My parents are visiting from England. My father arrived with a loose molar which had to be removed. We do not know good dentists in the area and my father does not have American dental insurance. We settled on TUFTS Medical School’s Emergency Dental Center for the extraction. Three and a half hours later we were out of there, leaving one molar and $180 dollars in our wake.
My father thinks he now needs an implant so I quickly checked out options:
1. A New York Times ad offered an implant for $1000 (not including the crown).
2. In the U.K. it costs about the same.
3. Given the high prices in the U.K. and U.S., an attractive option is to go to Hungary. A quick search suggested a price of $700 for an implant. So, you can go to Budapest for a bit of a holiday and get your grotty teeth dealt with at the same time.
Why is Hungary so cheap? One nice thing about trade in dentists services is that it largely must be one way: Hungarians aren’t going to Britain to go to dentists! This makes it different from other products like cars which countries export and import simultaneously. This is hard to explain with traditional trade theory. The traditional theory should be adequate for trade in dental services though. Ricardian trade theory suggests differences in technology drive trade patterns. Is that the explanation? Heckscher-Olin’s theory of trade instead assumes technology is the same across countries and differences in endowments drive trade patterns. Is the endowment of dentists large in Hungary? At this point, I’m stuck.

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February 22, 2010 at 5:33 pm
Mallesh Pai
No contributions to international trade are forthcoming from me- but surely you’ve heard of the ships that take dental patients from Plymouth (UK) to Normandy (France) for treatment. Apparently the ship is called the Tooth Ferry. All rather droll.
February 23, 2010 at 4:37 am
Anonymous
Don’t recent models of international trade focus on the effect of institutions, contracting abilities, and so on? One reason why healthcare is so much more expensive in the US are all the additional costs (insurance, litigation).
February 23, 2010 at 6:31 am
Manuel
Dentists services seem to share many of the features of non-tradable s, so I guess Hungary is cheap because is poorer than the US.
In the Plymouth-Normandy example geographical closeness mitigate transport costs.
The Budapest trip seems like a package, not much of a demand boost that could drive price convergence here (except if it happens that every tourist sufffers from aching teeth).
February 23, 2010 at 4:48 pm
Leigh Caldwell
Hungarian labour is cheaper than UK; suggesting that the price of exportable dentistry should rise roughly to the price of the UK service minus the cost of travel and time – with Hungarian dentists’ wages following in their wake.
However, this might leave Hungarians unable to afford teeth. Is there, then, a shortage of affordable dentist services for Hungarians; or alternatively, is there a reliable way for Hungarian dentists to price-discriminate between foreign and local customers?
I would suggest that advertising their prices on the Internet is probably a good way to achieve this; perhaps there are a few high-end clinics specialising in attracting foreigners, and the rest of the local dentists serve locals.
What this does for trade theory I don’t know; I guess for goods with a large enough international market, locals do get priced out – I don’t imagine that most Chinese people buy iPhones. I suspect that the international market for Hungarian dentists is small, though, so this market does sit closer to the non-tradable end of the services spectrum.
February 24, 2010 at 10:10 pm
Anonymous
This is the Balassa-Samuelson theorem at work. Lower productivity in tradables makes Hungarian wages lower. Hence Hungarian non-tradables sectors (dentistry) with equal productivity to the UK will cost less. Of course, if the people can travel to the dentist in Hungary, it will be cheaper (adjusting for travel costs).
March 8, 2010 at 5:47 pm
azmyth
Ricardo did not assume that the differences in comparative advantage were due to technology. They can stem from any productive difference and his theory still holds. His original example, trade of wine and cloth between England and Portugal, stems more from differences in weather than technology. I wouldn’t expect dental prices to equalize across boarders, since they are mostly non-traded.
July 15, 2012 at 8:52 am
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some dental implants advise http://www.dentalcareplus.org.uk
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July 7, 2020 at 12:49 am
Watt.Richard
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November 3, 2022 at 12:09 pm
Gulnara Prokopieva
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