You would think something closer would take advantage, I hear Panama is an option
Treatment Packages
http://www.phc.gov.ph/services/treatment.php
The prices are in Philippine pesos. 44 pesos = one US dollar. For instance in that first dual chamber pacemaker surgery with a private room 210,152.00 PHP = 4,792.54 USD. How much would such an operation cost here? You can be sure it wouldn’t be under five grand.