{"id":1887,"date":"2026-05-27T15:15:09","date_gmt":"2026-05-27T15:15:09","guid":{"rendered":"https:\/\/edmpackz.com\/?p=1887"},"modified":"2026-05-27T15:15:09","modified_gmt":"2026-05-27T15:15:09","slug":"more-alzheimers-patients-finding-care-far-from-home","status":"publish","type":"post","link":"https:\/\/edmpackz.com\/?p=1887","title":{"rendered":"More Alzheimer\u2019s patients finding care far from home \u00a0"},"content":{"rendered":"<header class=\"article-header \">\n<div class=\"article-dateline\"><\/div>\n<\/header>\n<div class=\"featured-media default\">\n<div id=\"gallery-6554519-6554520-1555348716\" class=\"st-image-gallery standard-embed mb-4\" data-gallery=\"{&quot;layout&quot;:&quot;standard-embed&quot;,&quot;images&quot;:[{&quot;id&quot;:6554519,&quot;sizes&quot;:&quot;(max-width: 767px) calc(100vw - 20px), (max-width: 1019px) calc(100vw - 335px), 630px&quot;,&quot;srcset&quot;:false,&quot;src&quot;:&quot;https:\/\/images.seattletimes.com\/wp-content\/uploads\/2013\/12\/2022558760.jpg?d=300x0&quot;,&quot;caption&quot;:&quot; Margrit, left, an Alzheimer\\u0026rsquo;s patient from Switzerland, walks with a caretaker during a tour at a Buddhist temple in Chiang Mai province, Thailand. Thailand is poised to attract more Alzheimer\\u0026rsquo;s sufferers from abroad, offering   centers with 24-hour personal care that\\u0026rsquo;s cheaper than in the West. &lt;br\/&gt;&quot;,&quot;aspectRatio&quot;:1.3421600000000000196820337805547751486301422119140625,&quot;alt&quot;:&quot; Margrit, left, an Alzheimer\\u0026rsquo;s patient from Switzerland, walks with a caretaker during a tour at a Buddhist temple in Chiang Mai province, Thailand. Thailand is poised to attract more Alzheimer\\u0026rsquo;s sufferers from abroad, offering   centers with 24-hour personal care that\\u0026rsquo;s cheaper than in the West. &lt;br\/&gt;&quot;,&quot;width&quot;:&quot;608.00&quot;,&quot;height&quot;:&quot;453.00&quot;,&quot;meta&quot;:[]},{&quot;id&quot;:6554520,&quot;sizes&quot;:&quot;(max-width: 767px) calc(100vw - 20px), (max-width: 1019px) calc(100vw - 335px), 630px&quot;,&quot;srcset&quot;:false,&quot;src&quot;:&quot;https:\/\/images.seattletimes.com\/wp-content\/uploads\/2013\/12\/2022558766.jpg?d=300x0&quot;,&quot;caption&quot;:&quot;A worker consoles Elizabeth, a patient from Switzerland, at Baan Kamlangchay center, where the monthly cost of care is a third of basic institutional care in Switzerland. &lt;br\/&gt;&quot;,&quot;aspectRatio&quot;:1.2826999999999999513278226004331372678279876708984375,&quot;alt&quot;:&quot;A worker consoles Elizabeth, a patient from Switzerland, at Baan Kamlangchay center, where the monthly cost of care is a third of basic institutional care in Switzerland. &lt;br\/&gt;&quot;,&quot;width&quot;:&quot;608.00&quot;,&quot;height&quot;:&quot;474.00&quot;,&quot;meta&quot;:[]}],&quot;context&quot;:&quot;gallery&quot;,&quot;featured&quot;:&quot;true&quot;}\" data-gallery-rendered=\"true\">\n<div class=\"q8kEgLljz5mgNGHdPunu\n    undefined\n    V9UaiYFLQzg6fTLcxAXh\n  \"><\/p>\n<div class=\"g_MSRe6IA8Xep5DO0WmA\">\n<div class=\"stomTR74JKOFktqxawTa\" aria-hidden=\"false\" aria-label=\"Image gallery with 2 images. Use left and right arrow keys to navigate.\">\n<div class=\"Ic3eLEAl0eNBmhXp7KQk\">\n<div class=\"dCbc3N5ZyZoWtXkizAI9 image-gallery__contracted\">\n<div id=\"gallery-image-0\" class=\"z9eQH6x09IV9zskkZHQ2\">\n<div class=\"P6nnKuUuYAAtq6kewafA\"><img decoding=\"async\" tabindex=\"0\" src=\"https:\/\/images.seattletimes.com\/wp-content\/uploads\/2013\/12\/2022558760.jpg?d=300x0\" sizes=\"(max-width: 767px) calc(100vw - 20px), (max-width: 1019px) calc(100vw - 335px), 630px\" alt=\" Margrit, left, an Alzheimer&amp;rsquo;s patient from Switzerland, walks with a caretaker during a tour at a Buddhist temple in Chiang Mai province, Thailand. Thailand is poised to attract more Alzheimer&amp;rsquo;s sufferers from abroad, offering   centers with 