We have draft horse pulls up here at our annual agricultural fair. I personally find it barbaric but it's definitely a crowd-pleaser for those who are into it. I love the idea of town/county agricultural fairs, in general though.
As for medical tourism - I thought the point of it was that people leave the country to get procedures done, that are cost-prohibitive in the USA. Dental tourism in Mexico is HUGE, and hip replacement surgery overseas is very popular.
What you might have to pay $3000 per tooth for a dental implant in the USA, you might only pay $500 in Mexico. And these are American dentists who work on the other side of the border to avoid dealing with all the costs of running a dental practice in the states.
You can find plenty of state of the art medical care all over the USA currently, with some of the best specialists in the world. I can't imagine a patient thinking "oh hey I think I'll get a heart valve replacement in Sumter Florida, instead of at Mass General or Yale-New Haven." Unless there's a SIGNIFICANT cost savings for the same procedure and same quality physicians doing the work, I can think of little reason to consider Sumter County as a destination spot for medical tourism.
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