The caller spoke with a Hispanic accent, so I assumed
he was a travel insurer, and I was right. It was StandbyMD, one of the good
insurers. It phones; I make the visit; I fax an invoice; it sends a check.
Latin Americans make up most of its clients, but anyone can sign up.
A guest at the Sheraton Four Points had been awake all
night with an earache. The call arrived at 4:30 a.m., but that’s almost my time
of rising, so I was not unhappy. Freeway traffic was light. I was at his room
in half an hour.
One thing seemed strange. His name sounded American.
This is not rare in Latin American countries, but he also spoke flawless
English. He told me his pain began soon after he boarded a plane in Managua.
“So you live in Nicaragua?” I asked.
“No. Vancouver,” he said.
The light dawned.
“Of course,” I added. “You’re Canadian. No American
would have such good insurance.”
American travelers buy American travel insurance. When they fall ill, they obtain care and then submit a claim to the insurer which pays as much as their fee schedule pays. Our insurers take a dim view of housecalls, so their reimbursement is not generous. I can’t remember caring for an American hotel guest and then billing one of the dozen travel insurers that use me.