The American Journal of Bioethics editor’s blog puts it this way:
it had to happen eventually - health insurance companies have run the numbers and they are beginning to get it that if they provide incentives to employees to get their surgical procedures outside the U.S., patients will go, and the cost to employers will be dramatically decreased.
Right now these deals are pretty cushy– at one company they passed on $10,000 of the savings onto an employee as an incentive to get treatment abroad. Of course that will stop once the practice becomes more routine, but typical to my generation being able to take time off (and in another country) is incentive enough on its own. I just hope that when employers look to cut costs even more they don’t start taking it out of employees’ vacation time…
And yes, it will put difficult pressure on the health care industry in the US, with probably a lot of unforunate effects. But it’s the inevitable effect of globalization. (And besides, if the US _really_ wanted to effectively improve medical care here, we would would redirect the money we spend on farm subsidies to universal health care… And as a bonus that strategy would boost the economies of developing countries that have been kept in dependency by our agricultural protectionism, so that they can have stronger health care as well).