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- W2034139068 abstract "While the Asian hubs for medical tourism such as India, Malaysia, Singapore, and Thailand continue to harvest increasing revenues from exports of health services,1Lautier M International trade of health services: Global trends and local impact.Health Policy. 2014; (published online July 11.)https://doi.org/10.1016/j.healthpol.2014.07.004Summary Full Text Full Text PDF PubMed Scopus (34) Google Scholar some Nepalese political elites, including some of the most influential leaders, fly abroad to receive medical treatment.2The Times of IndiaNepal PM Koirala free of cancer after treatment.http://timesofindia.indiatimes.com/world/south-asia/Nepal-PM-Koirala-free-of-cancer-after-treatment/articleshow/43329336.cmsGoogle Scholar Although healthy leaders might be a prerequisite for a healthy nation, trends such as politicians travelling to foreign countries for costly health care negatively affect the national economy, seriously undermine local expertise, and most importantly, contribute to inequity in health care. The effect of medical tourism on the public health equity of the exporting nation has been widely discussed and often defended in terms of economic benefits.3Meghani Z A robust, particularist ethical assessment of medical tourism.Dev World Bioeth. 2011; 11: 16-29Crossref PubMed Scopus (40) Google Scholar However, scientific literature is scarce concerning the effects of outbound medical tourism on developing countries. Despite the fact that 38% of Nepalese households still lack access to basic sanitation and 52% to running water facilities,4Central Bureau of StatisticsGovernment of NepalNational Population and Housing Census 2011.http://unstats.un.org/unsd/demographic/sources/census/2010_phc/Nepal/Nepal-Census-2011-Vol1.pdfDate: 2012Google Scholar the budget allocation to the health sector has been steadily shrinking over the past 5 years. These figures underscore the problems of poor public health in the country. The use of taxpayer money for international treatment of select elites is therefore received with criticism. Unnecessary politicisation and corruption in the Nepalese health-care system have attracted media attention.5Sharma SP Politics and corruption mar health care in Nepal.Lancet. 2010; 375: 2063-2064Summary Full Text Full Text PDF PubMed Scopus (16) Google Scholar In July 2014, doctors at the Bir Hospital, the nation's oldest hospital, serving mainly the underprivileged population, halted all non-emergency services for two weeks, protesting the lack of CT and MRI scanners, and asking for the repair of radiography and radiotherapy equipment.6The Kathmandu PostBir Hospital doctors on strike for reforms.http://www.ekantipur.com/the-kathmandu-post/2014/07/27/nation/bir-hospital-doctors-on-strike-for-reforms/265456.htmlDate: July 27, 2014Google Scholar From the perspective of equity in health care, these paradoxical reports call for expenses incurred in medical tourism to be channelled towards ensuring the functionality of facilities at national institutions for the benefit of every citizen. Additionally, the use and strengthening of national institutions and expertise can contribute to motivation of the skilled employees working in the health sector. The wrong precedent set by some leaders in Nepal encourages over-privatisation of the health-care sector, undermining the constitutionally guaranteed provision of universal basic health care, and thereby raising serious questions about social justice. I declare no competing interests." @default.
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- W2034139068 date "2014-10-01" @default.
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- W2034139068 title "Equity in health care in Nepal" @default.
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- W2034139068 doi "https://doi.org/10.1016/s0140-6736(14)61815-8" @default.
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