When Sammie Mancine booked a flight to Bangkok from the U.S., she didn’t just go for the beaches and great food — she went for a check-up. In a now-viral TikTok, the U.S.-based content creator detailed her comprehensive medical evaluation at ADDLife, a private wellness clinic in Thailand, where she spent about $1,500 for a battery of tests that would cost tens of thousands back home.
What Was Included in the Check-Up?

Her visit began with a full bloodwork panel that tested for inflammation, cancer markers, and cholesterol, followed by a series of comprehensive full-body exams, including fibroscans, CT scan, brain MRI, pap smear, EKG, echocardiogram, eye exam, hearing and stress tests, ultrasounds, mammogram, and more. “It was a full workup,” Mancine says in her video, showing clips of pristine waiting rooms, high-tech equipment, and attentive service. The entire process was completed in one day in the same facility — no months-long referrals, no surprise bills, no waiting on hold with insurance.
Mancine explained that her results were compiled into an 80-page report reviewed by multiple specialists, and she received referrals and follow-up care that same day, including a personalized “game plan for nutrition, movement, and even supplements.” It was the kind of coordinated aftercare that can take months to arrange in the U.S. healthcare system. The check-up also included a 90-minute review with a nutritionist, physical therapist, and physician, plus breakfast and coffee served during the visit.
Prices listed on ADDlife’s site range from a “vital” checkup at $108 for men and women under 25 to the most expensive “Ultimate Plus” at $3,738 for women and $3,472 for men, with promotional prices offering nearly half off.
Her experience has struck a nerve with TikTokkers online, sparking thousands of comments from Americans frustrated by soaring healthcare costs at home. One user wrote, “This would take $200,000 in the US and take 9 months to organize.” Another joked, “My insurance billed me $96,467.87 for just watching this video.”
A Growing Trend of Medical Tourism

The trend Mancine tapped into has a name: Medical tourism, aka traveling abroad to receive medical treatment that’s cheaper, faster, and more comprehensive compared to many Western countries. Thailand, in particular, has built a global reputation for high-quality private care at a fraction of U.S. prices. These facilities attract patients from around the world with English-speaking doctors, transparent pricing, and spa-like facilities.
Still, experts note that medical tourism isn’t without risks. Patients have to navigate differences in standards, follow-up care, and travel logistics — not to mention the complications of being far from home if something goes wrong. But stories like Mancine’s are forcing a broader conversation about how much Americans pay for even the most basic medical care, especially when preventive care is treated as a luxury rather than a necessity. While other countries emphasize catching problems early, the U.S. system often waits until patients are sick enough to bill for — and profit from — expensive treatments.
“American healthcare is reactive instead of proactive because they can make more money off of us this way,” wrote one user in a comment, adding, “They make more money [by] letting things go on and on.”
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