ABSTRACT
Numerous Caribbean countries have discussed plans for developing medical tourism activities as a means of tourism diversification and economic development. These plans have been encouraged and shaped by outside agencies whose influence might cause a race-to-the-bottom environment between countries competing for the same niche of tourists. This paper provides a call for cooperation between local health officials in the Caribbean region to coordinate plans for the development of a medical tourism industry that enhances regional access to specialized health care and facilitates the movement of patients and healthcare resources throughout the region to enhance health equity and health outcomes in the Caribbean.