An Economist article explored the trend of medical tourism in Europe and the United States. Consumers of medical services are going abroad to escape high prices and long lines at home. Hannaford, a grocery chain, and a few intrepid insurance programmes, are exploring the possibility of lowering total employee heathcare costs through incentivising traveling abroad for health care needs.

Physical travel, however, is the tip of a rapidly decentralising (disintegrating?) health care consumer paradigm. HCPs (Health care consumers) also go online rather than travel abroad to find products and services that they couldn’t otherwise access. In doing so, they frequently discover new and innovative products and services that pique consumer interest and fuel further individual (as well as corporate) research.

HCPs find communities of like-minded patients and caregivers and exchange information, ideas and opinions about health care goods, services, even specific providers. They research medications and treatments through forums and health care social networking sites like Trusera and PatientsLikeMe.

HCPs that share languages compare and critique public health systems. They let each other know what’s available where and who or which insurance is willing to fund what. Even institutionally-based medications, once limited to the institution that provided them, can now limit the institution. If a patient can’t access the med that s/he thinks s/he needs locally, s/he goes online and finds a provider that is willing to access the HCP–through the mail, through a network, through travel.

Health used to be geographic. What the next-door neighbor perceived as “health” could be considered standard for the neighbourhood. Now, the community of patients or HCPs determines what is “health” for their community. A patient suffering from dysthymia, a mood disorder, can go online and ask fellow patients across the globe how they best deal with depression. Then that community can advise, support, sympathise and even supply a patient with the products and services that patient wants.

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