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Dental Crowns and Bridges in Los Algodones – Mexico

Posted by: Alan Foster on April 17th, 2013 no responses.

For Americans without dental insurance, getting crowns and bridges can be extremely expensive. According to the American Dental Dental Crowns and Bridges in Los Algodones - Mexico Association, 69% of adults are missing one or more teeth. Getting your dental crowns and bridges in Los Algodones, a quaint little town just across the border in Mexico can be a huge cost saver. Moreover, the dental tourism hub is easily accessible by car from the US.

 

One of the reasons why an increasing number of Americans are getting their missing teeth replaced across the border is the availability of cheaper dental implants and crowns, and low cost of dental bridges in Mexico.

What are Dental Crowns and Bridges?

  • A bridge replaces missing teeth by literally bridging the gap between adjacent teeth.
  • A bridge is made of two crowns which fit over the teeth on either side of the gap, and have false tooth/teeth in between. The crowns are the anchoring teeth which support the dental bridge.
  • Dental crowns are made of different materials such as metal alloys, porcelain, ceramic and zirconium.
  • You can also opt for metal-free crowns and bridges in Los Algodones.
  • Dental bridges can replace your missing teeth, thereby giving you a full set of teeth, making it easier to eat again and restoring your smile.

Why Get Dental Crowns and Bridges in Los Algodones?

A recent report from the US National Center for Health Statistics states that 25% of Americans (45 million) lack dental insurance. Many cannot afford the high cost of bridges and crowns in the US.

  • You can save money by driving across the border to get your dental crowns and bridges in Los Algodones. It’s less than an hour’s drive from San Diego, USA.
  • Dental caps in Los Algodones, Mexico are expertly done by well trained dentists and dental technicians. Marketplace in Los Algodones - Mexico
  • Another advantage of choosing to get zirconia dental crowns and bridges in Los Algodones is the abundance of well-equipped clinics which use the latest technology.
  • Combine your dental visit with a holiday in Mexico. Mexico has many beautiful tourist spots, beaches, ancient ruins and lively markets.
  • Dental clinics in Algodones observe high standards due to the fierce competition resulting from an abundance of dentists.
  • The leading dentists in Algodones speak English, are used to dealing with foreign patients and many have actually trained in the US.
  • You will have no problem scheduling your appointment quickly and getting your treatment done faster than in the US.

The cost of dental bridges in Mexico is much lower than in the US. Add to this the ease of traveling from Yuma, which is only 9 miles away, to Los Algodones and you have more than one reason to cross the border for getting your missing teeth replaced.

Handy Tips on Getting Dental Caps in Los Algodones

Research on the internet about your chosen clinic and dentist, search forums and message boards, and if possible ask people who have already had their teeth caps in Los Algodones for their experiences. Read testimonials from clients who have undergone treatment at the leading dental clinics in Algodones.

  • All US citizens traveling to Mexico need a passport with at least 6 months validity to re-enter the US. Make sure your paperwork is in order.
  • Contact the clinic and dentist and speak with them directly, asking any questions which come to mind.
  • Verify that the clinic and dentist are certified and licensed by the relevant health authorities.
  • Get a firm quote for the cost of dental crowns in Algodones, BC.
  • Do not have anything to do with illegal drugs while in Mexico.
  • Pay attention to your surroundings so as not to become a victim of petty crimes. Follow basic safety tips while in Mexico.

Dental crowns and bridges in Los Algodones – Mexico can be easily arranged and done quickly and are relatively inexpensive compared to their American prices. After your treatment, you can enjoy a relaxing vacation at Mexico’s prime tourist destinations.

 

Submit the free quote request form on the right for more information on Dental Crowns and Bridges in Los Algodones – Mexico.

 

Laparoscopic Greater Curvature Plication

Posted by: eugene on September 2nd, 2011 no responses.

Laparoscopic greater curvature plication is a relatively new restrictive weight loss surgery gaining popularity among patients suffering from morbid obesity. The operation is comparable to existing bariatric surgeries in terms of weight loss results at a lower cost and with lesser post-operative complications.

Gastric plication reduces stomach volume and thus assists in weight loss by decreasing the food intake. Patients feel less hungry and feel full quickly after ingestion of small quantities of food. There is also a low risk of early and late complications as plication surgery does not involve gastric resection or the placement of a synthetic device in the body.

