Travels With Jim and Rita

Episode 54 - Is Affordable Healthcare Worth Leaving Home For?


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Ever wondered what happens if you need serious medical care while traveling abroad? When Jim's shoulder began failing him in Ecuador, he faced a critical decision that many Americans contemplating life overseas worry about – should he return to the familiar but expensive US healthcare system, or trust foreign doctors with his surgery?

Jim takes us through his remarkable journey from initial diagnosis to complete recovery after undergoing shoulder surgery in Ecuador. The contrast with his previous experience in the American healthcare system is striking – instead of waiting four months for insurance approvals and scheduled procedures, his entire process from consultation to operating room took just 15 days. Even more surprising was the final bill: $6,200 total compared to $16,000 for similar treatment in the US.

Beyond the financial aspects, Jim reveals the philosophical differences that make healthcare abroad so different. In Ecuador, patients maintain their own medical records, pharmacists return prescriptions for future use, and doctors spend significant time discussing lifestyle factors affecting health rather than just treating symptoms. The system places much more personal responsibility on patients while creating more human connections – from doctors making house calls to hospitals accommodating family members who stay overnight with patients.

Drawing from his audiobook "Living Abroad: Challenging the Myths of Expat Life," Jim addresses common concerns about quality of care, insurance options, and whether medical tourism makes sense for everyone. His balanced perspective acknowledges both the benefits and potential drawbacks, providing valuable insights for anyone considering healthcare options beyond American borders.

What healthcare stories have you experienced while traveling? Have you ever considered seeking medical treatment abroad? Share your thoughts or questions and join our growing community of global travelers seeking authentic experiences worldwide.

For information on the 2025 International Living Ultimate Go Overseas Bootcamp in Portland, Oregon August 29th-September 1st : https://www.internationalliving.com/events

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Travels With Jim and RitaBy Jim Santos, travel writer and host of the International Living Podcast

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