Not Just Canada
7/24/25
Not Just Canada
Why Aging Populations Will Drive Medical Travel Worldwide
Ivan Rendulic

I’ve been closely following the healthcare headlines coming out of Canada recently. Record wait times. Backlogs in hip and knee surgeries. An overwhelmed system trying to keep up with an aging population. For those of us in medical tourism, this isn’t just another news cycle. It’s a sign of something much bigger and much more global.
Canada is not an exception. It’s the early warning.
Across the world, countries with aging populations are witnessing a predictable yet complex pattern. More people are living longer, which is undeniably a success story. But with longevity comes a rise in chronic conditions, joint replacements, and time-sensitive surgeries. The result? Overstretched healthcare systems, resource bottlenecks, and growing delays for care that can’t wait.
The trend is clear. It starts with demographics: lower birth rates and higher life expectancy. Then comes increased demand for orthopedic, cardiac, and ophthalmologic interventions. Then it hits hard limits: not enough surgeons, not enough beds, not enough time. The COVID pandemic only worsened the backlog.
OECD research shows it’s not just Canada. The UK’s NHS has over six million people waiting. Australia’s elective surgery queues are stretched thin. Sweden, Norway, New Zealand – all are reporting similar stories. Even in high-tech healthcare systems like Japan and South Korea, aging is moving faster than infrastructure can adapt.
I believe this shift could directly fuel the next wave of outbound medical travel.
It’s no longer about affordability alone. Now it’s also about time. Patients aren’t just priced out. They’re timed out. When waiting six months for a knee replacement in your home country becomes the norm, a three-week trip abroad starts to make sense. Not as a luxury, but as a necessity.
For those of us in this industry, this is our moment to act responsibly. To build trust, quality standards, and cultural bridges. Patients don’t want to feel like tourists. They want to feel cared for, seen, and understood. That’s where we come in.
As aging continues to challenge domestic systems, cross-border care will evolve from an alternative into a parallel track. Efficient, high-quality, human-centered. And more important than ever.
Ivan Rendulic

Ivan Rendulic is an experienced professional in the field of medical tourism, with over a decade of work facilitating international patients and shaping cross-border healthcare initiatives. He is the Founder of ZagrebMed, a leading medical network in Croatia, and currently serves as the President of the European Health and Medical Tourism Association (EHMTA). Ivan works closely with hospitals, clinics, tourism clusters, and industry associations worldwide, and is a frequent presence at the most important global medical tourism conferences and events.
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