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Solidarity by demand? Exit and voice in international medical travel – The case of Indonesia

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  • Ormond, Meghann

Abstract

Globally, more patients are intentionally travelling abroad as consumers for medical care. However, while scholars have begun to examine international medical travel's (IMT) impacts on the people and places that receive medical travellers, study of its impacts on medical travellers' home contexts has been negligible and largely speculative. While proponents praise IMT's potential to make home health systems more responsive to the needs of market-savvy healthcare consumers, critics identify it as a way to further de-politicise the satisfaction of healthcare needs. This article draws from work on political consumerism, health advocacy and social movements to argue for a reframing of IMT not as a 'one-off' statement about or an event external to struggles over access, rights and recognition within medical travellers' home health systems but rather as one of a range of critical forms of on-going engagement embedded within these struggles. To do this, the limited extant empirical work addressing domestic impacts of IMT is reviewed and a case study of Indonesian medical travel to Malaysia is presented. The case study material draws from 85 interviews undertaken in 2007–08 and 2012 with Indonesian and Malaysian respondents involved in IMT as care recipients, formal and informal care-providers, intermediaries, promoters and policy-makers. Evidence from the review and case study suggests that IMT may effect political and social change within medical travellers' home contexts at micro and macro levels by altering the perspectives, habits, expectations and accountability of, and complicity among, medical travellers, their families, communities, formal and informal intermediaries, and medical providers both within and beyond the container of the nation-state. Impacts are conditioned by the ideological foundations underpinning home political and social systems, the status of a medical traveller's ailment or therapy, and the existence of organised support for recognition and management of these in the home context.

Suggested Citation

  • Ormond, Meghann, 2015. "Solidarity by demand? Exit and voice in international medical travel – The case of Indonesia," Social Science & Medicine, Elsevier, vol. 124(C), pages 305-312.
    • Handle: RePEc:eee:socmed:v:124:y:2015:i:c:p:305-312
    DOI: 10.1016/j.socscimed.2014.06.007
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    References listed on IDEAS

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    1. Landzelius, Kyra, 2006. "Introduction: Patient organization movements and new metamorphoses in patienthood," Social Science & Medicine, Elsevier, vol. 62(3), pages 529-537, February.
    2. Blume, Stuart, 2006. "Anti-vaccination movements and their interpretations," Social Science & Medicine, Elsevier, vol. 62(3), pages 628-642, February.
    3. Horton, Sarah & Cole, Stephanie, 2011. "Medical returns: Seeking health care in Mexico," Social Science & Medicine, Elsevier, vol. 72(11), pages 1846-1852, June.
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    Cited by:

    1. Loh, Chung-Ping A., 2015. "Trends and structural shifts in health tourism: Evidence from seasonal time-series data on health-related travel spending by Canada during 1970–2010," Social Science & Medicine, Elsevier, vol. 132(C), pages 173-180.
    2. Kaspar, Heidi & Abegg, Alwin & Reddy, Sunita, 2023. "Of odysseys and miracles: A narrative approach on therapeutic mobilities for ayurveda treatment," Social Science & Medicine, Elsevier, vol. 334(C).
    3. Skountridaki, Lila, 2017. "Barriers to business relations between medical tourism facilitators and medical professionals," Tourism Management, Elsevier, vol. 59(C), pages 254-266.

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