Laparoscopic Weight Loss Surgery

  • Laparoscopic weight loss surgery uses the latest technological advances in science and medicine and allows bariatric surgeons to perform the operation without making long incisions.

Gastric Plication

  • Laparoscopic surgery is also called band aid or key-hole surgery.
  • The surgeon makes small incisions ranging from 0.5 to 1cm in length through which surgical instruments are inserted.
  • A tiny camera transmits images of the operating field and aids in better visualization.
  • The small cuts ensure that the recovery time is shortened and there are lesser post surgical complications.

What is Laparoscopic Greater Curvature Plication?

  • Gastric sleeve plication is abariatric procedure that brings together the advantages of restricting the gastric space along with reducing the risks of complications concomitant with implanting a medical device as in the case of gastric band surgery and also minimizes the likelihood of leaks from stapling the stomach as in the case of sleeve gastrectomy.
  • The procedure is carried out under general anesthesia and is performed laparoscopically, that is via five or six small incisions in the abdomen.
  • The surgeon then folds in (plicates) and sutures the outer wall of the greater curved part of the stomach. This creates a narrow tube shaped stomach with reduced capacity. As the natural stomach is retained, the surgery may be reversed if required.
  • Gastric plication reduces the volume of the stomach and hence the quantity of food ingested. It does not interfere with dietary choices or causes any gastro-intestinal problems like malabsorption or dumping syndrome. Patients feel less hungry and get full faster thereby aiding in weight loss.

Alternate names of Gastric Plication Surgery:

  • Laparoscopic Greater Curvature Plication (GPS),
  • Gastric Imbrications, Gastric Sleeve Plication,
  • Vertical Gastric Plication,
  • Vertical Sleeve Plication,
  • Laparoscopic Gastric Plication (LGP).

Overview of a Study on Gastric Plication Surgery

  • A study titled Laparoscopic greater curvature plication: initial results of an alternative restrictive bariatric procedure was carried out by Ramos A, Galvao Neto M, Galvao M et al., the results of which were published in the July 2010 edition of the “Journal of the National Center for Biotechnology Information”.
  • 30 female morbidly obese and 12 male morbidly obese patients with an average age of 33.5 years and mean body mass index of 41 on whom laparoscopic greater curvature plication was carried out were the subjects of this study.
  • The study found that following the surgery, patients were able to return to their normal activities within a week.
  • There were no intra-operative complications during the plication surgery.
  • As of May 2010, no patient had reported regaining weight after having the surgery

Are You a Candidate for Gastric Plication Surgery?

  • Greater curvature plication is ideally suited for:
  • People who have been unsuccessful at losing weight by means of diets and exercising.
  • Mentally and emotionally sound individuals.
  • People with a BMI of 40 or above.
  • Individuals who need to lose 50 to 100 pounds.
  • Patients who do not want anything implanted in their abdomens.
  • People who do not want any part of their gastro intestinal system cut or removed permanently.
  • Gastric plication is also ideal for those people who do not want to spend much time in the hospital and those who find it difficult to return for frequent follow ups.

Gastric Plication Surgery vs. Other Bariatric Procedures

  • Gastric Plication vs. Gastric Sleeve – Fewer complications like bleeding and leaks, as the stomach is only folded in and not cut as in the case of gastric sleeve surgery. Also, plication surgery is reversible.
  • Gastric Plication vs. Gastric Bypass – As gastric sleeve plication does not require any intestinal rerouting, there is no malabsorption or dumping syndrome involved.
  • Gastric Plication vs. Gastric Banding – Gastric plication surgery patients do not require any medical implants or periodic recall for adjustment of bands and are also free from the risks of lap band surgery.

Advantages and Disadvantages of Gastric Plication Surgery

Advantages

  • No cutting, stapling or removal of the stomach.
  • Low rate of early and late complications.
  • Quick recovery.
  • Reversible.
  • Lower cost.
  • Weight loss comparable to other bariatric procedures.
  • Gastric plication in India, Mexico, and Thailand are some viable low cost options which can be explored by the patients.

Disadvantages

  • Lack of long-term data.
  • Not usually covered under insurance schemes.
  • Performed by only a few doctors worldwide.

Tips for Patients Considering Gastric Plication Surgery

  • Patients should do thorough research before deciding on 2-3 bariatric surgeons.

