Compared to the cost of U.S. healthcare procedures, some destination countries reportedly can provide the same health-care services at much lower cost. Compound this with almost 46 million U.S. citizens without health insurance and the multitude of under-insured people, and it is clear to see the primary driver of this trend -- dollars. Also adding to the wider acceptance is the rise of state-of-the art facilities and high standards of treatment in destination countries.

Of special appeal to Florida residents are the facilities in expanding medical-care hubs in Mexico and Costa Rica. The Sunshine State's senior population also appears to be taking advantage of some of the procedures driving medical tourism, such as angioplasty, heart valve replacement, and hip and knee replacement.

To ease people's minds about seeking care outside this country, reputed medical institutions and providers in the U.S. are collaborating with institutions abroad to create brand recognition for foreign organizations. Also, numerous private insurance providers in the U.S. are launching plans that reimburse treatment costs in foreign locations, alleviating concerns about follow-up care and coverage once back at home.

It is not all roses, however. Medical tourism faces an uphill battle on many fronts. Legal issues related to bad outcomes are usually based on the destination country's laws. Also, follow-up treatment and insurance coverage can be difficult to obtain, and language barriers exist. All of these things, combined with a perception problem that developing countries lack high-quality care, could put the brakes on the entire market. In addition, pending U.S. health-care reform, which could lead to universal healthcare for Americans, could quash the growth of medical tourism.

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