Due to ease of travel, low costs of care, and familiarity of modern surroundings, and overall affluence, Cartagena, Colombia is emerging as medical tourism destination for North America [1].

Ease of travel and geographic accessibility are key factors in attracting medical tourists, and may rival choice of surgeon or medical facility in importance to consumers. While many flights to destinations in Asia or Eastern Europe require 12 to 18 hours, Cartagena is only 2.5 hours from Miami, Florida. In medical terms, travel distance is more than convenience and comfort. It is crucial for patient safety, particularly as many of these tourists have chronic illnesses and disabilities [2].

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