the most simple dish time i will express our position here in my opinion, without solving this issue many ukrainians realize that ukraine can only dream about e accession. so we will absolutely stress that without solving this issue, there will not be a long term reconciliation with ukraine. so with all this stumbling blocks for kids on route to the alter, there's also the risk that poland and others may ultimately want some kind of a case off, or at least some kind of constellations from brussels in order that to not be that guy who stands up at the wedding and objects to the union and move while across the pond. and how prominent is you as republican presidential candidate has drawing attention to the fact that the 3 i'm going to heart, the big cold democracy? music ramos swami says the people need to stop buying the mainstream media minutes about key of ukraine is not a paragon of democracy. this is a country that has banned 11 opposition parties. it is consolidated all media into

one state to the media arm. that's not democratic, it is threatened not to hold elections this year unless the us forks over more money. that is not democratic. it is celebrated the knots, the interests, the comedian and cargo pants and men called zelinski, doing it in their own ranks. that is not democratic, more faxed for you that you won't hear from the main stream in either party or the main stream media, the regions of ukraine that are occupied by russia right now and the don't boss. lo hans, don't. yes. these are russian speaking regions that have not even been part of ukraine since 2014, that other people probably couldn't name those provinces for you. those are the hard facts and sort of frame. this is some kind of battle between good versus evil . don't buy it. the right to good all the updates there. my colleague nikki, here on these next with the latest updates as top of the r i a michael. what to have a great afternoon. the

when we think of tourism, we usually think of vacation, sunny beaches and exploring new places. and traditionally that was a standard of the tourism industry when you can get a nice little package filled with things to do on your vacation. but today, the medical tours in space is increasingly becoming more popular as people spend their off days getting procedures done in a foreign country. the global medical tourism market was valued at $9700000000.20 and is expected to continue to grow another 25 percent this year. as many people and developed nations are seeking service in developing countries where prices are

cheaper. i'm christy and you're watching the cost of everything we're today. we're going to take a closer look at the cost of medical tourism every year, millions of people travel from country to country in search of specialized medical care, ranging from cosmetic surgery to dental work to orthopedic procedures. the rise of health care medical costs and the west has led to a rise and medical tourism market. or over 14000000 people travel to other countries in search of medical care of some procedures and developed countries like the u. s. and the u. k. costs up to 6 figures, forcing people to look elsewhere with the exact same procedure costs as little as 4 figures. people are increasingly leaving the us to places like malaysia, thailand, costa rica, and other countries for dental plastic surgery and even cancer treatments that can

costs up to 60 percent less health care costs are up to 80 percent lower in malaysia and up to 70 percent lower in mexico compared to the us. and according to the medical and health tourism congress, medical treatment is cheaper in most asian countries than a private hospital in the us. for example, a heart 5 has surgery in thailand, costs nearly $9.00 times less. at $13000.00, compared to a $113000.00 in the us hip replacements in thailand cost $7800.00 compared to $50000.00 in the us. medical tourist can expect to save 25 to 75 percent on various procedures and treatment options. and the top medical tourism destination in the world is malaysia who sees well over half a 1000000 medical tourist a year due to its developed infrastructure and lower costs. malaysia has built medical facilities that rival single pores, but at

a much lower price point. and it has also set of agencies to attract thousands of medical tourist for procedures for anything from burns to heart conditions. and even more malaysian hospitals offer services like ideas at a fist, the price of western facilities. and this is followed by singapore while expensive singapore has one of the most. so fish dictated hospital systems in the world specializing in cancer. while it is more expensive than places like thailand or malaysia, it is still cheaper than most western hospitals. the meanwhile, in latin america, costa rica was the top destination for medical tourism in 2020, followed by mexico and argentina. mexico is most known for its dental and cosmetic work for americans who decide to cross the border in order to save money and pick up medications at favorable prices. at 2020 research found that the mexican health

care services are the same or better quality compared with those in the us for 50 to 70 percent of the cost. the dominican republic, columbia, and brazil are also emerging as trusted health marketplace is where you are saving between 40 to 65 percent compared to getting the same procedure done in the us. the medical tourism market in latin america was over $7000000000.00 in 2022 and is expected to surpass the $17000000000.00 mark by 2027. and now we are joined by facial plastic surgeon, specialize in hair restoration. dr. william lindsey. so i think certainly on a pleasure have you read to me or of course it's a pleasure having your doctor. so now some medical tourism for cosmetic surgery has become increasingly popular. can you discuss the motivations behind individuals traveling abroad for cosmetic procedures and which countries are the most sought

