. Regulation by the destination country In theory, destination countries have significant control over their medical tourism sectors. They can establish residencyrequirementsasapre-requisitefortheprovision of services, as many of the countries that offer physicianassistedsuicidetotheirowncitizenshavedoneinorderto avoidbecominga“suicidehaven.”46Destinationcountries can also criminalize the practice for everyone – citizen or non-citizenalike–asmanyhavedonewithorgantourism, although the existence of black markets in places like IsraelandJapanshouldremindusthatthemereexistence of crimes on the books are not sufficient.47 Destination country governments can tax medical tourism providers andre-distributetheproceedstopayforhealthcareaccess to the poor. They can also regulate the behavior of their physicians and impose requirements that they spend certainamountsoftheirtimeservingdomesticratherthan foreign patients (who may pay higher prices), require a uniform reimbursement rate, etc.48 In destination countries where certificates or other licensure are required in ordertobuildanewhospitalorexpandanexistingone,the government can limit the number of entrants into the medical tourism market that exists or extract commitments (such as those pertaining to providing care for indigents)fromthefacilities.Thesearejustasmatteringof the ways in which destination countries can regulate medicaltourismfromtheirend,theexactdetailswillvary country by country depending on their existing domestic health care regulation.