24-hour personal care that&amp;rsquo;s cheaper than in the West. &lt;br\/&gt;\" width=\"869.9999999999999\" height=\"648.2088573642486\" aria-hidden=\"false\" aria-label=\" Margrit, left, an Alzheimer&amp;rsquo;s patient from Switzerland, walks with a caretaker during a tour at a Buddhist temple in Chiang Mai province, Thailand. Thailand is poised to attract more Alzheimer&amp;rsquo;s sufferers from abroad, offering   centers with 24-hour personal care that&amp;rsquo;s cheaper than in the West. &lt;br\/&gt;\" \/><\/div>\n<\/div>\n<div id=\"gallery-image-1\" class=\"g_Rs6je0KIQ30o9cfIpf\">\n<div class=\"P6nnKuUuYAAtq6kewafA\"><img decoding=\"async\" tabindex=\"-1\" src=\"https:\/\/images.seattletimes.com\/wp-content\/uploads\/2013\/12\/2022558766.jpg?d=300x0\" sizes=\"(max-width: 767px) calc(100vw - 20px), (max-width: 1019px) calc(100vw - 335px), 630px\" alt=\"A worker consoles Elizabeth, a patient from Switzerland, at Baan Kamlangchay center, where the monthly cost of care is a third of basic institutional care in Switzerland. &lt;br\/&gt;\" width=\"831.4575013411217\" height=\"648.2088573642486\" aria-hidden=\"true\" aria-label=\"A worker consoles Elizabeth, a patient from Switzerland, at Baan Kamlangchay center, where the monthly cost of care is a third of basic institutional care in Switzerland. &lt;br\/&gt;\" \/><\/div>\n<\/div>\n<\/div>\n<p><button class=\"gallery-previous klH2GDhZ8rjkliO4dL61\" tabindex=\"0\" aria-label=\"View previous image\" aria-controls=\"gallery-image-0\"><i class=\"icon-chevron-thin-left Qt1WqeSj5TEx3MnYrbDV\" aria-hidden=\"true\"><\/i><\/button><button class=\"gallery-next BUdEvv_oVpx4C61osTo0\" tabindex=\"0\" aria-label=\"View next image\" aria-controls=\"gallery-image-0\"><i class=\"icon-chevron-thin-right Qt1WqeSj5TEx3MnYrbDV\" aria-hidden=\"true\"><\/i><\/button><button class=\"xGTuHvsuko5C8Yl7r_Ji\" tabindex=\"0\" aria-label=\"Expand photo gallery\" aria-expanded=\"false\"><i class=\"icon-expand u-df justify-content-center\" aria-hidden=\"true\"><\/i><\/button><\/div>\n<div class=\"u-sans font-tiny\"><i class=\"icon-camera pr-1 wFGCRmu4oJURngiEuN3g\" aria-hidden=\"true\"><\/i><span class=\"u-bold\" aria-hidden=\"true\">1 of 2 |\u00a0<\/span><span id=\"gallery-caption-0\" class=\"egyucO45HJFnrGeqhBSg\" aria-hidden=\"true\">Margrit, left, an Alzheimer\u2019s patient from Switzerland, walks with a caretaker during a tour at a Buddhist temple in Chiang Mai province, Thailand. Thailand is poised to attract more Alzheimer\u2019s sufferers from abroad, offering centers with 24-hour personal&#8230;\u00a0<\/span><button class=\"u-bold UjTDIkT0AYo2NAZJNumq\" tabindex=\"0\" aria-hidden=\"true\" aria-expanded=\"false\" aria-controls=\"gallery-caption-0\">More\u00a0<i class=\"icon-chevron-thin-down font-tiny\" aria-hidden=\"true\"><\/i><\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"ad-right-top\" class=\"ad right ad-right-wrapper\">\n<div id=\"ad-right-top-full\" class=\"ad-placeholder-full ad half-page\">\n<div id=\"stslot_right\" class=\"stslot htlad-right\" data-unit=\"\/81279359\/seattletimes.com\/nation-world\" data-targeting=\"{&quot;pos&quot;:[&quot;right&quot;]}\"><\/div>\n<\/div>\n<\/div>\n<div class=\"article-body e-content\" data-mrf-recirculation=\"Article - Story Links\">\n<div class=\"article-share vertical\" data-utm=\"article_left_1.1\">\n<h3>Share story<\/h3>\n<p><i class=\"icon-facebook large\"><\/i><i class=\"icon-mail large\"><\/i><i class=\"icon-twitter large\"><\/i><\/div>\n<div class=\"article-byline\">\n<div class=\"byline-text single_author u-dib\"><span class=\"byline-copy\">By\u00a0<\/span><\/p>\n<div class=\"name vcard\"><a class=\"p-author h-card hcard url fn\" href=\"https:\/\/www.seattletimes.com\/author\/cap-denis-d-gray\/\" rel=\"author\" data-mrf-link=\"https:\/\/www.seattletimes.com\/author\/cap-denis-d-gray\/\">Denis D. Gray<\/a><\/div>\n<\/div>\n<\/div>\n<div id=\"article-content\" class=\"article-content entry-content\">\n<p>CHIANG MAI, Thailand \u2014<\/p>\n<p>Residents of this facility for people with Alzheimer\u2019s disease toss around a yellow ball and laugh under a cascade of water with their caregivers, in a swimming pool ringed by palm trees and wind chimes. Susanna Kuratli, once a painter of delicate oils, swims a lap and smiles.