after destinations? well, i think you can send a free things. people want to save some money. they like to have some privacy and, and not have people know what's going on. and it's nice to get out of town. and if you can accomplish 2 birds with one stone meeting, have a procedure done and recover in a nice area and get you to have a vacation. it's a win win scenario to as far as to which countries in the here restoration industry, turkey 5 by large, this the to go to destination for her trans plus and actually to the mid east last year. and there billboards, airports, full of people walking around with band amazon and fresh out of a hair transplant. as far as visual work, we see people that come in from brazil and some in central america. i don't do breast augmentation and things like that. but i'd say turkey for here and south

america, or maybe central america for facial procedures. that's really interesting. and what are the potential advantages or disadvantages of seeking, cosmetic surgery, abroad in terms of cost, the quality of care and even the safety of cost is almost certainly going to be an advantage. it is the safety and quality, i mean, really the own. this is upon the consumer or the potential patient to figure that you can get a great hair transplant in united states. and you can get a great air transplant in turkey and probably many other countries. and you can get a really crappy here transplant in virginia. and you can get a really grab your transplant in turkey and many other places and, and it is the same thing was faced up. so i've seen plenty of people who had botched jobs here in the us and plenty that have come in from overseas. and i think it's that the individual shopping,

whether it's for here or overseas is often are willing to buy into what sounds too good to be true, really honest is upon the consumer to do that research beforehand. look at plenty of pictures of the dr. maybe check reviews, all the reviews can be skewed. and, and best of all as to actually talk to or see by zoom or, or based on a couple of patients that the doctor going to withers me here in virginia or somebody else overseas. as well that the doctor is stuff, that's your best way of seeing what you're going to get. absolutely, i guess you have to balance that cost savings. want to save money, but you don't want to go too cheap either. so right, any country but you get, i don't think it's the money to i think it's mainly you can get a crappy cosmetic surgery paying full price, or you get a crappy cosmetic surgery thing. cheap breast. it's just how much research are you

the potential patient going to do before you sign up and certain that there are good plastic surgeons that charge an expensive rates all over the world. but there's bad ones, a charge and if it's a race and full price, and you have to look into it before you sign up. absolutely. and many countries have actually gained the reputation as the go to the destination for specific surgeries. so what factors contribute to the popularity of specific regions for these procedures, and how do they maintain the high standards of care a well the, the high sensor to grab this ties. this was my answer was last time that the us has lots of regulations and boards that does not prevent patients from getting bad surgery. the honest has upon the consumer to look into that before they go as to the go to destination. i mean, definitely result for face stuff for body stuff to to some extent i get,

i don't see that those patients but in turkey for hair and it can, you can get a really good air transplant in turkey and you can get a really good air transplant and virginian, you can get a really bad air transplant and turkey and you get a really bad interest in virginia. i don't think the country has anything to do with it. is dr. specific. now you have to know what the doctor plans to do and see a track record. absolutely. and why is the medical system in the us so much more expensive than the rest of the world for the exact same procedure? i guess that's a good question for uh for some of it is going to be, you know, cost of over it. you get, we get employees that get paid more here than that i do, and others you provide for benefits, rest costs more here. doctors want to make more money here because they want to buy things that are more expensive here than other places. and some of it is going to be that, that depending on where you are located, patients expect to pay

a certain amount. you know, uh if you go to new york city and your downtown and you have a choice of getting say, a facelift for 15 or $20000.00 and you go to rome, north carolina, and get exactly the same bracelet for $5000.00. there's definitely a psychological aspect of why they pay, it's too much it's, it's got to be a better procedure. that's not always the case. absolutely. and beyond the cost savings, are there any other key motivations for patients seeking surgical procedures abroad? and how do these motivations vary depending on the type of surgery? i think one of the patient is privacy and pulling this off without a lot of people knowing what your business is. certainly with your transplants. if you're going to turkey, which is known as the place to get air transplants, and you're standing in the airport before your procedure and you're seeing a 100 other man that have just got through it, you feel pretty confident whether you're gonna,

whether you pick the right guy or not, if you feel like you're in good hands and you're in a supportive environment. similarly, if you go to latin america or we're still and you see many shapely people that are walking out with bandages on, you feel like you're in the right spot to get a job. that may or may not be the case, but it's certainly supportive to the potential patient that, that their they've made or a correct decision whether they have or have it. it makes it feel the right way to go. absolutely, thank you so much dr. lindsey, but please stick around. dr. william lindsey will stay with us right after the break. and when we come back, you might think that the us is addicted to plastic surgery, but you're actually going to be surprised. we'll have more after the break of the

watching is why is that? why in this contort, if i give but plenty of the store in this, they should have been a short order for now, i'm not going to say lots of green scale. you know, when i am, what i could catch at your desktop session that's just shiny or just is when you bought it. when you sit on while it's in the, the, the, the russian states never as tight as i'm sort of the most sense community. most all sense of the, in the 6595 and speed. what else calls question about this. even though

