Medical tourism; what you need to know

How did Brazil become one of the world leaders in transplantation? Detailed interview

The article tells about the life in Brazil of immigrants from Russia. How does the Russian diaspora live in the largest Latin American country, what difficulties do our migrants face, and what should immigrants be prepared for when they go to Brazil? You will find answers to these questions in this material.

Brazil is the largest country in South America, but despite this, the Russian diaspora there is small and significantly inferior in number to the same in Argentina. Immigrants from Russia in significant numbers began to appear in the country at the beginning of the 20th century after the 1917 revolution. The bulk of the Russian-speaking population of the country today is made up of the descendants of the first migrants. Their exact number has not been determined due to fragmentation. Roughly it is believed that about 35 thousand people from Russia live in the country. The bulk is concentrated in Rio de Janeiro and Sao Paulo. There are also quite large diaspora settlements in Parana, Goias, and Pernambuco. Today in the country there are the Center for Slavic Culture and the Brazilian-Russian University named after M. Lermontov.

Main religion

The Russian diaspora in the country is predominantly Orthodox. The bulk of the believers are Old Believers. Pentecostals and Baptists are also present. Old Believers in the country preserve their culture and practically do not mix with the local population.

In Sao Paulo, where the bulk of immigrants from Russia live, there are 2 cultural and charitable centers and 6 Orthodox churches. In Rio de Janeiro and Niteroi, there are one Russian Orthodox church each. Thanks to cultural and religious centers, the national culture is preserved by the diaspora in all the main places of residence of immigrants from Russia.

How visitors are treated

The attitude of local residents to those who come for a long time or permanent residence in the country is loyal and friendly. There is no nationalist bias towards foreigners in Brazil. Therefore, if a person does not violate the generally accepted rules of decency, does not create problems and treats the culture of others with respect, he will feel very comfortable here.

Violation of the law, as in any other country, is criminally punishable. This also applies to migrants who permanently reside in Brazil, and to tourists.

Job Opportunities

It is extremely difficult to get a good job without a diploma and high professional level in any field of activity. In a country that is actively developing today, qualified specialists are very valuable; and therefore, if a migrant can really show his competence in a particular issue, he has the opportunity to find himself a decent job. For employment, you must have a work visa.

If desired, a person can try himself in his own business, for which the conditions in Brazil are quite favorable.

Today, medicine in this country is multifunctional and allows all Brazilians to use services, and not just the wealthy segments of the population, which until recently was natural and normal. The health care system includes hospitals and clinics, research institutes and medical centers, laboratories and blood centers, as well as foundations and universities.

Brazilian medicine has won one of the leading places in the world market for such services. Medical tourism is widespread here - every year a large flow of foreigners strives to the country to receive medical services.

There is nothing strange in this: Brazil is rich in highly qualified specialists, centers and world-class clinics, while the pricing policy compares favorably with European countries. According to some reports, medicine in terms of quality in the near future may overtake the level of healthcare in the United States. If we turn to the example of the quality and growth of medical services, then we can recall that it was Brazilian scientists who achieved significant results in aesthetic and sports medicine, revolutionized these areas.

About medical tourism

The highest priority areas in this area are:

- cardiology and cardiac surgery, it is worth mentioning separately about the rehabilitation program, which allows a person to return to a full life after 1. months;

- neurosurgery and neurology, where the most modern technology is used and a number of unique operations are performed;

- plastic and cosmetic surgery;

- artificial insemination, the world's leading experts work in this area;

- dental services, hair transplant, obesity control and more.

At the same time, as already mentioned, the prices for such operations are almost two times lower than in the same United States of America. The clinics maintain absolute anonymity, so this is where many of the world's rich and famous people come.

São Paulo and Rio de Janeiro are the most heavily loaded with medical centers and clinics. The most popular of them are the following names: Sociedade Samaritano Hospital, Sirio Libanes, Hospital de Coracao, Albert Einstein Jewish Hospital.

