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Phuket Opinion: Good news for medical tourism

Legacy Phuket Gazette

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Phuket Opinion: Good news for medical tourism | The Thaiger

PHUKET: Results of a recent Phuket Gazette readers’ poll provide an interesting glimpse into how Phuket’s expatriate community feels about private healthcare services on the island. (See statistics in this week’s issue of the newspaper. Digital subscribers click here.)

The poll question asked readers to rate the overall the quality of treatment offered at private hospitals and clinics in Phuket.

In almost every other Gazette poll taken over the past year, the group of people who identified themselves as “local foreign residents” tended to hold views that could be considered “more cynical” than those of the other two demographics: Thais and foreign visitors to Phuket.

In our health poll, however, expats held the most favorable view, with 64% saying the private medical services on the island were positive (“excellent” or “good”) compared with just 11% who said they were “poor” or “terrible”.

The group appeared to be in a good position to judge, as only 5% of them said they had never used such services.

That such a favorable view is held by the resident expat community speaks well of the prospects for health tourism here, an industry which the Ministry of Public Health expects to play a key role in its ambitious national plan to generate over four billion baht in revenue for Thailand over the next five years.

One of the reasons for the success of medical tourism thus far in Phuket is the wide range of services on offer, with options for people of just about every income level.

Apart from the two international hospitals, treatment is also available at Mission Hospital as well as at many clinics, which are typically run by doctors attached to the island’s government-run hospitals: Vachira Phuket, Patong and Thalang. These three facilities also play an important but largely overlooked role in Phuket’s medical tourism.

But there is still much room for improvement. Reliable, independent information sources for tourists interested in treatments on the island are lacking, with much of the sales and marketing done by word-of-mouth or by inbound tour operators and other agencies seeking to turn profits.

Also left out of the picture almost completely are the medical needs of low-wage migrant laborers from Burma, the number of which could be as high as 200,000. Already that segment of the population is putting far too much strain on the state-run medical system.

We can only hope that when the new provincial government hospital opens on the east side of Phuket Town, where many Burmese live and work, special services will be set up to accommodate their needs.

If not, we are all candidates to suffer from the kinds of disease that are far more likely to arise in, and spread quickly from, the least fortunate members of the population here.

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Archiving articles from the Phuket Gazette circa 1998 - 2017. View the Phuket Gazette online archive and Digital Gazette PDF Prints.

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Opinion

Saving Thai Airways

Tim Newton

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Saving Thai Airways | The Thaiger

PHOTO: The pleasant smile and wai won’t fill aircraft seats anymore

Whilst it’s always a generally pleasant experience flying Thai Airways, the airline, in a business sense, is a basket case racking up nearly a decade of losses, first under the Yingluck Shinawatra Government and then the military government of the NCPO.

Most people in aviation circles agree on the main challenges for the national carrier.

• Entrenched nepotism and cronyism
• Top heavy management
• Contracts for older staff which do not reflect aviation business realities in 2019
• Uncompetitive pricing

So do what QANTAS did in Australia in 2003.

QANTAS was Australia’s legacy airline which had similar long-standing contracts and Union issues that made it difficult for the national carrier to compete in the modern aviation business. It battled for decades with the staff, all on cushy contracts, and the Unions were resistant to change as well.

So they started JetStar, a completely separate company headquartered in Melbourne, but under the wider QANTAS banner. It would take over the ‘leisure’ routes and compete as a low-cost carrier. As QANTAS slowly moved routes over to its cheaper subsidiary the parent airline had a much better argument to pay-out the older, uncompetitive contracts and lay-off the ‘old pot boilers’.

JetStar was not a glamorous airline and lacked the reputation and brand-love of the ‘flying kangaroo’ but, as a business strategy, was a winner for QANTAS and gave them options to modernise the national airline business. The CEO, Alan Joyce, came through Aer Lingus in Ireland then the failing Ansett Airlines in Australia to completely turn Australia’s national carrier upside-down. The strategy worked.

The model has been repeated by other national airlines.

Thai Airways sort of tried the same strategy with Thai Smile in 2012. The offshoot of the parent Thai Airways International, would fly leisure routes for the national carrier but it was still owned entirely by Thai Airways and wasn’t set up as a separate entity so was subject to much of the same ‘handbrakes’ that was holding back Thai Airways from competition in the modern aviation market.

