Patients are instead at the mercy of their insurance companies for determining the extent of care they receive and where they receive it. Any patient who wants a procedure or a medication not covered by their plan and any patient whose insurance company denies coverage of certain procedures is forced to foot the bill themselves. In most cases the bills are outlandish and only the very wealthy could afford to avail themselves of desired services.

Global competition makes medical procedures and pharmaceutical interventions available for a wider range of people. The lower price tags on medications and the cheaper surgeries offered by doctors in foreign countries has encouraged patients to seek medical attention abroad rather than in the United States. Because physicians in foreign countries are frequently well-trained, even trained in the United States, patients are becoming more open to medical tourism. Global competition has yet to affect American healthcare...
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