International Report – Germany

Germany’s designs on Arab patients

A middle-aged man sporting a moustache, Bermuda shorts, white socks and sandals steps out of a blue Volkswagen and is waved inside. Sheikh Abudulrahman al Mutaf looks more like the vacationing banker and marine biologist that he is until his wife, dressed in a black burqa, follows him out of the van.

For the past two decades, the couple from Qatar have been travelling to Elisee Clinic in Bad Godesberg, a town just south of Bonn that has earned a warm reputation among Arab patients seeking medical tourism services. To the sheikh and his wife, accessing a high-level of medical treatment can be a status symbol of sorts, making a trip to Germany for other Middle Easterners like them status quo.

As many as 77,000 foreign patients from 178 countries visit Germany annually for medical care, the government reports. Another 115,000 arrive for ambulatory care. Arab medical tourism patients are particularly fond of German healthcare including thousands who hail from the United Arab Emirates, Saudi Arabia, Kuwait, Qatar and Oman.

Medical tourism to Germany drives US$1.35 billion annually into Deutschland coffers. For good reasons, competition for Arab patients has become as fierce as Bundesliga football, enticing more regions – from Bavaria and Hessen to North Rhine Westphalia – to join the fray and potential economic boon.

Some German hospitals – there are some 200 including 30 university-based – have already adapted an international focus that caters to patients from Gulf Cooperative Council nations. Translation services and support, separate prayer rooms and accommodations for travelling relatives, friends and medical personal have made looking after Arabs a prime consideration among healthcare providers who seek to capitalize on the medical tourism patient experience.

Ounce of prevention

In turn, wealthy Arabs, who would traditionally take advantage of wellconnected flights to Germany to avoid the blistering summer heat at home, are now scheduling vacations abroad around medical treatment, not only for oncology, neurosurgery and cardiology, but preventative care as well.

Population growth coupled with precarious lifestyle habits have put increasing pressure on Arab states to deliver treatments to nationals and expatriates for chronic disease from a healthcare infrastructure that is already committed to attracting more patients from overseas. Statistics bear out the angst among doctors and government officials in the Middle East and North Africa who fear healthcare expenditures at home will spiral out of control and force more Arabs overseas for medical care unless the alarming trend is addressed.

Consider that Saudi Arabia – the second most-populous GCC nation and home of one of the highest rates of genetic disease in the world – is predicted to grow from 28.4 million to 35.4 million by 2025. What’s more, obesity rates in the UAE are twice that of the world average, and almost 20% of the nation’s residents suffer from diabetes and are prone to heart attacks a decade earlier than their counterparts in the United States and Europe.

In the meantime, despite government attempts to curb outbound travel for health services, patients from the UAE and across the Gulf region continue to seek treatments in Europe and the United States, where local governments are appropriating millions of dollars to reinvigorate existing facilities and construct venues to make medical tourism an even more appealing proposition. Conferences, including the World Medical Tourism & Global Healthcare Congress, which played host to the Arab Health & Wellness Forum, in Orlando, Florida, have shaped agendas to support the Arab market.

Heart of Europe

Hoteliers in Germany have also been happy to oblige this emerging Arab population now synonymous for habitual smoking and obesity by packaging stays with preventive care and lifestyle modification through local medical clinics and doctors. Rocco Forte claims up to 80% of its Middle Eastern guests in Germany are more than likely receiving medical treatment. Some, most probably, through programs administered at each of three hotels, all connected to a local surgeon who has expertise in diabetes, renal and coronary heart disease. Related affiliations are also common at Lans Medicum, a medical center in Hamburg that partners with the Fairmont Hotel Vier Jahereszeiten to examine guests for early stages of cancer, cardiovascular disease and metabolic illness.

Health vices including a new-found appetite for fast-foot have pushed noncommunicable chronic disease into the health consciousness of Gulf state Arabs. Now, when these patients consider help for their complications in Germany, they can think about lodging that offers Arabicspeaking concierge services, copies of the Holy Qur’an in each room, restaurants that remain open for extended hours during Ramadan and chefs who prepare authentic culinary specialties and halal meals.

History recalls that high-end shopping and preserved landscapes have combined to make Germany a natural treat at any time of year. Nestled in the heart of Europe, Germany is easily accessible to visitors from across the globe. But, the marriage between medicine and tourism has pushed Germany – 5.8% of the country’s population is Muslim – ahead of even France and Britain as the most-visited European destination among Arabs. Middle Eastern guests spent 1.5 million nights in German hotels during 2013, and DZT, the nation’s tourism board, expects that figure to climb to 2 million by 2020. Compared to their European counterparts, these guests also tend to stay a bit longer – sometimes weeks at a time.

Made in Germany

The business of medicine is not lost on Germany, which spent approximately €314.9 billion on healthcare in 2013, an increase of €12.1 billion or 4% from 2012 and 11.3% of the gross domestic product. A focus on Arab consumers is one approach to guarantee a steady stream of patients and a source of revenue for both the healthcare and travel sectors especially considering that revenues from medical tourism account for €1 billion annually.

For its advocacy, the government launched “Health – Made in Germany,” a website that offers an overview of the German healthcare industry. The multilingual internet portal is, in part, designed to help foreign patients identify appropriate hospitals, technology and health-related services that can be used to prepare for a stay when in Germany.

Complimentary regional approaches provide further affirmation. In Munich, where a stretch of Maximilianstrasse lures affluent shoppers and some 120,000 visitors each year from GCC nations, the city’s hotels pay homage to Arabic guests – 70% of whom are medical tourists. Some patients need not leave the airport. Connections to Munich International allow for fast and comfortable outpatient procedures at either of two surgery rooms and 13 beds within the terminal.

Here, patients can have tests or outpatient surgery and be on their way home in the same day. For more conventional care a short distance from the airport, Schön Klinik Vogtareuth houses 400 beds, 10 primary surgical departments, and rehabilitation and interdisciplinary spine centres.

Other German cities, such as Berlin which gives information in Arabic on the city’s official tourism website, are ambitiously striving to keep pace. Not to be outdone, North Rhine-Westphalia – a region which encompasses Düsseldorf, Cologne and Bonn – houses more than 25,000 beds across 90 clinics and ranks third among German states for attracting Arab medical tourism patients.

A good number of these Arab travellers have ties to nearby Bad Godesberg, where Muslim immigrant families have moved into homes vacated when Germany shifted capitals, two decades ago, from Bonn to Berlin. That’s about the same time Sheikh Abudulrahman al Mutaf arrived in town. On this visit, his stroll through Bad Godesberg is noticeably different. The storefronts at the local pharmacy, jewelry store, café and souvenir shop display their wares in Arabic. The good news he hears when he returns to the clinic once his wife’s treatment is completed is even easier for him to understand. Doctors tell the sheikh that she is OK to return home.

About the author

Renée-Marie Stephano, JD, is president of the Medical Tourism Association, the first membershipbased international nonprofit trade organization and think-tank for the medical tourism and healthcare industry. The MTA provides strategic development programs for destinations seeking to create sustainable and attractive programs for foreign direct investment. The MTA provides advisory services to investors interested in the industry and matches these financiers with medical tourism-related projects.

 Date of upload: 12th Sep 2015


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