained professionals are well equipped not only to deal with domestic patients, the country also sees a regular influx of medical tourists from countries such as Bangladesh, Afghanistan, Iraq, Maldives, Oman, Yemen, etc. Affordable treatment packages have also attracted patients from developed nations such as the US, UK, Germany, as well.

Greater health awareness coupled with ease of access to corresponding healthcare services have contributed to the growth of the Indian healthcare industry, with the sector expected to grow to US$ 280 billion by 2020. It is important to note that as much as globalisation and the increase in international tourism have contributed to the exponential growth of this sector, there have also been several notable domestic factors that have contributed to this growth.

● A number of specialised hospitals – from BLK Super Speciality Hospital in the north to Gleneagles Global Hospital in the south – offer complex procedures – from gastrointestinal bleeding from portal hypertension related to liver damage, to systemic diseases affecting liver and biliary tree; for example, haemochromatosis – at incredibly affordable rates. In fact, the “miracle pill” for Hepatitis C, that can completely cure the disease over a period of twelve weeks, is available for US $300. The same pill can cost up to US$ 1000 per pill, with the full course running up to US $84000.

● An increase in urbanisation has also contributed to an increase in problems associated with modern living. This, in turn, has led to a shift from communicable diseases to lifestyle diseases. Excluding hereditary hemochromatosis, liver cirrhosis and non-viral related cirrhosis, such as alcohol and NASH (Non-Alcoholic Steato-Hepatitis) are among the leading causes of death worldwide. In fact, in 2001, the estimated worldwide mortality from cirrhosis was 771,000 people, ranking 14th and 10th as the leading cause of death in the world and in developed countries, respectively. Deaths from cirrhosis have been estimated to increase and would make it as the 12th leading cause of death in 2020.

● Investments from the private sector into the healthcare industry in general but in the hepatology sector of that industry in particular has also grown over the years. Since it’s the capital, setting up the best hepatology centre in Delhi is priority for both the public and private sector. Not just in terms of hospitals and medical centers, India is also marking its mark in hepatology research as well. While earlier, publications by Indian investigators in peer-reviewed international journals, were a rarity, they have now become quite common.

Streamlined processes, advanced technologies, state-of-the-art infrastructures, specialised & interdisciplinary care, along with highly knowledgeable and skilled doctors, supported by a thoroughly trained and compassionate staff makes India one of the premium destinations for hepotalogic treatment in the world. However, challenges imposed by a developing economy also exert a significant influence upon the practice of hepatology in India. Many government hospitals do not have required technological tools needed to perform complex procedures. Clearly, an open collaboration between private and public stakeholders is the need of the hour.

With consistent efforts by the government to strengthen the sector and incredible growth opportunities across different segments, supported by increasing awareness and changing lifestyles, India is set to become a global hub for hepatology services in the coming years.

Best Medical Treatment in India for Foreigners

Medical tourism in India is a growing sector. Defined as the phenomenon when people go abroad to obtain medical treatment, it has become the latest buzzword in the healthcare industry. This has led to the rise of the misconception that it is perhaps an untrustworthy sector, for it is still in its infancy. The reality is far from it. While yes, perhaps the term “medical tourism” is fairly new, the idea itself is not. The first documented cases of medical tourism can be traced back to the height of the Greek Empire, with pilgrims traveling from eastern Mediterranean to Epidauria searching for cures for their ailments. Further, although historically medical tourism has indeed been linked to the phenomenon of people from developing nations going to prominent medical centers in developed nations, with time, and perhaps as a result of unfettered capitalism, the tide itself is shifting. Every year more people arrive in the other half, looking for cheaper, more accessible healthcare. And this is where India comes into the picture.

There are several advantages of medical tourism in India. As a result, over the years, medical tourism from Africa to India and from countries such as Bangladesh, Afghanistan, Iraq, Maldives, Oman, Yemen, etc. have been on the rise. Further, affordable medical treatment packages have also attracted patients from developed nations such as US, UK, Germany, as well. Not only healthcare services in India are available at a cost-effective rate, especially when compared to the West, they are delivered by world-class, highly skilled, and trained professionals. Some of the most popular and best medical treatments in India for foreigners include heart bypass surgery, knee replacement surgery, breast implants, liposuction, IVF treatment. For the purpose of comparison, compare the following: a heart bypass procedure can run up to US$ 144,000 in US when it can be done in India for US$ 5,200; a hip replacement surgery can cost up to US$ 50,000, when in fact it could be done in US$ 7,000 in India; lasik (for both eyes) cost about US$ 4,400 in the US, when it costs only US$ 500 in India.