we will then in the european union, the kremlin machine, the state on the rushes to day and split the ortiz full neck. even our video agency, roughly all the band on youtube, the payment services for the question, did you receive a twist, which is the, the, with the rise of social media and photoshop. the cosmetic surgery industry is experiencing a boom as people everywhere looked enhancer features and get the perfect instagram body. in 2023, the most popular plastic surgery, trans included breast implants, brazilian whitelist, and rhino plastic. a recent survey found that demand for cosmetic surgery was

driven by women after the pandemic, with 30 percent of surgeons reporting that their business has doubled. there are a variety of reasons behind this increase in demand, but the ability to work from home and not spending money on travel allowed patients to invest in themselves. instead, millennials are increasingly driving this trend of plastic surgery is no longer taboo. they are related all an accessible and with the increased amount of time that people spend on zoom staring at themselves, they become much more aware of their appearance. and for a lot of people, this makes them recognize they want a change. while the us is often viewed as the land of plastic surgery, thanks to hollywood, that is actually a mist. south korea is actually the country with the highest percentage of plastic surgeries in the world, followed by greece, italy, brazil, and columbia. the us comes in 6 place and because of the various standards of

beauty in different countries, every country specializes in a different form of cosmetic surgery. for example, in south korea and most of asia, the double island is a desired beach rate along with a small upturn, nose with no sharp jetting cheap boats. as a result, rhinoplasty and left for a plastic where the 2 most popular surgeries requested in 2023 in korea. it is estimated that one in 5 women have undergone some sort of procedure in the country . south korea is also famous for having some of the best pulse medic surgeons in the world who are up on the best cutting edge advancements in the field. and the other best part is only a fraction of what it would cost in america. and meanwhile in greece, brazil and the u. s. breast implants for the most popular in brazil, it is even considered a status symbol for those that get liposuction or have breast implants. plastic

surgery is also exempt from tax, so citizens and the middle class can also access it at an affordable price. and this has contributed to a boom and medical tourism in brazil, as individuals travel to take advantage of the fairly affordable prices. and over in columbia, liposuction reigns supreme as the most popular plastic surgery procedure in the country. other countries that are specialized in plastic surgery include mexico, thailand and turkey. so for this in more or less bringing again, doctor william lindsey, facial plastic surgeon, specializing in hair restoration. so dr. one, factors should patients consider when choosing a location for surgery such as the reputation of the health care facilities, probably just fix or postop care? i think the biggest thing is to find out how good the doctor, the clinic you're going to is make sure you do plenty of research look at before and after pictures. ideally, you talk to some patients that the,

that clinic is helped. we put, put videos, we've got 500 youtube videos up, but the youtube is an easy way for a doctor to publicize his results. and i would, i would imagine that many clinics have youtube videos or for an actors on social media that would allow you to at least do some background checking. but the, the biggest issue would be to find that the quality of pleasure going next would be the logistics. is it one flight? you know, i would think that if you're going someplace and you, you're going to be sore when you're flying. all minimum buys the discomfort, you know, make a direct flight. you know, so what if there was numbers, you want to be able to get home quickly or have somebody come and help you quickly . and then speaking of emergencies, you know, not everything goes according to plan and occasionally a family member or somebody that's traveling when somebody gets sick and needs to be taken care of. and so not just the facility that is going to provide the,

the cosmetic procedure. the local and regional health net health system is going to be competent to take care of a family member that maybe comes with it. it gets a heart attack or, or something more serious and get them stabilized back to the us. those will be things that would be thinking about. absolutely a lot of planning that goes into it. as medical tourism continues to evolve, what emerging trends to you for see in the industry, both in terms of the types of surgeries, offer and destinations that will become popular in the coming years? i think the quality of medical care across the us across the world is improving. and so i would imagine that medical tourism is, is a growth industry. and you know, things that i learned in the 1990s as cutting edge are now old hats and things that a little learning. now that our cutting edge will soon be just normal

procedures and everybody will know how to do them. and the more people that learn and practice these can open clinics and really become accomplished experts. so i think that as long as the consumer does good research, that really the quality of medical care and cosmetic surgery care across the world, it really will improve and allow this to be an ever increasing option for patients who want to get away and get something taken care of now, how often and how serious are complications that arise from medical tourism and do patients have any rights to sue their doctors internationally? i don't know but the instances. let's take 2 procedures that are performed at them about 4000 and face lifts and 4000 air transplants and, and that's over the course of 28 years. we haven't had much trouble. but occasionally after a facelift, somebody has a, a, a bleeding the 1st night,

and we have to come back in and take care of that. and i would guess that happens about once per year. and so if, if the clinic that you're going to is reputable to have a doctor on call, i would support staffing to be able to take care of you. here. transplants jurors or problems come from not taking care of it, not being told how to keep things clean or really what to do in the 1st week or so . and so they're generally not emergency problems or problems that happen after the person returns to us. and i just happen to look over my, my regular computer here, and i see, or 14 examples of people coming back from here. transplants all overseas, not from one particular area with i won't say disasters but certainly big problems by and large from not cleaning or, or saying they weren't told how to take care of it. and having superficial infections or loss of some tissue. and that's a, it's not an emergent problem,

