The Arizona Republic

Many see Mexico as oasis for care

‘Medical tourism’ south of the border thrives for its low-cost, easy access

- Grace Hauck and Ken Alltucker

Two Americans have been found dead and two alive after they were abducted while traveling to Mexico in an incident that is raising questions about whether people in the U.S. are at risk when they cross the border to access health care.

The four vanished Friday in an attack carried out by multiple gunmen in the northern Mexico border city of Matamoros, the FBI said. The city in Tamaulipas state is just south of Brownsvill­e, Texas, across the Rio Grande. It’s one of many places along the U.S.-Mexico border where Americans flock to save money on medical care.

Details about the Americans’ trip remained sparse, but one relative told The Associated Press they had traveled to Mexico for tummy tuck surgery. Travel for medical treatment and even surgery is not uncommon along the border.

“Medical tourism has been a very big part of the border communitie­s for many, many, many years,” said Ricardo Ainslie, a professor at the University of Texas at Austin and director of research and education at the health care partnershi­p AMPATH Mexico. “It’s primarily driven by the fact that it’s easy to get appointmen­ts and that it’s much less expensive.”

Estimated 1.2M a year seek health care in Mexico

About 1.2 million people in the United States traveled to Mexico for medical, dental or other health care services each year before the COVID-19 pandemic, said Josef Woodman, CEO of Chapel Hill, North Carolina-based Patients Beyond Borders, citing another consultant’s estimates.

Woodman estimates U.S. residents getting medical care in Mexico can save 40% to 60% off the cost of similar procedures or operations at U.S. hospitals or clinics.

“People in the United States need access to cost-effective medical care,” Woodman said. ‘”The U.S. has priced itself out of the market.”

Consumers often travel to Mexico to seek elective care such as weight loss or cosmetic surgery that might not be covered by their health insurance, said Irving Stackpole, a Newport, Rhode Island-based medical tourism consultant.

Others choose services like purchasing eyeglasses or getting prescripti­ons filled at pharmacies, Stackpole said.

Ainslie pointed to the ease of access to prescripti­on drugs, including pain medication­s and antibiotic­s.

“You can get things in Mexico just by going into a pharmacy. You don’t need a doctor’s prescripti­on,” said Ainslie, whose friends in California have been getting dental care in Tijuana for years.

Did the American travelers know of the possible risks?

Informatio­n about the four kidnapped Americans was limited Tuesday. Mexican President Andrés Manuel López Obrador said Monday that the group was in the country for medicine.

Zalandria Brown of Florence, South Carolina, told The Associated Press she was in contact with the FBI after learning that her younger brother, Zindell Brown, is one of the four victims. She said her brother, who lives in Myrtle Beach, South Carolina, and two friends had accompanie­d a third friend who was going to Mexico for a tummy tuck.

Brown said the group was extremely close and they all made the trip in part to help split up the driving duties. They were aware of the dangers in Mexico, she added, and her brother had expressed some misgivings, The Associated Press reported. “Zindell kept saying, ‘We shouldn’t go down,’ ” Brown said.

State Department advises travelers to avoid the region

The State Department advises Americans not to travel to Tamaulipas, citing organized crime activity, including gunbattles, murder, armed robbery, carjacking, kidnapping, forced disappeara­nces, extortion and sexual assault.

“Criminal groups target public and private passenger buses, as well as private automobile­s traveling through Tamaulipas, often taking passengers and demanding ransom payments,” the department says.

Woodman said Matamoros is “not on our radar screen as a medical travel destinatio­n” but added that people might seek less expensive prescripti­on drugs there.

Americans seeking care advised to do their research

U.S. consumers should do their homework before choosing a doctor or clinic in Mexico, Woodman said. People should ask for a clinic’s credential­s as well as avoid choosing the lowest-cost provider.

Consumers should also ask clinics or doctors how often they have done particular procedures and ask to speak with patients who have used the clinic before, Stackpole said.

Researcher­s at the University of California, Los Angeles, found single pills sold as oxycodone and Adderall at pharmacies in four northern Mexico cities often had illicit fentanyl, methamphet­amine or heroin.

 ?? MIGUEL ROBERTS/AP ?? About 1.2 million people in the United States traveled to Mexico for medical, dental or other health care services each year before the COVID-19 pandemic, said Josef Woodman, CEO of Chapel Hill, North Carolina-based Patients Beyond Borders, citing another consultant’s estimates.
MIGUEL ROBERTS/AP About 1.2 million people in the United States traveled to Mexico for medical, dental or other health care services each year before the COVID-19 pandemic, said Josef Woodman, CEO of Chapel Hill, North Carolina-based Patients Beyond Borders, citing another consultant’s estimates.

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