Weight Loss

  • They should take into consideration the doctors’ qualifications, experience and success rates.
  • Overweight individuals should discuss their expectations with the doctors in detail and should be absolutely comfortable with the bariatric surgeon they finally choose.
  • Smoking, consuming alcohol and taking blood thinners like aspirin should be stopped before gastric plication surgery.
  • Patients should keep in mind that surgery is merely a stepping stone towards their ideal weight and this should be augmented by proper exercise and a healthy diet.
  • Medical Trip helps provide information about the low cost international hospitals and bariatric surgery options overseas.

Recovery from Gastric Plication Surgery

Following surgery, patients may experience varying degrees of nausea and vomiting as they are not adjusted to the small size of their stomachs. The patients are initially placed on a liquid diet for the first 2 – 3 weeks and then slowly brought back to a solid diet.

Laparoscopic Greater Curvature Plication brings a ray of hope for patients seeking affordable weight loss surgery without the risk complications which accompany other bariatric procedures.

Medical-Trip facilitates low-cost Laparoscopic Greater Curvature Plication. For more information, submit the estimate-request form on the right.

 

Affordable Weight Loss Surgery

Posted by: dannymohyal on August 14th, 2011 no responses.

Weight loss surgery is sometimes the only hope for some people. But several health insurances don’t exactly cover their costs, and affordable weight loss surgery is not something you can easily get in developed nations. In the UK, for example, NHS and obesity surgery don’t go hand in hand – the NHS only handles less than half of the cases.
Obesity

There are times when your only hope is getting weight loss surgery abroad where the procedure is cheaper, but the quality just as good!According to the Centers for Disease Control and Prevention, 33.8% of adults in the United States are obese. That means 33.8% of all adult Americans have a body mass index (BMI) of more than 30. With obesity comes a range of health complications that increases one’s morbidity. Unfortunately for some people, dieting doesn’t help any, and exercise presents risks.

Weight Loss Surgery Abroad

  • There are many types of weight loss surgery available abroad. It’s up to you to consult your doctor on which one would work best for you if you decide to go through a procedure.
  • One of the types is laparoscopic weight loss surgery, which is less invasive than some other procedures. For this procedure, a surgeon only makes 4 to 6 incisions on your belly and doesn’t open it up completely.
  • Lap band risks are always there, but so are the risks for everything else. If you decide to go for laparoscopic gastric banding, you have that option, too.
  • Among all the bariatric weight loss surgery procedures though, the National Association for Weight Loss Surgery considers Roux-en-Y gastric bypass as gold standard of procedures.
  • You have several countries and procedures to choose from. Some of your options are:

Pros of Getting Weight Loss Surgery Abroad

  • The lower cost of weight loss surgery is the biggest advantage of getting weight loss surgery abroad. Even if your insurance doesn’t cover the costs associated with the surgery, you might be able to afford it just fine compared to getting weight loss surgery in your home country.

Weight Loss Surgery

  • The exact cost of weight loss surgery you’d have to pay depends on the procedure you choose. The doctor and hospital you go to contribute to the expenses, as well.
  • If you find out everything you can about your options, do your research, and maybe ask Medical Trip for a quote and advice, you could get the best option available to you. Medical-Trip can also arrange for financing your weight loss surgery.
  • Of course, if you want to holiday soon after your weight loss surgery, you can explore the many tourist destinations of the country you chose. You have to set aside money for sight-seeing. But as getting weight loss surgery abroad is quite affordable, you just might have the financial bandwidth for that.

Cons of Getting Weight Loss Surgery Abroad

  • Just like getting weight loss surgery abroad has its pros, it has its cons too. One thing you should remember is that if you’re getting an invasive gastric bypass weight loss surgery procedure, you have to spend time recovering. This means staying in another country with strangers for quite some time.
  • Of course, you can always bring someone with you, but that will cost you more.
  • If any complications arise, the surgeon who performed the procedure on you will not be able to fix things. Always consider the possibility of complications, and find a doctor you can trust in your home country, too.

It’s not too late or too expensive to try and shed all that extra weight that’s been giving you one hell of a time. Who knows? You just might find an affordable weight loss surgery option abroad that can help you feel better.

