Friday when I went to see my urologist, he mentioned that when I had been under anesthetic for kidney stone removal, he had told me that I owed him $10,000 pesos for his services - in addition to the $15,000 pesos (paid at the time of the service) for the clinic and $2,000 for the anesthesiologist.
Considering that his services have been most economical before and that as far as I could tell, the only thing he had to do was watch the ultrasound machine pound the stone to dust, I couldn't figure why it was so expensive. I'm still nonplussed, but figure that the low cost of all the other services he has provided including a house call from Guad to Ajijic that may have saved my life, preclude any complaint. Therefore, I'm not complaining, just puzzled. This whole episode has made me careful to check the total costs here and then consider whether it is better to use local care or Medicare, NoB.
I'm of the school that doesn't believe that it is practical in any way to provide Medicare here, primarily because of the danger of fraud, the bureaucracy involved, and the cost of extensive usage of such services.
Another thing I have learned from this is that there are greatly varying costs depending on the hospital or clinic providing the services. Puerta de Hierro is a wonderful facility with the most up-to-date equipment and the costs are consistent with the quality of facility and equipment. Other facilities are much more economical. I'm careful now to discuss all the local possibilities with my doctor before getting treatment/procedures/surgery.
(This post was edited by Bloviator on Dec 5, 2007, 8:03 AM)