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It usually includes leisure, fun and relaxation activities, as well as wellness and health-care service' (Heung, Kucukusta, & Song, 2010: 236) and 'the blending of tourism and medical treatment for both elective and necessary surgical and medical procedures as well as for dental procedures' (Jenner, 2008: 236).
Is there a pain threshold that differentiates medical procedures from health and wellness, and where any notion of tourism as pleasure is implausible?
Tattooing, never regarded as a medical procedure, despite its cosmetic undertones, is more painful and invasive than many forms of treatment usually subsumed under MT (and is often undertaken overseas).
In the words of one plastic surgeon: 'While we appreciate the involvement of the travel and hotel industries we must never lose sight of the fact that travelling abroad for a medical procedure is not a vacation, it is surgery' (Nahai, 2009: 106).
(Only in India does that apparently include significant 'alternative' medical procedures.)
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