It is important to note that the low cost of these services does not mean low quality of services. Healthcare is cheap in India as compared to other “western”/”developed” countries because of lower labour costs. A large population means a large batch of readily available pool of labour – doctors, nurses, janitors, etc – and this brings down the cost per head per hour, especially when compared to the West. Further, low labour costs bring down the taxation on the same since the two are directly correlated.

Streamlined processes, advanced technologies, state-of-the-art infrastructures, specialised & interdisciplinary care, along with highly knowledgeable and skilled doctors, supported by a thoroughly trained and compassionate staff makes India one of the premium destinations for healthcare service providers in the world. India has an abundance of highly skilled professionals. In fact, we've got so many talented doctors, the new stereotype of "doctor" in Hollywood is that of an Indian. Further, although India is a land of diversity and thus has thousands of languages – the Constitution itself mentions 22 “scheduled” languages – English is widely used as the language for official correspondence. Most Indians receive all of their education in English and thus are quite fluent in it. Further, the best hospitals in India are well equipped in dealing with regular influx of medical tourists who have specialised teams trained to make the patient comfortable during their stay. Such hospitals have specific programs that take into consideration the cultural and ethnic background of the patients to provide a ‘home away from home’ stay.

It is important to note that owing to its rich tradition of ancient practices such as Ayurveda and Yoga, there are various types of medical tourism in India. India is one of the top destinations for wellness and rejuvenation. Over the last couple of years in particular, thanks in part to globalisation bridging the gap between the “East” and the “West,” the world has taken an interest in not just the science behind the alternative medicinal practices of Naturopathy and Siddha, the history of Ayurveda, and the practice of Yoga, but also in the multi-dimensional concept of physical, mental and emotional well-being and their documented benefits. The country sees a steady influx of tourists from United States, United Kingdom, Canada, Germany, France, etc. at a number of wellness and rejuvenation resorts across the country, that offer not just the best ayurvedic treatment in India but also personalised wellness programs.

Choosing to opt for medical tourism is not an easy decision. There are, understandably, a number of factors that patients must consider before their trip. With myths and misinformation abound, it is important now more than ever to conduct thorough research. Once these misconceptions are out of the way, you will discover that medical tourism in India 2020 is not only cheap and affordable as advertised, but safe and effective to go with it.

Obesity Management in India

As much as technology and modernisation have made our lives easier, equally has it led to an increase in lifestyle diseases. One of the leading preventable causes of death in the modern world is obesity. While changes to diet and exercising are indeed the main treatments, it can be, at times, difficult to remove those stubborn fats. Fortunately, a number of top obesity management hospitals in India are more than adequately equipped to handle this. These hospitals employ advanced medical facilities and highly skilled staff to provide complete and thorough care to the patients – from accurately identifying the causes and containing the risk factors to preventing further complications. Not only is India equipped to handle its domestic patients, being globally recognised as the hub for the very best hospitals for obesity management, the country sees a steady influx of tourists from United States, United Kingdom, Canada, Germany, France, etc., for a number of procedures ranging from liposuction to bariatric surgery.

Greater health awareness coupled with ease of access to corresponding healthcare services have contributed to the growth of the Indian healthcare industry, with the sector expected to grow to US$ 280 billion by 2020. It is important to note that as much as globalisation and the increase in international tourism have contributed to the exponential growth of this sector, there have also been several notable domestic factors that have contributed to this growth.

• An increase in urbanisation have also contributed to an increase in problems associated with modern living. This, in turn, has led to a shift from communicable diseases to lifestyle diseases. The demand for specialised care for obesity control and obesity management have also contributed to the growth of the sector.

• Obesity management hospitals and clinics in India offer complex procedures at an incredibly affordable rate. While a Laparoscopic Gastric Bypass procedure can cost more than US $30,000 in the United States,the same procedure could be done in US$ 6,000-7,000 in India. It is important to note that the low cost of these services does not mean low quality of services. Healthcare is cheap in India as compared to other “western”/”developed” countries because of lower labour costs. A large population means a large batch of readily available pool of labour – doctors, nurses, janitors, etc – and this brings down the cost per head per hour, especially when compared to the West. Further, low labour costs bring down the taxation on the same since the two are directly correlated.

