cross border health and wellness services economic social impact of medical tourism dr bernardo m villegas vice president for research university asia the pacific outline opportunities benefits risks competitiveness issues all visitors to philippines who consume purely treatment in hospitals or clinics both related by product consumption foreign exchange employment income investments healthcare facilities ancillary eg telehealth & sciences education clinical harness clusters schools centers spas bay area makati concentration hotels other lodging places 0 102030405060708090 ge ne ral practice im general pulmonology endocrinology oncology gastroenterology cardiology dermatology pediatrics ob gynecology surgery orthopedic urosurgery ophthalmology eent ent psychiatry neurology total source ims phap factbook 2003 share supply per category provincial destinations are challenged order address physicians national capital region 11 333 94 470 915 us million 3 b 2012 singapore 2 2010 thailand india 1