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Care begins at homeKamenev's organization has also agreed with Israel on a deal whereby Russian doctors can visit on educational exchanges, to learn about advanced technologies that Russia does not yet have and eventually improve domestic care. Approximately 90 percent of Russia's top medical facilities and doctors are located in Moscow, where only 10 percent of the population lives. Russia's experience with medical tourism, Kamenev believes, will allow it to try to apply international best practices at home. A glimpse of this future comes from RZD Zdorovye, a subsidiary of state rail monopoly RZD, which has a chain of spas, medical resorts and sanatoriums throughout the country. The company's Daria Sokolova and Dmitry Mishin said that many of its doctors have trained abroad, including in traditional Chinese medicine, and that its sanatoriums have attracted some patients from Western Europe and North America. One benefit of domestic medical tourism is lower prices, because they include travel, accommodation and treatments, Mishin said. In Israel, for example, only consultation costs are included. Even the lack of a language barrier brings the price down, and a cultural sympathy can make treatments more effective. "Russian doctors understand the specifics of our mentality and our illnesses, so we treat what needs to be treated, avoiding losing things in translation," Sokolova said. Denis Berengolts, Deutsche Klinik Allianz, Germany: "Each year the number of Russian patients coming to our clinics is rising, and currently averages at about 2,000 visits per year. We mostly get patients from Moscow and the bigger regions. Patients are seeking all kinds of medical treatments, but most of the demand is for oncology, orthopedics and cardiology. I think that they come to Germany mainly because it has secured its reputation as one of the strongest countries in terms of medicine and highly advanced technologies. And it's more affordable than other Western European countries." Marina Werbitzkaya, Clinique de Genolier, Switzerland "The Russian market is growing and it's growing fast - there is no slowdown. Russian-speaking patients make up about half of all our foreign patients. Of course, there are other lucrative regions from which European clinics are receiving patients, as well, like China or the Arab countries, but we are now putting significant marketing and advertising efforts into attracting even more people from Russia and the CIS countries.... "Russians are close to Switzerland geographically and culturally. They are affluent and very interested in their health and medicine, and, of course, the Russian patient is a consumer. They like to consume only high-quality services, and they see Switzerland as a country that can give them this.... They [go there] to get what they can't in Russia."
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