• Investments from the private sector into the healthcare industry in general but in the obesity management sector of that industry in particular has also grown over the years. Many big players such as Apollo, VLCC, Manipal Group, etc. are venturing into the sector and are setting up specialised centres across the country. Since it’s the capital, setting up the best obesity management hospital in Delhi is priority for both the public and private sector.

In a country where around 13% to 50% of the urban population and 8% to 38.2% of the rural population suffers from obesity, setting up proper centers for the care and treatment of these ailments, along with creating an adequate number of physicians with expertise to plan and chart effective obesity management plans, has been a high priority for the government. Especially when a number of studies have shown that increase in obesity leads to an increase in associated co-morbidities like T2DM, hypertension, dyslipidemia, coronary heart disease (CHD), non-alcoholic fatty liver disease (NAFLD), obstructive sleep apnea and certain cancers. Meanwhile, recognising the incredible potential of growth and business, the private stakeholders have more than doubled their investments in setting up the infrastructure to make the most of the market.

With consistent efforts by the government to strengthen the domestic infrastructure and incredible growth opportunities across different segments supported by increasing awareness and changing lifestyles, India is set to become a global hub for obesity control and management in the coming years.

Charting the Rise of Cosmetic Surgery in India

With its highly skilled and trained professionals, ease of travel, quality healthcare services, India has steadily risen in the ranks of premium healthcare service providers in the world. So much so that according to a report published by the Ministry of Commerce, the medical tourism industry is expected to reach $9 billion in 2020; so much so that the Ministry of Tourism reports a 166 per cent jump on the number of people entering India on medical visas – from 75, 688 in 2014 to 201,333 in 2016. Of these, though, the exact number of medical tourists travelling to India for cosmetic surgery exclusively is not clear. While the country sees a steady influx of tourists from United States, United Kingdom, Canada, Germany, France, etc., most bundle cosmetic procedures with their normal travel itinerary. Experts agree that the Indian cosmetic surgery sector is growing between 20 to 30 percent, however, due to a lack of study and surveys in the field, along with the aforementioned factors, the exact number is unknown.

It is important to note that as much as globalisation and the increase in international tourism have contributed to the impressive growth of this sector, there have also been several other notable factors that have contributed to this growth. 

● Cosmetic surgery clinics in India offer complex procedures at an incredibly affordable rate. According to Dr. Mukul Dabholkar, a Bandra-based dentist, a full mouth rehabilitation with bridgework, crowns and laminates would cost approximately US$ 39,000 in the United Kingdom. The same procedure could be done in US$ 12,600 in India. A Botox shot in India costs about US$ 5.56 per unit; in US it can cost about US$ 70 per unit.

● Though cosmetic surgery and various other associated procedures have been prevalent in India for over four decades, they have always been mentioned in hush-hush tones. This is changed over the last few years, as purchasing power of the Indian middle class has increased by leaps and bounds. Once the privileged Indian upper class was perhaps the sole client of the plethora of highly skilled cosmetic surgeons in the country. That is no longer the case.

● India is not only home to a number of talented cosmetic surgeons running their own clinics, several hospitals, especially in Mumbai, offer cosmetic procedures at cost effective rates. Bombay Hospital and Medical Research Center, Asian Heart Institute, Wockhardt Hospital, Breach Candy Hospital, to name a few. In fact, Dr. Mohan Thomas, a cosmetic surgeon who qualified in the United States and is now practicing in India, calls Mumbai the cosmetic surgery mecca. A member of the national advisory tourism council under the Ministry of Tourism, he notes how up until two years ago Chennai captured a giant share of the Indian cosmetic surgery market because of low fees and operating costs, but that has changed now. Mumbai is not just the entertainment capital of the country, it also the cosmetic surgery capital. If one to believe the grapevines, there is perhaps a relation there.