<\/p>\n<div id=\"promo-left-full\" class=\"marketing-placeholder-full article-subscribe\"><\/div>\n<p>Watching is her husband, Ulrich, who has a heart-rending decision: to leave his wife of 41 years in this facility 5,600 miles from home, or to bring her back to Switzerland.<\/p>\n<p>Their homeland treats the elderly as well as any nation on Earth, but Ulrich Kuratli says the care here in northern Thailand is not only less expensive but more personal. In Switzerland, \u201cYou have a cold, old lady who gives you pills and tells you to go to bed,\u201d he says.<\/p>\n<div class=\"most-read-container module most-shared show article-aside story-list\" data-section=\"nation-world\" data-mrf-recirculation=\"Article - Most Read Widget\">\n<div class=\"most-read-wrapper\">\n<h3 class=\"standard-subhead mb-0\">Most Read Nation &amp; World Stories<\/h3>\n<ul class=\"mb-0\">\n<li class=\"u-relative pv-1 pl-3 most-read-widget-item most-read-widget-item-1\"><a class=\"no-image u-href font-list u-off-black 1\" href=\"https:\/\/www.seattletimes.com\/nation-world\/tesla-driver-infamous-for-road-rage-attacks-gets-a-second-prison-term\/\" data-mrf-link=\"https:\/\/www.seattletimes.com\/nation-world\/tesla-driver-infamous-for-road-rage-attacks-gets-a-second-prison-term\/\">Tesla driver infamous for road rage attacks gets a second prison term<\/a><\/li>\n<li class=\"u-relative pv-1 pl-3 most-read-widget-item most-read-widget-item-2\"><a class=\"no-image u-href font-list u-off-black 1\" href=\"https:\/\/www.seattletimes.com\/nation-world\/one-dead-one-hospitalized-in-eastern-wa-midair-skydiving-collision\/\" data-mrf-link=\"https:\/\/www.seattletimes.com\/nation-world\/one-dead-one-hospitalized-in-eastern-wa-midair-skydiving-collision\/\">One dead, one hospitalized in Eastern WA midair skydiving collision<\/a><\/li>\n<li class=\"u-relative pv-1 pl-3 most-read-widget-item most-read-widget-item-3\"><a class=\"no-image u-href font-list u-off-black 1\" href=\"https:\/\/www.seattletimes.com\/nation-world\/one-and-done-heart-disease-prevention-scientists-show-it-may-be-possible\/\" data-mrf-link=\"https:\/\/www.seattletimes.com\/nation-world\/one-and-done-heart-disease-prevention-scientists-show-it-may-be-possible\/\">One-and-done heart disease prevention? Scientists show it may be possible<\/a><\/li>\n<li class=\"u-relative pv-1 pl-3 most-read-widget-item most-read-widget-item-4\"><a class=\"no-image u-href font-list u-off-black 1\" href=\"https:\/\/www.seattletimes.com\/nation-world\/nation\/cornyn-tries-to-hold-on-to-texas-senate-seat-in-runoff-with-paxton-the-latest-test-of-trumps-power\/\" data-mrf-link=\"https:\/\/www.seattletimes.com\/nation-world\/nation\/cornyn-tries-to-hold-on-to-texas-senate-seat-in-runoff-with-paxton-the-latest-test-of-trumps-power\/\">Paxton dominates Cornyn in Texas US Senate runoff, the latest sign of Trump&#8217;s hold on GOP\u00a0<span class=\"icon-label u-dib u-ws-nowrap font-link\"><i class=\"icon-video icon-section-block\" aria-label=\"Video\"><\/i>\u00a0WATCH<\/span><\/a><\/li>\n<li class=\"u-relative pv-1 pl-3 most-read-widget-item most-read-widget-item-5\"><a class=\"no-image u-href font-list u-off-black 1\" href=\"https:\/\/www.seattletimes.com\/nation-world\/sherrod-brown-lost-in-a-trump-wave-now-hes-banking-on-voters-remorse\/\" data-mrf-link=\"https:\/\/www.seattletimes.com\/nation-world\/sherrod-brown-lost-in-a-trump-wave-now-hes-banking-on-voters-remorse\/\">Sherrod Brown lost in a Trump wave. Now he\u2019s banking on voters\u2019 remorse<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p>Kuratli and his three grown children have given themselves six months to decide while the retired software developer lives alongside his 65-year-old wife in Baan Kamlangchay \u2014 \u201cHome for Care from the Heart.