What are your thoughts on the ethics and safety of seeking medical care abroad? How do you view the balance between cost and quality in medical tourism? It's hard to blame these patients, given the extreme cost of testing here.

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Most ppl go out of state for cosmetic reasons due to cost bc it’s not covered by insurance. People have free choice so…a lot of trans ppl also go for transitioning surgery out of the country as well such as Mexico, Argentina, Thailand, Brazil, Canada or other places due to lower costs.

There should be some regulation, but I don't know how.

Had a patient once have a horrible complication from an elective plastic surgery. Told me they didn't care, it got done and now they are in the US and their medical insurance would pay for the care needed now.

So patients go out of state and have these procedures in sometimes unsanitary conditions, with less experienced physicians (some of them may not even be real physicians) knowing they aren't far from home, a flight or a bump over the boarder and they can use their medical insurance to fix what the cheap surgery didn't do quite right.

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