About Brazilian doctors

We are all either potential recipients of donor organs, or donors. If we get lucky. There are several models of transplantation in the world. The first is the so-called "presumption of consent", when a person after death is automatically considered to have agreed to become a donor. The opposite is true for the "presumption of disagreement", the person must formalize his desire for donation. NewsGG talked about difficult ethical and legal issues with Washington Fonseca, a Brazilian transplant attorney in Brazil, a country that is one of the first in the world in this area.

- How has the Brazilian government changed the transplant mentality?

- Advertising campaigns on the Internet, on television, on billboards were directed to popularize transplantation. The Ministry of Health is responsible for all this. However, today Brazil is facing a crisis, so, unfortunately, the scale of such public service announcements has decreased somewhat.

- What are the benefits of a presumption of dissent? Don't you think presumption of consent would be more effective?

- We tried to introduce presumption of consent in Brazil, but it didn't work at all. Firstly, the public was very concerned, because in Brazil we have constitutional and civil rights, we respect human rights not only during life, but also after death. This is an intimate affair of everyone.

People were very concerned about the following: whether their desire will be taken into account after death, whether memory will be honored - this discussion was gaining momentum. This aroused suspicion among the population, as they thought that it was the presumption of consent that would provoke the black market for transplants.

Therefore, the government was forced to abandon its intention. Therefore, now, in order to become a donor, it is imperative to declare your desire during life to special organs or your family. But even that is not enough, your family must agree to become a posthumous donor. Your parents, brothers, sisters, spouses or any person who is close must register this permission in the system in order for the deceased to become a donor, according to the first interview of the NevsGG website.

Washington Fonseca: I also became a recipient, I had a kidney transplant. Thanks to this, now I live an absolutely full life, travel the world, do my work. From the point of view of diet, there are no restrictions, even in relation to alcohol. The only prerequisite is the use of pills, which I take during lunch and before bed. Moreover, all this is absolutely free for me. The pills cost $ 1,000 a month, but the cost is fully covered by the government. There are laboratories that manufacture drugs specifically for the government. By the way, it is free for both a Brazilian citizen and a foreigner who is being treated in Brazil.

- What do you think is the secret of a healthy nation?

- There is one thing that is important to know. I'm not talking about transplantation now, but about the state of health of the population as a whole. Adequate public health, medical care, preventive measures: healthy food, physical activity - and you will never see a person in a doctor's office. Therefore, it is necessary to support these people outside the hospital. Thus, the government will improve the quality of life and save its own money on treatment.

There is an interesting thing in Brazil. Let's say you have an insurance policy. If at the same time you visit the gym or programs that include physical activity, eat healthy food and demonstrate to insurance companies, lead a healthy lifestyle, then they provide you with 20-30% discounts. And I think it's a very smart thing to do to make the nation healthy and help save money.

- What else is driving the development of transplant in Brazil?

- For example, airports have a system that improves the delivery of organs to different cities. I personally took part in one of these flights to Rio de Janeiro. Before taking my seat, I saw a man from the Ministry of Health with a special organ transport box. We use state air forces and commercial airlines for the fastest and highest quality level of organ transportation.

The largest state in South America is seen from Russia as a country of eternal carnival with endless golden stripes of beaches, the lights of Rio de Janeiro and the mysterious jungle of the Amazon. But a tourist visit to Brazil and moving to this country are not identical concepts. Life in Brazil is significantly different from the fairytale color picture that is drawn in the imagination of potential immigrants. Immigration to Brazil requires meeting certain criteria and a deliberate decision, as well as careful preparation.

What life is like in Brazil

The Federative Republic of Brazil is not only the largest state in South America, but also one of the largest states in the world in terms of area (8,515,770 km²), ranking fifth in this indicator. Its population is 212,804,996 (2018 census). In terms of population, Brazil is also in fifth place in the world and in first place among Latin American countries. In 2018, the Republic is the economic leader among Latin American states (GDP per capita at the end of 2017 is $ 11,281 - 65th place in the world).

Despite its relatively strong economic performance, Brazil is a developing country. It lags far behind the world leaders in terms of living standards - the United States of America, the countries of the European Union, Canada, the Australian Union, and New Zealand. But the relatively low level of income of the population of Brazil is compensated by a rather cheap life in this state. It is the cheapness of life that attracts numerous migrants, including those from Russia, to move to this country. In addition, in Brazil, you can relatively inexpensively buy real estate not only in the country's megalopolises, but also in some paradise on the shores of the Atlantic Ocean.