\u201d<\/p>\n<p>Patients live in individual houses within a Thai community, are taken to local markets, temples and restaurants, each with three caretakers working in rotation to provide personal round-the-clock care. The monthly $3,800 cost is a third of what basic institutional care is in Switzerland.<\/p>\n<p>Kuratli is not yet sure how he\u2019ll care for Susanna, who used to produce a popular annual calendar of her paintings. But he\u2019s leaning toward keeping her in Thailand, possibly for the rest of her life.<\/p>\n<p>\u201cSometimes I am jealous. My wife won\u2019t take my hand but when her Thai carer takes it, she is calm. She seems to be happy,\u201d he says. \u201cWhen she sees me she starts to cry. Maybe she remembers how we were and understands, but can no longer find the words.\u201d<\/p>\n<p>Spouses and relatives in Western nations are increasingly confronting Kuratli\u2019s dilemma as the number of Alzheimer\u2019s patients and costs rise, and the supply of qualified nurses and facilities struggles to keep up. Faraway countries are offering cheaper, and to some minds better, care for those suffering from the irreversible loss of memory.<\/p>\n<p>The nascent trend is unnerving to some experts who say uprooting people with Alzheimer\u2019s will add to their sense of displacement and anxiety, though others say quality of care is more important than location. There\u2019s also some general uneasiness over the idea of sending ailing elderly people abroad: The German media have branded it \u201cgerontological colonialism.\u201d<\/p>\n<div id=\"tbd-ad-position-1-full\" class=\"tbd-ad-place-holder-full ad right medium-rect ad-inset\">\n<div id=\"stslot_right1\" class=\"stslot htlad-right1\" data-unit=\"\/81279359\/seattletimes.com\/nation-world\" data-targeting=\"{&quot;pos&quot;:[&quot;right1&quot;]}\"><\/div>\n<\/div>\n<p>Germany is already sending several thousand sufferers, as well as the aged and otherwise ill, to Eastern Europe, Spain, Greece and Ukraine. Patients are even moving from Switzerland, ranked No. 1 in health care for the elderly this year in an index compiled by the elderly advocacy group HelpAge International and the U.N. Population Fund.<\/p>\n<p>The Philippines is offering Americans care for $1,500 to $3,500 a month \u2014 as compared with $6,900 the American Elder Care Research Organization says is the average monthly bill for a private room in a skilled nursing U.S. facility.<\/p>\n<p>About 100 Americans are seeking care in the Philippines, but more facilities are being built and a marketing campaign will be launched in 2014, says J.J. Reyes, who is planning a retirement community near Manila.<\/p>\n<p>Facilities in Thailand also are preparing to attract more Alzheimer\u2019s sufferers. In Chiang Mai, a pleasant city ringed by mountains, Baan Kamlangchay will be followed by a $10 million, holiday-like home scheduled to open before mid-2014.<\/p>\n<div id=\"tbd-ad-position-1-small-mobile\" class=\"tbd-ad-placeholder-small-mobile ad right medium-rect\"><\/div>\n<p>Also on the way is a small Alzheimer\u2019s unit within a retirement community set on the grounds of a former four-star resort.<\/p>\n<p>With Thailand seeking to strengthen its leading position as a medical-tourism and retirement destination, similar projects are likely.<\/p>\n<div id=\"tbd-ad-position-2\" class=\"tbd-ad-place-holder-desktop ad show-tablet show-desktop right medium-rect\">\n<div id=\"stslot_right2\" class=\"stslot htlad-right2\" data-unit=\"\/81279359\/seattletimes.com\/nation-world\" data-targeting=\"{&quot;pos&quot;:[&quot;right2&quot;]}\"><\/div>\n<\/div>\n<p><b>Medical tourism<\/b><\/p>\n<p>The number of people over 60 worldwide is set to more than triple between 2000 and 2050 to 2 billion, according to the World Health Organization. And more are opting for retirement in lower-cost countries.