Medical-Trip facilitates Affordable Weight Loss Surgery abroad. For more information, submit the estimate-request form on the right

 

Gastric Bypass Revision to StomaphyX

Posted by: eugene on August 7th, 2011 no responses.

Gastric Bypass SurgeryThe long-term results of gastric bypass surgery, like those of any other weight loss surgery, are dependent to quite an extent on the patient. If a patient doesn’t adhere to a strict low-calorie gastric bypass diet, chances are the weight will come back. According to the University of California, 20% of the 100,000 gastric bypass surgery patients in the United States gain their weight back within a few years after the surgery. And it’s such a waste if you’ve worked hard those first few years. An effective way to correct that is to get gastric bypass revision to StomaphyX.

Gastric bypass surgery is a great way to lose weight, especially if you’re morbidly obese and need surgical help. Affordable gastric bypass is offered around the globe – you can opt for either getting gastric bypass in Mexico or undergoing affordable and safe self pay weight loss surgery in Las Vegas, NV, which could be closer to where you live.

Gastric Bypass Before And After

  • Anyone who undergoes gastric bypass expects to lose a large amount of weight after the procedure. Indeed, people lose considerable poundage, and most keep it off over time.
  • It’s easy to lose weight shortly after gastric bypass because patients can’t eat much while their bodies heal. Unfortunately, the appetite comes back soon enough. And if you don’t do anything about it, post-gastric bypass weight regain can happen.
  • Shedding the post-gastric bypass weight off might not be as easy as getting back on track when it comes to dieting. In time, the small pouch created during gastric bypass can expand, and you will be back to where you started.
  • One of the gastric bypass revision options available to you is StomaphyX.

StomaphyX Gastric Bypass Revision

  • StomaphyX gastric bypass revision is a non-invasive procedure that involves the insertion of a sterile, flexible StomaphyX device to plicate the now expanded stomach.
  • The StomaphyX device is inserted orally – this means no further surgeries are needed to revise your gastric bypass operation!
  • During the procedure, you will be sedated before the device is inserted into your stomach through endoscopic means.
  • StomaphyX isn’t only used as a follow-up procedure for re-stretched stomach pouches; it’s an all-round tool for revision of gastric bypass including instances of gastric leaks.
  • Since it’s a non-invasive procedure, it carries fewer risks for the patient.
  • After getting StomaphyX gastric bypass revision, you’ll go back to the way you were after you first got your gastric bypass procedure done. You will eat less again, as the StomaphyX limits food intake.

Gastric Bypass Revision Cost

  • Costs associated with gastric bypass revision surgery vary depending on the procedure you choose.
  • All of the options, including StomaphyX, are more affordable in developing nations as compared to first-world countries.

Stomaphyx

  • Be as nitpicky as you can be looking around for options – it’s possible to get the same quality of service in developing nations as you would in a first-world country if you just know where to go!
  • Other gastric bypass revision options include the similar non-invasive ROSE procedure, conversion of gastric bypass to gastric lap band, and a second gastric bypass operation to correct the first one’s failure. The latter two are invasive procedures, so factor in costs related to recovery time and hospital stay if you’re opting for those.
  • If you’re getting StomaphyX, though, you won’t have to have a budget meant for the recovery period!
  • The exact cost of your StomaphyX gastric bypass revision will depend on the hospital you stay in, and the doctor you choose to perform the procedure. That goes on top of the country you choose, of course. While prices in developing nations are generally cheaper, exact costs still vary from country to country. You could ask Medical Trip for a quote, if you wish.

If you have had gastric bypass procedure before, and are encountering problems losing weight, look into the possibility of getting StomaphyX gastric bypass revision. It’s safe, requires no recovery time, and if you look for every option you can get, it can also be affordable.

For more information, submit the estimate-request form on the right

 

Liberation Therapy for MS in India – Surgeon Interview

Posted by: dannymohyal on March 12th, 2011 no responses.

In this video a leading surgeon talks about liberation therapy for MS in India. The surgeon also explains venoplasty procedure which is performed by stenting the blocked vein carrying blood from the spine to the brain.

Watch this video on CCSVI treatment in India, followed by its narration.

 

 

Multiple Sclerosis Treatment in India

“…Particularly like in multiple sclerosis and till now most of the people, they go for medical management rather than any other surgical treatment or any other things. But in last like few six months or seven months, I am seeing that good number of the patients have started enquiring about the intervention procedures which is like in good number of the patients around 70-80 percent of the patients in multiple sclerosis, they found that in the neck veins which is narrowed, become narrowed or not too much dilated, multiple collaterals, even in the spine veins also get choked up, that is known as the azygous vein.

