Forth, the rising costs of insuring their workforces are starting to ersuade some large American companies are starting to experiment with payment or foreign treatment at internationally accredited hospitals. In example, Aetna, a large insurer, launched a pilot scheme in 2008 for artnership with Singaporean hospitals. Aetna started to give Americans the option to have procedures costing $20,000 or more in the United States performed in Singapore, where the company reckons that the quality of care is better than