Brand Thai Airways is starting to look a bit tired. The Thai smile, orchids, pleasant staff wai-ing to the camera is all a bit naff when most customers in 2019 are looking for a safe, efficient, on-time airline, at a competitive price. Let’s face it, the seating is much the same, give or take, in just about any plane now. Unless you have the deeper pockets and can afford to sit closer to the front of the plane, you’re in cattle class whether you’re on Thai Airways, Air Asia or RyanAir. A Boeing 737 or Airbus A320 is much the same aeroplane no matter who is flying it.

So what does Thai Airways have to offer customers these days that they won’t get on the many alternatives airlines flying on the same routes? Nice uniforms? A Thai stir-fry included in your airfare? (I’m battling to think of anything else…)

At the same time their website , whilst much improved in the past 12 months, is still a bit ‘clumsy’ compared to other airlines’, the fleet is starting to look a bit ‘tired’, the eight years of loss after loss is starting to noticeably weigh on the airline’s staff, and in many cases the airfares are simply too expensive.

Unless you’re a huge Thai Airways fanboy or fangirl, there are fewer reasons every year to keep flying Thailand’s national airline.

Thailand’s surging tourist industry, which despite a few blips this year will continue to grow, has provided a huge opportunity for Thai Airways to thrive and grow. Instead the airline’s management have squandered an enormous opportunity. Whilst calling for patience as they make (almost zero) changes, many other airlines have jumped into their flying space with newer aircraft, better promotions, cheaper flights and a better business plan.

If Thai Airways was a private company they would have been out of business a decade ago. Instead they keep coming back to the Thai government with their hat out for contributions to bail them out of quarter after quarter of losses.

The airline’s main backer, the Thai government, provides a massive disincentive for the airline to clean up the internal mess and modernise. Where’s the urgency to make the necessary changes when the government will always end up bailing them out? The airline has simply weaponised ‘saving face’ – the national carrier simply CAN’T fail.

But maybe the view of Thai Airways as a potential profitable business is old-fashioned and the costs to the Thai taxpayer should be seen as an ‘investment’ into the country’s growing tourist industry. Middle Eastern airlines are operated in this way where they make massive losses but provide excellent service on modern aircraft dragging tourists through and to their airports and destinations.

Now Thai Airways is asking for the Thai government to bankroll the purchase of new aircraft for its fleet. That the Thai Government seems in no rush to write out any more cheques to Thai Airways is a good indication that some hard decisions now need to be made.

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Expats

Ten things the Thai Government could to do right now

The Thaiger

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Ten things the Thai Government could to do right now | The Thaiger

OPINION

Thailand is a proud country with a rich cultural tradition. And great food. Expats and visitors have been flocking to the Land of Smiles for a century, especially the last 20 years when tourism has surged to become a major contributor to the country’s GDP.

But the veneer of a never-ending rise in tourism numbers lost some of its gloss with tourism officials, perennially optimistic and talking-up the numbers, when they were forced to admit that tourism dropped in Q2 this year. The numbers have rebounded since then with tour operators and hotels reporting a buoyant Q3 and good bookings ahead into the high-season.

But it wasn’t just tourism, living as an expat has become increasingly complex and expensive for many. There is a perception that “we’re not wanted here anymore” which is an uncomfortable feeling to have when you just want to enjoy living in the country you love and contribute to its economy by participating.

That the issues are now making headlines in Thai media is bad press for the Land of Smiles.

The rise in value of the Thai baht against some currencies, the enforcement (and ongoing confusion) over the TM30 and more scrutiny on some of the visa options for long-termers, all added to a malaise in the world economy, is making travelling to, and living in Thailand, a bit more challenging than in the past.

Here are ten suggestions, published in good faith, we believe should be implemented to address key problems.

Make it easier to do business

Between the mountains of paperwork, public service attitude, language barriers and fierce protectionism, doing business in Thailand as a foreigner is not easy. The need to have a small army of accountants and ‘Thai Nominees’ is just a part of the problem. The endless red tape and hurdles put up by the Thai Government, and the patchy application of some of these requirements, make running a business professionally an ongoing challenge.

Make it easier to apply for, and maintain, visas

There are quite a few visas available for tourists and expats to come to Thailand . But the goal posts keep being shifted and the requirements continually change. Thinly-veiled corruption and variations of how the various visas are applied have made getting and maintaining a proper visa in Thailand challenging.

Tourist visas would also benefit from increasing possible length of stays and reducing paperwork before and upon arrival. There is currently a waiver of visa fees for some countries up to the end of October 2019.

