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Purpose – Hospitals need to determine if an international patient department is a necessity to communicate with and manage international patients.

Design/Methodology/Approach – A benchmarking instrument was created to assess the level of professionalism in managing international patients, including reviewing and validating processes by two university hospitals, professionals, and an expert panel.

Findings – First, the differences between the hospitals depended on the will of the hospital to engage in such activities. Second, the differences depended on the embedding national context in which the hospital was situated. Further validation revealed the importance of other supportive services, such as cultural sensitivity and language. Finally, the microlevel phenomenon of international patient departments is placed within a macrolevel transnational health region development scheme.

Originality/Value – This study focused on the supply of services with respect to international patient departments, which could be related to efficiency and sustainability on a public health and health systems level.

Non‐discursive practices such as the economy and political constellations have always caused shifts in history. However, in the network society of today, these shifts have become omnipresent. Globalization of health and medical tourism have created a shift or rupture in the history of healthcare provision and into the lives of different stakeholders. The purpose of this paper is to detect and assess the rupture caused by global health care or medical tourism within the field of the written media, in order to define the reality of medical tourism as a trans‐historical field.

The methodology of this study comprised an extensive discourse analysis of written and new media performed over a time frame of more than a decade. Market, medical, ethical and patient discourses were detected along scientific sources, international and local newspapers.

Results indicate that a change in the market discourse has caused a shift in the attitude towards medical tourism, where ethical voices are seen as submissive to the market logic. In the current time perspective, medical tourism has become more mature with the development of non‐ethical counterparts such as organ tourism and reproductive tourism as a consequence.

The research framework shows that the general public receives a normative message from the medical tourism sector.

The purpose of this paper is to highlight the different realities blended together in community-based tourism, and how storytelling can help us understand the resulting entanglement of actors and power. This paper combines a discussion of power and empowerment in community-based tourism with storytelling.

The fictional narrative of Pandora’s box is used as a metaphor for power and empowerment in community-based tourism, which can leave communities worse off than before the introduction of tourism.

However, the last thing remaining in Pandora’s box after all hardships had flown out, was hope. This paper also presents a hopeful perspective for community-based tourism in the form of another metaphor: the rhizome, which puts power and empowerment in a more dynamic and holistic frame. Just like in the original story of Pandora’s “jar” which gave voice to Pandora herself, within a rhizome, other players are regarded as valuable sources of tacit contextual knowledge.

Storytelling and dialogue are recommended methods to obtain this knowledge. Using a storytelling perspective can encourage untold and unheard stories within a dialogue to be heard.