Americans have been going abroad for surgery minor and major, because it can cost thousands of dollars less in places such as Thailand and Singapore. But it’s not only patients who save money, insurance companies do too. The story looks at how a local insurance company teamed up with a surgery center in Thailand, and a Va.-based travel service to make it easier for its clients to go abroad for surgery. The story touches on issues of global competition, and the cost of insurance and medical procedures.