Streamlined processes, advanced technologies, state-of-the-art infrastructures, specialised & interdisciplinary care, along with highly knowledgeable and skilled doctors, supported by a thoroughly trained and compassionate staff makes India one of the premium destinations for cosmetic surgery in the world. However, the sector is also quite unregulated. Lack of governmental oversight has been reported by many experts; and while in a country such a India, where the healthcare delivery system is itself delivered by both private and public stakeholders, some government initiatives and policy support is, of course, necessary. Fortunately, the government recognises this and is working on drafting several legislations for the same.

With consistent efforts by the government to regulate and strengthen the sector and incredible investment opportunities for private stakeholders, supported by changing lifestyles and increased purchasing power of the common man, India is set to become a global hub for cosmetic surgery services in the coming years.

The Government’s Role in Driving the Indian Healthcare Industry Forward

To drive the growth of the healthcare industry even forward, the government has launched a number of policies and programs. With the National Health Policy, for example, it aims to, domestically, achieve the highest possible level of health and wellbeing for citizens of all ages, and internationally, develop India as a global healthcare hub. It approved the continuation of National Health Mission with a budget of US$ 4.40 billion under the Union Budget 2019-20 and has opened collaboration with the private sector to improve the ease of access to and quality of healthcare services within the country.

Launched fairly recent (on 23 September 2018, to be precise), the Pradhan Mantri Jan Arogya Yojana (PMJAY), has already made considerable impact. Around 9,00,000 patients have received benefits of worth US$ 167.71 million and many more are expected to soon. Advertised as the world’s largest health insurance scheme fully financed by the government, it aims to provide comprehensive primary, secondary, and tertiary healthcare services to over 10.74 crore poor and vulnerable families.

The National Nutrition Mission, aimed at reducing the level of stunting and under-nutrition, has received a budget of US$ 13.16 billion for a three-year period. The policy aims to gradually work towards the attainment of malnutrition free India by 2022 by covering 315 identified districts in the first year, 235 districts in the second year, and the remaining districts in the third.

Mission Indradhanush was launched in December 2014 with the target of ensuring full immunization coverage for at least 90% of the country by December 2018. 201 districts across 28 states in the country have been identified under the “high focus” category. These have the highest number of partially immunized and immunized children.

Further, schemes and policies such as the RashtriyaSwasthyaBima Yojana, that aims to promote and provide health insurance across the country, and the Pradhan Mantri Swasthya Suraksha Yojana, that aims at increasing the quality of tertiary healthcare capacity in medical education, research, and clinical care, and many more, are supported by an increase in allocation to the Ministry of Health and Family Welfare in the Union Budget 2019-2020. The ministry, and the policies coordinated by it, have seen an increase by 16.28 per cent year-on-year to US$ 8.51 billion.

The healthcare delivery system in India is driven by two players – public and private – which is necessary to support such a large population. To attract, invite, and drive collaboration from the private sector, the government has launched various incentives. For example, it has increased the tax holiday under section 80-IB for private healthcare providers in non-metros for minimum of 50 bedded hospitals. Further, all healthcare education and training services are exempted from service tax; income tax has been exempted for 15 years for domestically manufactured medical technology products; and more.

India has strong bilateral relations in the healthcare sector with over 50 countries, as of August 2019. This international cooperation is aimed to encourage joint training and manpower development, exchange of experts, exchange of information and knowledge, etc. Additionally, to ease the influx of international medical tourists to the country, India has deconvoluted the visa process for over 130 countries. Highly skilled professionals, ease of travel, cheap and affordable services have given India an edge in the medical tourism sector of the healthcare industry and it is the fastest growing premium medical tourism destination in Asia, attracting patients from all over the world but in particular from its neighbours such as Pakistan, Bangladesh, Nepal, Afghanistan, Malaysia, Thailand, and Singapore. Since India is expected to grow by 22-25 per cent in this sector, new markets are sure to emerge, especially with the government now working in close collaboration with the private sector to drive this growth forward. For example, special tax holidays and incentives are offered to hospitals and wellness centers that deal with medical tourists.

With an increase in revenue and an expected growth to US$ 280 billion by 2020, stakeholders are looking to explore the latest trends in the healthcare industry in order to make positive impact to their businesses. The hospital industry itself, a rather small portion of the overall healthcare industry, is expected to reach US$ 132.84 billion by FY22. The government’s open collaboration with the private sector to provide cheap, affordable, safe, and effective healthcare services to its citizens and beyond has also helped drive the growth forward leading to ample investment opportunities in the sector.