<\/p>\n<p>\u201cMedical tourism\u201d has become a booming industry, with roughly 8 million people of all ages seeking treatment abroad annually, according to the group Patients Without Borders.<\/p>\n<p>The U.K.-based Alzheimer\u2019s disease International says there are more than 44 million Alzheimer\u2019s patients globally, and the figure is projected to triple to 135 million by 2050. The Alzheimer\u2019s Association estimates that in the U.S. alone, the disease will cost $203 billion this year and soar to $1.2 trillion by 2050.<\/p>\n<div id=\"tbd-ad-position-2-small-mobile\" class=\"tbd-ad-placeholder-small-mobile ad right medium-rect\"><\/div>\n<p>The pioneering Baan Kamlangchay was established by Martin Woodtli, a Swiss who spent four years in Thailand with the aid group Doctors Without Borders before returning home to care for his Alzheimer\u2019s-diagnosed mother.<\/p>\n<p>Wanting to return to Thailand and knowing that Thais regard the elderly with great respect, he brought his mother to Chiang Mai, where she became the home\u2019s first \u201cguest.\u201d Woodtli never uses the word \u201cpatient.\u201d<\/p>\n<div id=\"tbd-ad-position-3\" class=\"tbd-ad-place-holder-desktop ad show-tablet show-desktop right medium-rect\">\n<div id=\"stslot_right3\" class=\"stslot htlad-right3\" data-unit=\"\/81279359\/seattletimes.com\/nation-world\" data-targeting=\"{&quot;pos&quot;:[&quot;right3&quot;]}\"><\/div>\n<\/div>\n<p>Over the next 10 years, the 52-year-old psychologist and social worker purchased or rented eight two-story houses where 13 Swiss and German patients now reside. Two people normally share the modest but well-kept, fully furnished houses, each sleeping in a separate bedroom along with their caretaker.<\/p>\n<p>Breakfast and lunch are eaten together at another residence where Woodtli, his wife and son live. On most afternoons, the group gathers at a private, walled park to swim, snack and relax on deck chairs.<\/p>\n<p>Regular outside activities are organized because Woodtli believes the stimuli may help delay degeneration.<\/p>\n<p>\u201cMovement is important. Tensions are also relieved if they have freedom to move. Our carers allow our guests a lot of space as long as it does not pose a danger to them,\u201d he says. \u201cIn Switzerland we don\u2019t have opportunity for such care.\u201d<\/p>\n<div id=\"tbd-ad-position-3-small-mobile\" class=\"tbd-ad-placeholder-small-mobile ad right medium-rect\"><\/div>\n<p>Woodtli says he has received criticism about \u201cthe Swiss starting to export their social problems.\u201d<\/p>\n<p>The German media have described shifting the aged and ailing abroad as \u201cgrandmother export.\u201d<\/p>\n<div id=\"tbd-ad-position-4\" class=\"tbd-ad-place-holder-desktop ad show-tablet show-desktop right medium-rect\">\n<div id=\"stslot_right4\" class=\"stslot htlad-right4\" data-unit=\"\/81279359\/seattletimes.com\/nation-world\" data-targeting=\"{&quot;pos&quot;:[&quot;right4&quot;]}\"><\/div>\n<\/div>\n<p>Sabine Jansen, head of Germany\u2019s Alzheimer Society, says that while some with Alzheimer\u2019s may adjust to an alien place, most find it difficult because they live in a world of earlier memories.<\/p>\n<p>\u201cPeople with dementia should stay in their familiar environment as long as possible. They are better oriented in their own living places and communities,\u201d she says. \u201cFriends, family members, neighbors can visit them. Also because of language and cultural reasons, it is best for most to stay in their home country.\u201d<\/p>\n<p>Angela Lunde of the U.S.-based Mayo Clinic says that generally the afflicted do better in a familiar environment, but that over time, even those with advanced stages of the disease can adjust well.