How to prepare for travel to another country for medical care?
Cost: To get treatment or a procedure that may be cheaper in another country. Culture: To receive care from a healthcare provider who shares the traveler’s culture and language. Unavailable or Unapproved procedure: To get a procedure or therapy that …
Should you refer someone to therapy?
Write down the addresses and telephone numbers of U.S. consulates in the countries you'll be visiting. Bring a letter from your doctor if you are being treated for a chronic condition, listing your diagnosis and current medications (including the generic names for the drugs and dosage, since brand names vary by country).
When is it time to refer a patient to a treatment center?
Feb 28, 2018 · The result will be another collapse of treatment centers across the country. Once our integrity is compromised, it will be a long and difficult road back to respectability. ... I believe it is time to refer a patient to a treatment center when a person’s patterns, behavior or habits is interfering with a healthy balanced lifestyle, peace of ...
Is it the clinician’s responsibility to offer referrals?
Mar 10, 2019 · China’s Approach to Addiction. As the leading source of fentanyl, many countries are looking to China to help fight the war on drugs. As of now, China gives offenders detention for drug use, a two-year sentence in a compulsory drug detention center. So far, this response to the drug epidemic has failed to reduce demand.
Can you get treatment in another country?
People may travel to another country to get health care for many reasons, including: Cost: To get treatment or a procedure that may be cheaper in another country. Culture: To receive care from a healthcare provider who shares the traveler's culture and language.Apr 19, 2021
How do I refer to another provider?
Situation: Explain the patient's condition and symptoms. Include relevant administrative information — such as the patient's name, referring physician, and medical unit. Background: Describe the patient's medical history. Include previous diagnoses, medication info, and treatment dates.Mar 17, 2021
How do you write a patient referral?
Here are some helpful guidelines for referrals:Determine and document the reason for the referral in the patient's medical record.Before contacting the other physician, explain to the patient why a referral is necessary, including what the patient should expect from their visit with the specialist.More items...•3 days ago
What happens if you have to go to the hospital in another country?
In general, health care you get while traveling outside the United States is not covered by Medicare. In rare cases, Medicare may pay for inpatient hospital, doctor, ambulance services, or dialysis you get in a foreign country. Visit Medicare.gov for more information.Sep 13, 2018
What is the referral process?
A referral is the process or steps taken by a teacher in order to get extra assistance for a student with whom they directly work. In most schools, there are three distinct types of referrals: referrals for disciplinary issues, special education evaluations, and counseling services.Jan 13, 2020
What are the types of referral system?
Modern classification of referral systems includes interval referral, split referral, collateral referral, and cross-referral. When a formerly discharged person from the hospital comes back for further treatment, an interval referral system is used.Mar 31, 2021
How do you start a referral letter?
How to write a letter of referralInclude both addresses.Write a brief introduction.Give an overview of the applicant's strengths.Share a story of the applicant.Add a closing statement.Leave a signature.Apr 9, 2021
What are referrals in healthcare?
A written order from your primary care doctor for you to see a specialist or get certain medical services. In many Health Maintenance Organizations (HMOs), you need to get a referral before you can get medical care from anyone except your primary care doctor.
Can a specialist refer to another specialist?
A specialist isn't able to refer you to another specialist. By issuing all the referrals, your PCP is able to oversee the care you receive and help you see the specialist that is right for you.Feb 10, 2022
Can you go to Canada for medical treatment?
Canada does not pay for hospital or medical services for visitors. You should get health insurance to cover any medical costs before you come to Canada.
Can I see a doctor in another country?
How Do I See a Doctor in a Foreign Country? If you have an international health insurance plan, or travel insurance, they should provide you with an emergency medical assistance number you can call to help you arrange for a doctor visit. To schedule an appointment, first contact your insurance company.
How common is it to seek medical attention in another country?
According to a 2015 report by the US International Trade Commission (USITC), between 150,000 and 320,000 Americans travel abroad every year to receive healthcare. Given the high cost of healthcare in the US, Americans cite savings as the most common reason to travel abroad for health treatment.Jul 3, 2018
How to get medical care in a foreign country?
6 things to do to ensure healthcare is available to you in a foreign country 1 Confirm with your insurance company the extent of your coverage while abroad and the procedure for submitting claims for international health care expenses. 2 Decide whether you need a travel insurance and/or medical evacuation insurance policy. 3 Write down the addresses and telephone numbers of U.S. consulates in the countries you'll be visiting. 4 Bring a letter from your doctor if you are being treated for a chronic condition, listing your diagnosis and current medications (including the generic names for the drugs and dosage, since brand names vary by country). 5 Always bring your insurance card and a claim form information and phone numbers, whether you're using your individual insurance policy or a travel insurance policy. 6 Be sure the information in your passport about whom to contact in an emergency is correct and up-to-date.
What to do if you don't have medical insurance?
Consider purchasing travel health insurance. For those who do not have medical coverage when traveling abroad, it is possible to purchase travel insurance that not only covers health care needs while abroad, but also pays for medical evacuation should you need to return to the U.S. for treatment. Many travel agencies specializing in international ...