A long-term resident visa would also be welcome. Given the current difficulty of being eligible and getting a long-term resident visa in Thailand does little attract real long-term retirees who still need to do 90 day reporting, annual visa extensions and worry about the TM30 form every time they travel.

Immigration officials, around the country, control their own local fiefdoms where the ‘guidelines’ are just guidelines and are interpreted differently on different days by different officials. Apart from confusing the expats and tourists, these systems provide lucrative opportunities for blackmail and corruption.

A smile could help sometimes too.

Rebuild the Tourism Authority of Thailand

Whilst the reasons for Thailand’s droop in tourist numbers for Q2 this year are many and varied, the body who has been marketing Brand Thailand is the Tourism Authority of Thailand. They have made countless mis-steps and strategic errors in the past decade and must shoulder part of the responsibility for some of the systemic problems, including the over-reliance on just a few national demographics.

A proper, independent, tourist organisation with a professional, modern marketing team with international experience, not just Thais, is a must. Thailand’s ‘charm’ is no longer enough in the highly competitive world of international tourism. Around SE Asia there are now emerging destinations that are simply doing a better job than the team at the TAT who are, like the national airline, beset with nepotism and long-termers who should have been fired a decade ago.

Just about every aspect of tourism in Thailand needs to be updated, cleaned-up and improved and the TAT are just the wrong people to do it. They’ve strategically been chasing an unsustainable tourist mix and placed all their marketing eggs in few baskets.

Whilst they spend large amounts travelling the world and participating in travel expos, they too need to follow the rest of the world online and have their staff populating the world of social media, all day, everyday. Whatever they’re doing on social media now, multiply by 100!

Working under the auspices of the Department of Sports and Tourism hasn’t worked well for the TAT. The Government now needs a dedicated Department of Tourism is they are to maintain the percentage of GDP garnered from tourists into the third decade of the 21st century.

Urgently and aggressively address tourist safety

The fall-out from the Phuket Boat Tragedy is still being felt and has left a poor impression of safety for tourists. A year later and what has changed?

Speaking of Phuket, the shameful handling of the local lifeguard contracts has been a direct reason for drownings along the island’s west coast in recent years. The dithering of contractual arrangements and personality clashes took precedence over hiring, up-skilling and deploying a professional lifeguard service to protect beachgoers.

Around the country the reports of safety lapses causing death and injury to tourists are alarming in their frequency. Tour bus crashes, boats capsizing, renting out motorbikes to unlicensed drivers and tourist attraction safety standards. Problems associated with all of these are mostly preventable.

Change the company law

Part of the problem of doing business in Thailand is that, no matter how good you are, you never really own the legal framework that defines your business. A foreigner can only own 49% of the shares in a Thai company. This protectionist business law is a major barrier for foreigners to invest in Thailand making it difficult, or impossible to attract additional investment or plant to sell your business down the track.

There are provisions for larger enterprises to register a 100% foreign owned Board of Investment (BOI) business but these are quite complicated and expensive to set up and only available for limited industries.

  • Agriculture and Agricultural Products
  • Mining Ceramics and Basic Metals
  • Light Industry
  • Metal Products, Machinery and Transport Equipment
  • Electronic Industry and Electric Appliances
  • Chemicals, Paper and Plastics
  • Services and Public Utlities
  • Technology and Innovation Development

Providing a more flexible and easier company law, with more options for small to medium companies, would allow Thailand to attract a much larger number of international business people.

Smile

It’s meant to be the Land of Smiles. But arrive at any checkpoint or airport as you land in or depart Thailand and your first and last impressions are of unhappy, scowling immigration officials. And if you arrive at the wrong time at an airport the queues can be horrendous.

The situation may be similar at any international airports around the world, but when you pin your whole brand around being a Land of Smiles, you could at least try. It is, after all, the first impression.

Now they’ve added an additional layer of checking you in and out of the country with a fingerprint and iris scan. Taking a copy of all your finger and thumb prints just adds another 30 seconds or so as you arrive and depart… multiplied by x number of tourists waiting in line.

The same applies for some, probably more than in the past, of retailers who seem to spend a lot more time scrolling on their phone rather than attending to their customers these days. Some just don’t like being interrupted and, if you’re not buying, give you attitude rather than a simple acknowledgement.

Address the currency

To be fair there is only a limited number of levers to pull for Thai treasury officials that could ‘force’ the Thai baht to a lower value. Short of printing new Thai baht bills (which would also push up inflation), there are limits to what a modern government can do in an open international currency trading world.