<\/p>\n<p>\u201cI think a positive transition has less to do with the move itself and more with the way in which the staff and new environment accommodates the person living with dementia,\u201d she says.<\/p>\n<div id=\"tbd-ad-position-4-small-mobile\" class=\"tbd-ad-placeholder-small-mobile ad right medium-rect\"><\/div>\n<p><b>Making adjustments<\/b><\/p>\n<p>Woodtli agrees that moving to a country like Thailand is not the answer for everyone with Alzheimer\u2019s, but those who have traveled widely and are accustomed to change can probably adapt.<\/p>\n<div id=\"tbd-ad-position-5\" class=\"tbd-ad-place-holder-desktop ad show-tablet show-desktop right medium-rect\">\n<div id=\"stslot_right5\" class=\"stslot htlad-right5\" data-unit=\"\/81279359\/seattletimes.com\/nation-world\" data-targeting=\"{&quot;pos&quot;:[&quot;right5&quot;]}\"><\/div>\n<\/div>\n<p>\u201cOne of our guests sometimes wakes up in the morning and says, \u2018Where am I?\u2019 But she would do the same if she was in a care center in Switzerland,\u201d he says. \u201cAnd they take their past with them. One guest thinks she is in a schoolhouse at Lake Lucerne.\u201d<\/p>\n<p>Those who end up staying at a facility being built in the outlying Chiang Mai district of Doi Saket will have amenities that would be tough for its European counterparts to match, including a clubhouse with a massage room and beauty parlor, a restaurant, Swiss bakery and pavilions with soaring ceilings and skylights.<\/p>\n<p>\u201cThe idea is that this is a resort, not a hospital,\u201d says Marc H. Dumur, a veteran hotelier who will manage the Swiss-owned, 8.7-acre facility built amid orchards and groves of teak.<\/p>\n<p>Going up are 72 patient rooms in six spacious pavilions, plus villas for visiting family members. Round-the-clock care will be provided by a staff of 150, including a Swiss head nurse and at least one licensed Thai nurse for each pavilion.<\/p>\n<div id=\"tbd-ad-position-5-small-mobile\" class=\"tbd-ad-placeholder-small-mobile ad right medium-rect\"><\/div>\n<p>These patient-to-carer ratios reflect the costs in a developing country like Thailand. A licensed Thai nurse earns less than $700 a month, compared with about $7,000 for one in Switzerland, where care centers will have one nurse responsible for 10 patients.<\/p>\n<p>Care at the Doi Saket home will cost $6,000 a month, roughly what a midlevel employee in Switzerland would receive as a pension, Dumur says.<\/p>\n<div id=\"tbd-ad-position-6\" class=\"tbd-ad-place-holder-desktop ad show-tablet show-desktop right medium-rect\">\n<div id=\"stslot_right6\" class=\"stslot htlad-right6\" data-unit=\"\/81279359\/seattletimes.com\/nation-world\" data-targeting=\"{&quot;pos&quot;:[&quot;right6&quot;]}\"><\/div>\n<\/div>\n<p>A number of European countries have generous national health insurance, but these generally do not cover treatment abroad.<\/p>\n<p>Kuratli says the Swiss government would cover two-thirds of the bill for his wife\u2019s care if she stays in Switzerland, but since high-end private clinics there can cost $15,000 or more per month, he could still end up paying more there than he would in Thailand.<\/p>\n<p>British businessman Peter Brown has turned a bankrupt resort into the Care Resort Chiang Mai. Residents will live in five-room units, watched over by nurses 24 hours a day, and walk out into extensive, landscaped grounds, with a thousand trees and a lake, set in a tranquil area at the foot of mountains.<\/p>\n<p>\u201cIn Europe they tend to follow a lockup system. They know what should be done but they just don\u2019t have the staff to do it \u2014 to take patients to visit gardens, to give them some freedom,\u201d Brown says. \u201cAnd the carers tend to come from the lower end of the nursing system. They often don\u2019t have the desire to work with Alzheimer\u2019s patients or an affinity with them.