Does health insurance cover you when traveling abroad?
Your health insurance probably doesn't cover you outside the U.S. Many international travelers may be surprised to learn that they have no health insurance coverage for illnesses or injuries that must be treated during their trip abroad. In particular, the U.S. Social Security Medicare program does not provide any coverage for hospital ...
Does Medicare cover hospital expenses?
In particular, the U.S. Social Security Medicare program does not provide any coverage for hospital or medical costs incurred outside of the United States. Individual health insurance policies vary in the amount, if any, of the costs they will reimburse for medical services in other countries. While some companies do cover a portion ...
What is Heroin Maintenance?
This complex system aims to reduce the HIV epidemic and maintain a close watch on drug takers within the country. While it’s unclear as to whether this system is better than other approaches around the globe, it is presenting a less severe HIV epidemic than other areas of the world.
When did Portugal decriminalize drugs?
In 2001, Portugal decriminalized all drugs. As the first country to do this, Portugal has seen a remarkable recovery with dramatic drops in drug use, HIV, overdose related deaths and drug-related crimes. Rather than being arrested, individuals caught doing drugs can be given a warning, small fine or told to seek treatment from a doctor or social worker. This approach is widely being championed in other parts of the world.
Is addiction a disease?
As you start to do research, you may find there are differing opinions on whether or not addiction is simply a disease. There are some medical professionals that view addiction as a spectrum, with varying degrees of severity. Depending which approach to addiction you believe and your loved one believes, it could change the type of rehabilitation options you explore together.
Is drug addiction a worldwide problem?
Drug and alcohol addiction is a worldwide problem, and if you are truly trying to find your loved one the best possible options , it makes sense to explore what other approaches to addiction are available. The ways governments react to addicts around the globe can offer new ideas and insightful questions about substance abuse and fighting back.
How to refer someone to a therapist?
You can phrase this any way you like, but I think the key points for any referral are here: 1 Seems like you’re hurting, so therapy might be worth a shot. 2 It’s up to you. 3 You’re not committing to a lifetime on the couch, just one initial session. 4 There’s no guarantee it’ll be worthwhile, but the only way to find out is by trying.
What do you commit to when you meet with a therapist?
What do we commit to when we commit to meeting with a therapist? Many people fear that by meeting with a therapist, they are committing to a long-term relationship. They sometimes also fear the therapist will decide how long the therapy lasts. These are anxiety-provoking preconceptions, and they are incorrect. When we try to refer people to therapy, it is important that we remind them of the truth—they are agreeing to one session at a time, and the length of the treatment is their choice, based on their goals and preferences.
What is initial therapy session?
It may help to be frank about what an initial therapy session is: a test drive. You can say, “You can meet with Maury and decide if you’d like to meet with him again. The first session or sessions can help you decide if you think he might help.
Can a therapist make promises?
Ethically speaking, even a therapist cannot make promises, predictions, or guarantees about what they can do. We do not have a crystal ball with which to see the future. Often, my initial phone call with a new referral includes a difficult conversation along these lines:
What is a therapist?
A therapist is an employee whom you can hire and fire.”. When we present the idea of therapy as a test drive, something the person can continue for as long as it meets certain conditions for them, we take away anxieties that therapy will be more of a commitment than the person may want.
What were the problems of the Second Republic?
The problem arose from the end of the dictatorship of the Second Republic, an authoritarian regime that ruled the country with an iron fist from 1933 to 1974. The group was inspired by, based on, and enforced conservative and authoritarian principles; when it fell, an entire generation of Portuguese people indulged themselves on freedoms that had long been denied to them. Atop that list, says Medical Daily, were drugs. Soldiers returning from newly liberated, former African colonies (Angola, Portuguese Guinea, and Mozambique) brought home cannabis, and black marketeers imported heroin and cocaine.
What factors impacted the treatment of drug addiction?
One of the factors affecting how the United States looks at drug addiction and its treatment is the staunch refusal to consider substance abuse as anything but a criminal issue , carried out by weak-willed, morally fla wed people. Strong religious lobbies and late 19th century puritan values contributed to the passage of the 18 th Amendment, colloquially known as Prohibition. Although Prohibition was repealed 13 years after it was ratified by Congress, the effect proved a lasting one.
Who is Mark Kleiman?
Mark Kleiman, the director of the drug policy analysis program at the University of California, Los Angeles, tells TIME magazine that the American habit of being “reflexively opposed” when the topic of decriminalization is brought up hampers any critical and creative thinking in how to resolve the problem. Given how badly the United States has struggled to make a meaningful dent in drug crime and treatment, and how successful new and alternative policies have been, Kleiman advocates taking seriously the suggestion that the focus on “anti-user enforcement” has failed to make an impact.
What did the Portuguese government do in 2001?
Under the 2001 laws, citizens found guilty of possessing small amounts of drugs (no more than a 10-day supply of the given substance) were sent to a panel made up of a psychologist, a social worker, and a legal advisor, who would then devise an appropriate treatment plan.
Was Portugal a poor country?
