The major difference is what happens when something goes wrong - you really want to be in a situation where you can be transferred to a research hospital that h

The major difference is what happens when something goes wrong - you really want to be in a situation where you can be transferred to a research hospital that has the guy who has handled the three other times X has happened before. I've always opted to be treated locally when needed - but I also pay for an emergency evacuation service that puts my butt on a jet back to the states if things go pear shaped.