What is international breast cancer experience like?
I've often read about people seeking different treatments in Germany, Canada, even Mexico. Where can I find detailed accounts?
Comments
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try PubMed
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So here's my question:
What's the names of the best cancer centers abroad that takes in american patients?
Are the payments purely self paid or covered by some insurance? Do you need to pay by cash or credit card?
What is the ER experience like? ie, suppose I'm travelling internationally, then have a sudden stroke? Do you need to pay in advance?
Where are the best stem cell treatment, transplant treatment found? I'm not talking about some clinic with magic secret, but researchers who does reputable science and do large volume of patients and clinical trials.
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Hate to start this with debate/touchy issues, but most civilized countries have universal coverage, so if you are not a resident of those countries, you don't qualify. There are some exceptions (france maybe?) if you get hurt in the country you are in, they will look at you, but I am not positive about that.
Most insurance typical but good US insurance offers some sort of travel provision should you get injured while traveling but I don't think you can fly to a country for care and get it covered...but you could call your policy holder to verify.
I have heard that some eastern euoro countries have such great dental care and rates, that depending on what people are having done, they book a travel experience and spend a few days at the dentists and it more than makes up for the cost of flying there. Same with some surgeries.
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Thanks for the info. Curious whether there are ladies here who have tried German/Japan/Canada experience. Where are the best centers?
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Unfortunately it is impossible to answer your question. I live in Sweden and could tell you about my experience with my treamtent - but my citizenship and BC is completely different to yours and so what I could write would be irrelevant. I also know nothing about what Sweden could offer an American. The world is a big, big place and each country has their own medical system. Additionally, how is it even possible to describe the quality of care (for example) for a whole country.... there will always be variation between towns/centres etc .... I am sure that applies in the US too.
In terms of finding the "best centre" there is no way of knowing as what do anybody mean by "best" (best at stage IV, best at IBC, best at research, best at care, best surgeon, best onc, best equipment etc???); also the "best" centre can still have a less than best onc or care or something; likewise the "best" onc may not work in the "best" centre.
I don't think you will get the answers you are looking for here. You need to clarify why you are looking outside the US (as in what specifically do you think going to another country will do for you) and speak to your own medico about who they think is the "best" for you. Or just get on the interent and search out centres yourself and start emailing them for information.
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Thanks for your reply. Here are some of things I've found and want to dig deeper:
MRI tests in US costs a lot (xxxx) and doctors are somewhat reluctant to order it, even though it might be in patients' own interest and insurance reluctant to cover it. How much is MRI costing in great centers in Europe/Canada? Could I just travel to get it as a non citizen?
Some cancer drugs are rumored to be cheaper overseas. Is this true? Where could I find the true price for good quality drugs? Where is it cheaper? Thailand, Japan or China or somewhere else.
CTC tests that tells you your HR and HER2 status from CTC is rumored to be available in Germany/Greece. Where could I get it?
Stem cell liver regeneration is being researched in Germany. I want to know whether noncitizen is barred from this kind of research studies.
I remember an Italian study about IL-2 for MBC patients with interesting results. Again curious where could I have this kind of protocol reproduced in US or out.
Yeah, I'm just curious. The world has 10x BC patients than US. How are they being treated? The cure or the precursor to a cure may not come from an US team, may be from anywhere like Germany China or India.
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In regard to the MRI, my insurance company never batted an eye at paying for mine.
Frankly, after my 1st MRI, I was sent for an ultrasound and again, nothing could be found so they sent me back for a second MRI within weeks so they could do a needle guided biopsy with the MRI (which found the tumor again).
I had to meet my deductible, but everything was covered after that. I even phoned the insurance company to verify if I needed a doc rx for the MRI and nope...just go do it.
As for the other labs, I think you would have to probably contact someone where you want your tumor rechecked and verify that where your tumor is held, that org. would be willing to ship it overseas...at your expense, no doubt.
My personal opinion is that any sort of trials or research projects, if they become successful would be offered everywhere. I personally would not try something because it had interesting results. Your sig. line does not indicate you are a stage 4. If I were a stage 4, depending on where the mets were, I might be interested in riskier trials (and make no mistake, I respect and admire the people who do them knowing they may shorten their life even further, for the cause and the hope it might all work), but risky trials could do you more harm than good at this point. Just my humble opinion.
I guess if you are determined to opt out of the US care system, your best information would be with your insurance company to see what they do pay and what they can suggest. If you tried unconvential methods or trials, I don't know if your insurance could opt out of further coverage (probably depends on the insurance).
Admirable that you wish to further the trials/research end of this nasty disease, but be mindful when you go looking...as they say, "be careful what you wish for..."
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I was denied MRI when it might have made a difference, ie 1 year before dx. But insurance since has proven more generous after the dx.
Anyway, I'm not stage IV, but when I'm stage IV I may not have time or energy to do this kind of research. So I'd like to research now.
In general there are a lot of quakery everywhere, but there are a lot of good/cheap healthcare and great researchers everywhere too. So, I will not write anybody out without knowing more.
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Difficult to answer all aspects of your questions. Canada has Universal Health care for all it's citizens. Therefore, foreigners coming here specifically for care would not be eligible for treatment. There are no price lists attached to any treatment. Doctor orders it. You get it. Cost is not part of the discussion. While there is good and bad everywhere, we do have top doctors and hospitals here and get the most current and effective treatments possible. My advice is don't come to Canada for your medical needs unless you plan to come here to live as a citizen.
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Jenrio, you are most likely better off staying close to home. Do you have insurance?
I was treated in Greece, where I live. I have good, private insurance, so I was treated at a reputable, private hospital here in town and my BS and onc are both highly skilled and certified abroad as well as here. For a second opinion of my treatment plan, I contacted a breast cancer center in Israel.
Here you can go get whatever test you want, as long as you are willing to pay. Because my insurance has a cap on testing, I have ended up paying for some of the testing myself. A CT of head, thorax and abdomen recently cost me about $400. The blood work for follow-up, which includes tumor markers and cholesterol among other stuff, costs about $400 as well. -
Thanks everyone for their answers!
Very informative. Canada is famous for the public health service. But as there's a term "go private", I assume there is a private health sector too? So if you are a noncitizen, and you need to use ER/medical service, will they just refuse you any service? I have a good insurance, but a lot of people don't.
CT for $400? Wow! How about MRIs? Do they have procedures like gamma knife, cyberknife, RFA, cryoablation, radioembolization? A lot of US patients don't have access to these. Anywhere else? I realize that everywhere has different system, different qualities of care, nurse/doctors could strike, different protection for patients, so price is not everything. But still it's very interesting to know.
How about cancer drugs? Could we have a price list of drugs world wide like Herceptin, Zoledronic acid or Xgeva or AI? I heard there's significant difference, but no details.
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I would like answers to your question too. I have tried on this board but with not much to show for it.
My mother was visiting in England some years ago and she became sick. She was treated and the doctor made house calls. No charge.
Patients often go to the far east for treatment and get excellent care for much less than here. This is probably due to our crazy malpractice insurance situation.
I will be watching your thread and hope you can come up with some answers.
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