\u201d<\/p>\n<div id=\"tbd-ad-position-6-small-mobile\" class=\"tbd-ad-placeholder-small-mobile ad right medium-rect\"><\/div>\n<p>Woodtli agrees that it is crucial \u201cfor the patients to be together with their carers, to know and trust.\u201d He says Thai caregivers like those at Baan Kamlangchay are generally more emotionally and physically engaged with their charges.<\/p>\n<p>At the swimming pool, Madeleine Buchmeier snaps photos and laughs as she watches a caregiver take her smiling husband\u2019s hands to twirl around together in a dance out of childhood.<\/p>\n<div id=\"tbd-ad-position-7\" class=\"tbd-ad-place-holder-desktop ad show-tablet show-desktop right medium-rect\">\n<div id=\"stslot_right7\" class=\"stslot htlad-right7\" data-unit=\"\/81279359\/seattletimes.com\/nation-world\" data-targeting=\"{&quot;pos&quot;:[&quot;right7&quot;]}\"><\/div>\n<\/div>\n<p>\u201cIt\u2019s a miracle,\u201d she says. Geri used to bang his head against the walls of a care facility in Switzerland, she says, \u201cas if he wanted to do something, get somewhere.\u201d<\/p>\n<p>He would sink when entering water. In the three weeks since they arrived, he has calmed down and can swim again, all while his medicine is being sharply reduced.<\/p>\n<p>Nearby, Manfred Schlaupitz, a former Daimler-Benz engineer in his 70s, lies back in a deck chair, cradling a stuffed toy lamb.<\/p>\n<p>His caregiver, Kanokkan Tasa, sits on the grass beside him, gently massaging his legs and tickling his chin. She has been with him for six years, eight hours a day and earlier cared for Woodtli\u2019s mother.<\/p>\n<div id=\"tbd-ad-position-7-small-mobile\" class=\"tbd-ad-placeholder-small-mobile ad right medium-rect\"><\/div>\n<p>\u201cIf you think of it as a job it\u2019s very difficult,\u201d she says, \u201cbut if it comes from the heart, it is easy.\u201d<\/p>\n<p>She came to the home with no formal nursing training.<\/p>\n<div id=\"tbd-ad-position-8\" class=\"tbd-ad-place-holder-desktop ad show-tablet show-desktop right medium-rect\">\n<div id=\"stslot_right8\" class=\"stslot htlad-right8\" data-unit=\"\/81279359\/seattletimes.com\/nation-world\" data-targeting=\"{&quot;pos&quot;:[&quot;right8&quot;]}\"><\/div>\n<\/div>\n<p>The 32-year-old woman communicates in Thai, German, English and her native tribal language, but most important, she says, through eye and physical contact and displays of emotion.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>1 of 2 |\u00a0Margrit, left, an Alzheimer\u2019s patient from Switzerland, walks with a caretaker during a tour at a Buddhist temple in Chiang Mai province, Thailand. Thailand is poised to &hellip; <\/p>\n","protected":false},"author":1,"featured_media":1888,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1887","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/edmpackz.com\/index.php?rest_route=\/wp\/v2\/posts\/1887","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/edmpackz.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/edmpackz.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/edmpackz.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/edmpackz.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1887"}],"version-history":[{"count":1,"href":"https:\/\/edmpackz.com\/index.php?rest_route=\/wp\/v2\/posts\/1887\/revisions"}],"predecessor-version":[{"id":1889,"href":"https:\/\/edmpackz.com\/index.php?rest_route=\/wp\/v2\/posts\/1887\/revisions\/1889"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/edmpackz.com\/index.php?rest_route=\/wp\/v2\/media\/1888"}],"wp:attachment":[{"href":"https:\/\/edmpackz.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1887"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/edmpackz.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1887"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/edmpackz.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1887"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}