American nationals traveling abroad for the purpose of medical tourism poses a threat to the long term financial well-being of US hospitals yet as of now it only represents a small amount of loss. Business research conducted by Oxford Economics confirms that this segment of the industry will grow by 25% annually but instead of perceiving this as a threat, US hospitals must embrace the opportunity. It allows for diversification as some hospitals even get foreign visitors for specialized healthcare. There are Academic Medical Centres (AMCs) where training is provided to budding doctors, and treatment at these places is much less expensive. Doctors in the USA need to develop as sense of brand appeal by marketing themselves. Also details on costs need to be transparently put up. Finally, even if some visitors do travel abroad for their surgeries, they will need reliable domestic partners for post operation recovery. Source: http://www.healthcaredive.com/news/medical-tourism-growing-but-obstacles-hamper-trend-in-us-hospitals/425343/