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This is getting everyone's attention. Consulting firm Mercer is developing programs for companies to allow them to outsource elective surgeries. The West Virginia state legislature is considering a plan to cover state employees for foreign treatment, including first-class flights for the patient and a companion, plus recovery in a four-star hotel and other incentives like bonuses and sick leave.

One play he recommends is Thailand's Bumrungrad International Hospital in Bangkok. "It's certainly better than any hospital I've ever been to in the U.S. or the U.K.," says Semple, noting the hospital has a doorman and is home to a Starbucks. "This is a far cut above the rest." Bumrungrad had 66,000 American patients last year and is seeing tremendous demand from the Middle East. In 2005, 70,000 patients came to the hospital, 13 times as many just five years earlier.

With a price-to-earnings ratio of 27, Bumrungrad is not cheap. Nor are many

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