but that's a problem that occurs. and the post up is long after the person's return to their home country that to us or wherever they came from. and how do you get ahold of the doctor to get things taken care of? it's not like they can do a zoom thing about and, and the doctor can take out a stitch or, or remove some tissue. then you're stuck trying to find somebody to help you and that happens. so i've got 14 of them on my computer. mm hm. and we are always willing to help had trouble. but it becomes an issue and they are quite upset when they come in here that they maybe got duped by making a poor decision. i can tell you that the 14 that i see here on my desktop from overseas, i've seen a 150 or 200 from people that were done locally. that just didn't wanna go back to the doctor. so it's not the complications happen too much. any one place, it's just you need to have a record with your health care provider and access to get back to that provider to

take care of any problems that that would arise and it will be easier if it's one flight where you do it locally. and in your personal experience, have you turned away, repeating patients where money is no object, but in your professional experience, they've had enough work done definitely be. and i like to have a natural result and there are increasing numbers of young women and middle age. and that as i get older, it really seems younger who have had too much stuff done. and they're just chasing the latest brand on tick tock or people magazine. and i, i turn them away and try to discourage them from continuing to do things that would make them look less natural. i don't think that i'm successful and can changing

anybody's mind. but when we do work, whether it's a face lift or her trust, it wouldn't be product. i want to not have somebody say, oh, that's a great here. transferred right, based left. i want somebody say, well that patient look good or that person looks, they're not ball and they, they look normal, they're looking at the airline and see what is wrong or they're not looking at a scar or too much cold. we just want some, it looks natural. so when people come in and they either they have real estate unrealistic expectations or expectations that i don't think will wind up looking natural. yeah, we do turn them away and, and it can be discouraging for the patient who's driven or flown here to see me a but once you operate and somebody. ready had a relationship, you're gonna have a relationship with them for the rest of their lots. the need to do what's ethically right. mm hm. and is language barrier when it comes to medical tourism and then your experience has language stopped. a potential customer for doing

surgery language can be a barrier. we've had patients fly into our office from 52 countries to have us do a procedure. so it is kind of the opposite of rivers tourism people come to the us and get something done in spend a week or 2 here since sites in dc, you are going to florida taking the kids to disney world while they're recovering from what we do the language has not been an issue in our office. we have a multi lingual group of technicians. and, you know, honestly, in the times i've traveled abroad and the people that come here, most people do speak enough english to get by now the going through the informed consent could be an issue. and so we've occasionally used an online on translation device. but by and large and language has not been a problem in our office. and when i've talked to people that have gone overseas, for example, these 14 heads i'm looking at that i've had trouble elsewhere. but none of them

have said that they didn't understand what they were getting themselves into. so i don't know whether the offices had translators or whether they spoke enough english, but nobody has told me they've had trouble understanding what they were going to get done elsewhere. mm. hm, and have you seen a change in patients behavior post cove, it pandemic, or are the levels of surgery and medical tourism around the same cupboard was an anomaly. we were backed up 7 months in doing surgery 7 days a week. and it was only because people had time off and they could sit at home on zoom and turn the camera off if they recover. and my few friends to do cosmetic procedure. so exactly the same thing, unfortunately our but is gotta go back to work. and so it's back to what it was in 2019 and, and, and before for me, but the plan a few weeks off so that they can recover and pull whatever procedure that they're

doing off with that everybody asking too many questions. so i think we're back to the not the normal covered, wasn't apparent. see me. well, thank you so much, dr. lindsey, for all your time today or thank you. despite the rapid upward trend of aesthetic procedures globally essential reconstructive plastic survey needs for conditions including clutch, lips and pallet are not being met in many low and middle income countries. more than 95 percent of the population in south asia and central eastern and western sub saharan africa do not have access to safe, affordable surgical and anesthesia care. and worldwide burns are responsible for a significant portion of choir deformities requiring plastic reconstructive care. so it is ironic that plastic surgery, a specialty that originally evolved from reconstruction of dramatic injury, sustained during war, is now favoring elective surgeries over a central surgery. i'm christy,

i thanks for watching and we'll see you right back here next time on the cost of everything. the operation aerodynamic began shortly after world war 2. i lost it almost 3 decades. it was an a major effort to try and split the ukraine off from the soviet union, us intelligence together with hitting his execution. i was trained hundreds of saboteurs to be deployed in the soviet union. this focused was one of the stuff my little stuff. but i've started with linda, jewelry store, which was the on site or she needs more meals. today, security service of ukraine use is not entity does. it does take methods, but also the idea knology of the nationalist and the

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