Any "foreign hospital" would have to abide by the same standards as "American ones". Furthermore, if it's for profit, I don't see why "foreign establishments" w

Any "foreign hospital" would have to abide by the same standards as "American ones". Furthermore, if it's for profit, I don't see why "foreign establishments" would have lower costs, they'd try to maximize their profit as much as "American ones". Medical tourism is a more cost effective alternative, for dental care, eyesight, or even some heavy surgeries. The problem is the people who would likely benefit the most from that often don't even have a passport... I made the same point about education cost in the rest of the west VS USA previously. Americans are entitled to travel or study in a lot of foreign countries without any hurdle, most of them don't ever take advantage of it for arbitrage.