Venous Angioplasty for MS in India

If we do the venoplasty, we put a small balloon on that one, this procedure is done under the local anesthesia. If we make them dilated veins and if we put a stent on that so the blood flow from the brain and the spine, that gets very well drained and good number of the patients, around 70 to 80 percent of the patients, they feel that their symptoms, particularly the weakness and the difficulty in walking and the retention of the urine and these all disappear in one or two weeks time.”

MS Procedure in India

“In multiple sclerosis, these procedures like till now Indian patients are also there and good number of patients, those coming from the abroad particularly the Canadian patients. Few patients we have done from the UK also. And these most of the patients, they are very young and they also know that these are the only treatments available. They don’t have any other option. So they want to try these procedures.

Neuro intervention radiology is the very wide kind of branch. If you see that what kind of procedure we do without surgery particularly the aneurysms, arterial…..and the neuro-surgeons- they do the surgical procedures.
Lotus Temple Delhi
In aneurysm, this is becomes now a days the very standard, and this is the first choice of treatments for aneurysm coiling, and some other conditions like arteries venous malformation, there also owe treat by AVM or AV Embolization technique and particular, like you see like in the old people, may be the male or the female, those having the ostephorous in their spine, we do the vertigoplasty, that also with or without surgery. We put special medical cement I n the collapse vertebra and osteopra vertebra, they give a little more strength, and pain in other problems.”

Uterine Fibroid Embolization India

“Uterine fibroid, uterine adenomyosis, this is a big question for most of the women those suffering by that. These women like gets the heavy menses, they may be one week or two week this long periodand have the low hemoglobin and other things.

 

To making them aware we made India’s first uterine fibroid club, we give all the information to the women who are suffering from fibroids in the adenomyosis. Till l now, we provided information to more than 50000 women; these are all like the cases of no profit and no loss. And we make them aware that these are the treatments available to you without surgery also.

And good number of our patients; they get conceived also after fibroid emboilzation. But _patients have to be got evaluated when you see their scanning reports .In India, till now, we have done till last 2 and half years, more than 700 hundred patients. This is like the largest series when you see that, even in the European countries also, in one centre by one person, they have done this much number of case.”

With an affordable cost of CCSVI liberation procedure in India, highly trained surgeons and state-of-the-art hospitals, it has become the favorite destination of many.

 

Submit the free request quote on right for more information on Liberation Therapy for MS in India.

 

Seniors and Medical Tourism

Posted by: dannymohyal on October 21st, 2008 no responses.

When we are young, we tend to take many things for granted, particularly our health. But as we grow older, the scenario changes especially when it comes to health and finances. Many seniors today are rightly concerned about their quality of life in the so-called golden years because of weak personal finances and extraneous factors like ups and downs in the global economy.

Medical tourism for seniorsThough it is not the panacea to aging-related problems, the value of money cannot be overstated in the post-retirement period. From 1991 to 2007, the rate of personal bankruptcy filings among those aged 65 or older jumped by 150%, according to the Consumer Bankruptcy Project’s latest survey. The biggest jump happened among those aged 75 to 84, whose bankruptcy rate soared 433%. And what is of relevance to this article is that medical bills have played a major role in the debt that has forced many elderly Americans into bankruptcy proceedings, the study published in USA Today said.

However bleak the situation looks, it’s heartening to know there is an alternative to combat rising costs of medical care in the US: medical tourism. Medical, dental, and cosmetic procedures in established medical tourism destinations like India, Thailand, Mexico, Costa Rica, and El Salvador will result in a huge savings of at least 60-80% over US prices. In this article, we discuss the factors that make a compelling case for medical tourism and also talk about the rare cases where medical tourism may not suit you.

Rising cost of medical care in the US
Based on per capita health expenditures and total expenditures as a percentage of GDP, the United States has the most expensive health care system in the world, according to a study by the University of Maine.

Many factors are responsible for this high cost, an important one being the high administrative costs resulting from the complex multi-payer system in the US. For instance, it has been estimated that about 20-25% of the money spent on health care in the US goes towards administrative costs. And then there are other factors that contribute to the rising costs like the cost of medical technology and prescriptive drugs.