Still, local businesses in tourist regions could take some control and reduce the ‘tourist’ prices and stop the blatant rip-offs aimed at solely extracting money from tourists’ pockets. Buy a Big Mac in the middle of Patong or Pattaya, then drive 3 kilometres away to another McDonalds and note the difference in price. Just maintaining your high prices and hoping for the best isn’t going to win new business.

The two-tier pricing is also a slap in the face for tourists (and most expats) which smacks of xenophobia or greed. Even the word ‘farang’ denotes an attitude to caucasian foreigners, either of derision or as walking ATMs.

Name and shame scammers

Scams have been part of the tourist game forever in Thailand. Some are just a silly punt at extracting a few extra baht from unsuspecting tourists, others are down-right dangerous, offend tourists and end up as a Facebook post. When these scammers get outed and charged (rarely) the fines and punishment are often perfunctory and are not a deterrent to other would-be scammers.

There should be a register of these annoying tourist rip-offs and schemes which is posted on some website where the ‘shame’ can act as a better deterrent using the Asian concept of ‘losing face’ as a weapon to combat scammers and prevent more from flourishing.

Or simply track down, punish the current scammers and fine them more often.

Make it easier to buy property

You see a property. You like it. You negotiate a price and want to buy it. That’s usually where it starts to get difficult. Foreigners cannot buy land or the land that their villa is sitting on. Many have got around these laws by leasing the land or forming a Thai company to do the transaction. In both cases the ‘buyer’ is never really the ‘owner’ and, whilst working reasonably well for 30 years, is still a long way around a fairly simple situation. The only winners are lawyers as they help foreign buyers navigate the labyrinth of Thai property and company law.

With the law allowing foreigners to own condominiums 100% (as long as 51% of the available units in the development is owned by Thais), developers have raced to build condos to feed the foreign buyer interest in Thai property.

Whilst appreciating the history of keeping Thailand for ‘Thais’ there should also be at least another easy option for foreigners to participate in the freehold market to better internationalising Thai property.

24 hour reporting of address (TM30) needs to be simplified or streamlined

The requirement for foreigners to report their residential location within 24 hours of a change of address, and the current confusion around the matter, should be clarified. The law applies to expats, forcing them to report to Immigration when they return from a weekend away or a business trip. Or their reluctant landlord is responsible. The actual guidelines lead to more questions, rather than providing answers, and the enforcement is applied ad-hoc.

If the report could be done ‘easily’ online on an effective, easy-to-use, reliable webpage or App, that would certainly help. Currently there is an App and a website but the successes for using it are ‘lumpy’ and users could be involved in making the process simpler.

We acknowledge the Thai government’s right to keep a track of foreign visitors but also think a streamlined, clear process would assist everyone and lead to better results for the Immigration team and better compliance by foreigners.

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Expats

Why the Chinese are infinitely more important than Western tourists to Thailand

The Thaiger

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Why the Chinese are infinitely more important than Western tourists to Thailand | The Thaiger

OPINION by Dan Cheeseman – Dan About Thailand

We need to wake up and smell the roses, us Westerners are no longer an important group for the Thailand tourism industry – in fact, we are what you would call ‘niche’ – and with good reason.

The Chinese are here in numbers and not only will this continue to grow but they also outspend Europeans per capita by 53% when in Thailand.

There are more Chinese…

The Chinese now account for 57.48% of all tourists in Thailand and what makes this even more staggering is only 8.7% currently have passports (120 million).

According to Jing Travel this could double by 2020 – that means 240 million Chinese able to travel (363% of the UK population – 66 million). They also go on to state that first time Chinese travellers are more likely to travel more close to home to begin with, so places like Vietnam and, you guessed it, Thailand.

Why the Chinese are infinitely more important than Western tourists to Thailand | News by The Thaiger

And the Chinese share of the pie will only grow.

No wonder Thailand are forecasting tourism to grow from the 38 million now to over 79 million by 2030.

Why the Chinese are infinitely more important than Western tourists to Thailand | News by The Thaiger

The Chinese Spend More…

Quite often I hear the European retaliation that they would like to see the spend levels per capita of Chinese, suggesting it to be low. This could not be further from the truth as shopping is an important factor for when they go on holiday.

The Chinese expenditure into Thailand is US$15,342,000,000 each year, which is more than any other nation. The average spend per day for a Chinese tourist in Thailand is US$192 – which is 53% more than the average Europeans US$125 daily spend.

Why the Chinese are infinitely more important than Western tourists to Thailand | News by The Thaiger

Read the rest of the story… Dan About Thailand

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