Unsurprisingly, the new plans were not universally accepted at first. Portugal was a poor, socially conservative, and majority Catholic country; the word on the street was that decriminalizing drug possession would do nothing but make Portugal a haven for drug tourists and make the preexisting drug problem worse. Portugal was already home to the highest levels of illegal and dangerous drug use across Europe; removing jail from the response paradigm seemed like national suicide.
Is Portugal decriminalized?
Every metric, said Greenwald, showed that Portugal’s decriminalization has been wildly successful. The report by the Cato Institute showed that compared to both the European Union and the United States, Portugal had the lowest rate of lifetime cannabis consumption, both in Europe and America.
Does the UK have a drug policy?
Elsewhere in Europe, the United Kingdom has also retuned its drug policies. In 2009, the union concluded a four-year experiment where chronic heroin addicts were given daily injections of heroin, as part of a treatment program aimed at gradually getting the addicts off heroin. Initial results suggested that the trial was effective in reducing drug use and drug-related crime among participants, leading the UK to join Switzerland, the Netherlands, Denmark, and Germany to offer heroin clinics as part of respective national health programs. These permanent facilities, funded by the government, would treat addicts with the most serious of heroin problems. [5]
What is an international tax gap?
A foreign pension or annuity distribution is a payment from a pension plan or retirement annuity received from a source outside the United States. You might receive it from a: foreign government or one of its agencies (including a foreign social security pension) Just as with domestic pensions or annuities, ...
Do pensions have to be taxed?
As a general rule, the pension/annuity article of most income tax treaties allow for exclusive taxation of pensions or annuities under the domestic law of the resident country (as determined by the residence article). This is generally true unless a treaty provision specifically amends that treatment. For example, some treaties provide that the country of residence may not tax amounts that would not have been taxable by the other country if you were a resident of that country. There also may be special rules for lump-sum distributions.
What is a foreign employer?
foreign employer. trust established by a foreign employer. foreign government or one of its agencies (including a foreign social security pension) foreign insurance company. foreign trust or other foreign entity designated to pay the annuity. Just as with domestic pensions or annuities, the taxable amount generally is the Gross Distribution minus ...
Is a government pension taxable?
With respect to government pensions/public pensions/annuities (typically covered under the Government Service article) or social security payments, generally the payments are only taxable by the country in which the government is making the payments.
What is the saving clause?
The saving clause preserves the right of the United States to tax its citizens and residents (subject to certain exceptions) on their worldwide income, as provided under U.S. law, as if there were no treaty.
What is a medical referral?
Medical referral is the act of sending a patient by one professional care giver to another, who may be a specialist and therefore be more knowledgeable in the diagnosing and further management of the patient. Most cases of referral of patients is therefore for proper diagnosis, adequate investigations and their proper treatment by ...
What is a referral letter?
A medical referral letter is sent from one doctor to another when referring a patient for care. Most often, the letter is sent from the patient’s general practitioner to a specialist, with a request for diagnosis or to take over treatment of the patient altogether.
When was the anti-kickback law passed?
Also, the kind of patients that may not be referred was broadened and well defined. The Protective Anti-Kickback Law was passed by the U.S Congress in 1972 . This statute forbids physicians from receiving or paying anything of value so as to encourage referrals of patients to their centre [ 4].
What is tertiary care?
Tertiary care is usually done by a referral from either a primary or secondary care centre to a specialist who serves in such tertiary centres [ 1]. Appropriate referral is an integral part of a complete quality health care management, and should be based on the unique needs of a patient.
Is it ethical to refer a patient to a specialist?
It is ethical to refer patients for specialist care if the need arises. A referral from a physician should be for the best interest of the patient’s well-being and not the basis for some monetary gains for the attending physician.
What is the primary responsibility of a physician?
The physician’s primary responsibility is to be an active advocate for his patients’ care and well-being. He is to always place the interest of his patients first. The physician has a duty to accept ultimate responsibility for his medical decisions.
What is the act of a physician referring patients to health facilities that they own or have investment interest in?
The act of a physician referring patients to health providing facilities that they own or have investment interest in, and that they are in position to refer patients to is known as self-referral. This arrangement creates a conflict of interests that may obscure the physician’s sworn responsibility to promote the best interest of his patient [ 4].
I. Free Trade Agreement Rules of Origin
Rules of origin (ROOs) are used to determine if products are eligible for duty-free or reduced duties under the FTA rules even though they may contain non-originating (non-FTA) components.
II. Where to Find Your Rules of Origin
Rules of origin (ROOs) are listed in FTA agreements by HS product classification numbers: Australia, NAFTA, Chile, Colombia, CAFTA-DR, Korea, Singapore, Peru and Panama. Other ROOs are based on a 35% appraised value method: Israel, Jordan, Bahrain, Morocco and Oman.
III. How to Read and Apply Free Trade Agreement Rules of Origin
You will find several types of rules of origin (ROOs) across the many FTAs. They are specific to each FTA and generally vary from agreement to agreement and from product to product. While the details may vary, many of the methods and formulas are repeated.
