A detailed report by the authors predicts a much higher trend of up to 10M Americans travelling abroad by the year 2013. A number of different markets are identified in a map which already includes millions of tourists to each location from other countries as well. Reasons for travel are indicated to be lack of insurance or coverage of procedures, cosmetic, Non-FDA approved treatement and seeking treatment back in their native country. The article also mentions a number of US providers with international footprint including the Clevelant Clinic, Cornell Medical School, Duke, Harvard, Johns Hopkins etc. An excellent decsion process map is also discussed for pre- and post procedure and the makeup of medical tourism facilitators. The key point is that facilitators provide a one-stop shop to address travel concerns, provide negotiated rates with providers and help with logistics, arrangements and post procedure questions. Procedure prices are also quoted from Josef Woodman's book and are anywhere from 6% to 33% of US prices.
https://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/Documents/us_chs_MedicalTourismStudy(3).pdf
https://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/Documents/us_chs_MedicalTourismStudy(3).pdf