In Brazil, you can buy relatively inexpensive property in some paradise on the Atlantic coast

Russian life in Brazil

Brazil has never been considered one of the main destinations for immigration traffic from Russia and its predecessors, the Soviet Union and the Russian Empire. However, most of the ethnic Russians living in Brazilian territory today immigrated to this country during the upheaval in their homeland. First of all, these are the times of the Civil War and the first terrible hungry years after it. A second wave of Russian immigrants washed over the Brazilian coast after the end of World War II.

Today, ethnic Russians make up an extremely small percentage of the total population of the country. No one has thoroughly studied this issue, but experts believe that at the moment about 35 thousand Russian emigrants live in Brazil. Most of them have chosen Rio de Janeiro, Sao Paulo, and other large cities of the country for life. For example, in São Paulo in 2018 there are six Russian Orthodox churches.

The recent 2018 census did not include an item on ethnicity or nationality. The Brazilian government did not set out to thoroughly study the ethnic composition of the population of its country, so there is simply no official data on the number of Russians living in the Federative Republic of Brazil today.

The social stratification of Brazilian society is enormous. About 5% of the population can be attributed to oligarchs and just very rich people, no one can count their profit, since most of the money comes from the shadow economy, which is very developed in Brazil. A third of the country's population is middle class, which includes about 70 million Brazilians. These people are considered to be quite wealthy, they can buy good real estate, cars, open and develop their own business. The remaining 65% of Brazilians can be safely attributed to the poor class, saving pennies on the purchase of food, good clothes, education of children, and so on. But a characteristic feature of the mentality of the Brazilian poor is that education is simply a waste of money and time. Besides, they cannot be called hardworking. The Brazilian poor are used to being content with the bare minimum. Among the poor class of Brazil, there is a high level of crime, it is its people who are included in numerous gangs engaged in outright robbery and drug trafficking.

Many Russians have used Brazil as a springboard to move to Portugal. For several centuries in a row (from 1500 to 1822) Brazil was a Portuguese colony. Today, Brazilian citizens have the priority right to immigrate to the former metropolis and obtain its citizenship.

Today, immigration from Russia to Brazil has noticeably revived. Russians travel to this country for various reasons. A person of average income in Russia will be considered quite wealthy in Brazil. The cheapness of food and most of life's benefits makes life in Brazil quite comfortable for people with an average income.

Ivan Ivanovich is a notable skier. All of his 38 trips to ski resorts ended with triumphant evenings by the fireplace, where he bragged to his friends about tales of brilliant avalman and backflips. But the last trip ended in an extremely unpleasant collision with a pine tree and a fractured hip. Now Ivan Ivanovich needs an operation. In his native St. Petersburg, hip endoprosthetics costs an average of 250,000 rubles or 3,500 euros. Ivan Ivanovich has money. At the same time, it is not so easy to find a good specialist who guarantees a positive result.

Ivan Ivanovich is a noble tourist, so he decided to look for a solution to his problem also abroad. Now he will be a medical tourist too.

What is medical tourism and who are medical tourists

The stories of medical tourists can be very different. They are united by one fact - all these are people who go to another city or country in order to receive medical care there, give birth to a child or undergo rehabilitation and recovery.

Medical tourists often go to other countries for beauty. Popular procedures include facelift, liposuction, tummy tuck, breast augmentation, and aesthetic dentistry.

Many serious procedures are performed abroad, such as joint replacement, hysterectomy and bypass surgery, and surgery of internal organs.

Medical tourism is an opportunity to receive high-quality medical services at a bargain price, or vice versa, to receive luxurious service and VIP conditions that are impossible in your home country, but you really want to.

What is medical tourism

When Ivan Ivanovich goes abroad for treatment, he is an international medical tourist. There is also domestic medical tourism. It would be if Ivan Ivanovich went to operate on the femoral neck not abroad, but to Syktyvkar, because his best friend recommended him a local surgeon with “golden hands”.

Reasons People Choose Medical Tourism

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