[Mr Ramsbotham]

A big part ofthis debate is that the US was the safety valve for particularly Canadian but in this case UK government health care. But Obama and the Dims want to step in and fix that.

Not to worry: if all else fails there are always Indian reservations.

[JLS]

Actually the move in Europe for elective surgery has been towards India itself. Remember the little mini-panic about the superbug a couple of people came back with? India could well develop quite a trade in surgery tourism, if they match USA standards of care.

I have heard that Costa Rica has gained some dental trade this way. I could see lots of US MDs setting up in places like Costa Rica for the future US medical tourist trade.