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Health Care Analysis

, Volume 25, Issue 2, pp 138–150 | Cite as

How Medical Tourism Enables Preferential Access to Care: Four Patterns from the Canadian Context

  • Jeremy SnyderEmail author
  • Rory Johnston
  • Valorie A. Crooks
  • Jeff Morgan
  • Krystyna Adams
Original Paper

Abstract

Medical tourism is the practice of traveling across international borders with the intention of accessing medical care, paid for out-of-pocket. This practice has implications for preferential access to medical care for Canadians both through inbound and outbound medical tourism. In this paper, we identify four patterns of medical tourism with implications for preferential access to care by Canadians: (1) Inbound medical tourism to Canada’s public hospitals; (2) Inbound medical tourism to a First Nations reserve; (3) Canadian patients opting to go abroad for medical tourism; and (4) Canadian patients traveling abroad with a Canadian surgeon. These patterns of medical tourism affect preferential access to health care by Canadians by circumventing domestic regulation of care, creating jurisdictional tensions over the provision of health care, and undermining solidarity with the Canadian health system.

Keywords

Medical tourism Canada Preferential access Equity 

Notes

Acknowledgments

R.J. holds a Doctoral award from the Canadian Institutes of Health Research. V.A.C. is funded by a Scholar Award from the Michael Smith Foundation for Health Research and holds the Canada Research Chair in Health Service Geographies.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Jeremy Snyder
    • 1
    Email author
  • Rory Johnston
    • 1
  • Valorie A. Crooks
    • 1
  • Jeff Morgan
    • 1
  • Krystyna Adams
    • 1
  1. 1.Simon Fraser UniversityBurnabyCanada

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