Because of the rising cost of medical care, often even the insured have to bear high co-pay expenses. You are then left with two choices: avoid the medical treatment and compromise the quality of your health; or go for the expensive treatment and enter a debt trap. Thanks to the advent of medical tourism, you now have another choice, another way of living, which does not compromise your finances or your health.

Un-insured seniors
About 15.3% of US citizens – 42.6 million people – are un-insured. And about 2% of the un-insured are seniors, that is, above the age of 65, according to a US census report. Many seniors lose insurance as more employers eliminate retiree health benefits, which typically provide supplemental drug coverage. As a result, out-of-pocket health care expenses for seniors go up.

A study which the White House released in April 2000 found that older Americans who had no insurance for prescription drugs were being charged 15% more than what the insured pay. In a scenario where even the insured find it tough to meet the healthcare costs, the un-insured have often no hope. If you are a senior and are un-insured, you are literally cut off from access to healthcare in the US. Again, this situation has changed, thanks to medical tourism. A lot of un-insured senior Americans are now opting for medical tourism, which is often their only option. This option works out very well for them not only because of the low cost, but also because of the high quality of medical care.

Lack of insurance cover for elective procedures
Most insurance plans will not cover you for elective procedures like dental and cosmetic procedures. Only under the following exceptional circumstances will insurance companies cover elective procedures:

  • Breast reconstruction after having a mastectomy
  • Reconstructive surgery after an accident
  • Rhinoplasty, if your breathing becomes a problem
  • Liposuction, if your weight is a hazard to your well being

Also, even if your plan does cover elective procedures, it may just be a partial cover and you may have to still shell out a substantial sum out of your own pocket for the procedure. Unless you can prove that a hip or knee replacement is vital to your survival, these procedures could be categorized as elective.

Seniors can’t wait
In a health care system run by the government, waiting lines are inevitable and many a times intolerable. This is a common and widely prevalent complaint in the UK, Canada, and European countries like Sweden. If you have to wait even for days or weeks for an appointment, it is that many days spent in pain and misery for you.

Waiting for critical medical treatment is not an ideal situation for an older person, as each day gone without treatment can complicate things that much. Also, a lot of valuable time is lost.

Many patients from developed countries like UK and Canada opt for medical tourism simply because of these long waiting lines, and not because they cannot afford it in their home countries. Also, as the world becomes your oyster, you have unlimited choice. You can choose between a range of prices and facilities, hospitals in different countries, and also between the top doctors of the world.

Retired seniors have the time for medical tourism
Even if a particular medical procedure abroad demands that you recuperate for at least a week or two before taking a long flight back home, retired seniors can do it as they do not have an office to rush back to. They can take advantage of this extra time they have and choose among the best medical tourism countries in the world, irrespective of their distance from the US.

Also, a foreign trip is not something that seniors do every other day. Hence, within the limits prescribed by their doctor, they can take some time to see the country they have visited for the medical procedure. Again, this is something that younger patients cannot do because of time restrictions. (This, of course, depends on the seriousness of the surgery you have been put through. If you are going abroad for dental work, you can usually combine it with a nice vacation. However, if yours is a major surgery like cardiac surgery or weight loss surgery, then it would be best to recuperate within the hospital or somewhere close by.)

When is medical tourism not right for a Retired Senior?
There can be situations where medical tourism may not be right for you, like:

  • If you have a major illness which makes you unfit for long-distance travel. However, there is always the option of going to medical tourism destinations that are close by. For instance, if you live in the US or Canada, you could easily go to Mexico or Costa Rica. And if you are from the UK, Belgium is a better choice.
  • If, after the procedure, you will need constant follow-up. If the procedure requires follow-up once a year or so, you can still manage to go back. But procedures like dental work may need many follow-up visits in a short span of time. Again, the situation can be managed by going to a nearby country rather than a far away one for such procedures.
  • If you can very well afford the procedure in your home country without impacting your finances or if your medical insurance covers the procedure completely at home.
  • If the total cost of medical treatment abroad (including the cost of the procedure, accommodation, travel, etc) doesn’t result in a huge difference compared to US prices.

Barring these situations above, medical tourism gives seniors an opportunity to live a better, healthier life without weighing them or their family down with liabilities.