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The healthcare system in the United States presents inequalities amongst its citizens. High costs make it impossible for some individuals to ever experience the benefits of state-of-the-art medical facilities and advanced technology. Rising costs of medical services in the U.S., long waiting lists, and insufficient technology in other countries have created an industry of medical tourism. Individuals choose to leave their resident country to have procedures done such as cardiac surgery, cosmetic surgery, and hip replacement because they are more economically feasible elsewhere. In efforts to improve the inequalities in the U.S. healthcare system, the Patient Protection and Affordable Care Act was passed and will be fully implemented by 2014. If it solves some of the unequal treatment and provides more individuals with access to healthcare, the medical tourism industry may decrease significantly.