DEFIANT
US Expat Services & Medical Tourism — Chiang Mai, Thailand
ดิงด่อง เฮลโล เวลคัม
American healthcare is BULLSHIT
ระบบหมออเมริกันแม่งตลกชิบหาย
American healthcare isn't broken, bestie. It never has been.
It's working exactly as the Man designed it--to bleed you dry, keep you sick, watch you die, and stick your family with the bill when you can't fight anymore.
Insurance is a mob racket, HMOs trap you with no specialists, the FDA sits on treatments until Big Pharma cashes in, the CDC is in full revolt, and politicians are actively criminalizing women's health, routine vaccinations, and gender-affirming therapies.
This isn't healthcare. It's a hostage situation.
Anyhooo, that's what Defiant Health is doing and why we're doing it. Get access to world-class treatment in Thailand, up to 80% less costly than the overpriced bullshit you'd get back home, and access to cutting-edge therapies the U.S. would never in a million years approve.
Plan your escape. Defy the system. Survive the bullshit.
1,490+ days since U.S. women lost their most basic healthcare rights
Medical tourism, planned by people who live here
ดีไฟแอนท์
World-class treatment at 20–50% of the US sticker price. We are the fixers: we shortlist the surgeon, get the quote in writing, move your records, book the recovery housing, and hand you back to a provider at home who knows what happened. You get a plan, not a brochure.
- Procedures & real prices →
- What it costs — concierge $1,000, or a DIY pack for $100 →
- Hospitals & clinics we trust →
- Chiang Mai · Bangkok · Phuket →
- Can't find your estradiol cream? Here's the Thai name →
- Veterans: your VA benefits work in Thailand (the FMP) →
- Stay long-term for treatment: the DTV medical visa →
- Get the occasional dispatch — new procedures, price moves →
US expat services
ฝรั่งใจเย็นเป็นกลุ่ม
Escape is a logistics problem. We do logistics.
- Digital nomads
- Retirement Visas
- Smart-S business formation/incubator assistance
- Education Visas (learn Thai Language, Muay Thai, traditional arts)
- Banking assistance (opening Thai bank accounts, using international banking)
- Driving license assistance (motorbike, car)
- Referral to trusted real estate agents (rentals, property purchase)
- Relocation concierge
- Latest information on coworking and community spaces / expat networking (Chiang Mai Expats Club, Chiang Mai Digital Expats)
- Household services via Ayasan (cleaning, babysitting, pet care, drivers, senior care)
- International schools (e.g. Grace International School)
- Artificial Intelligence/IT/Web Design
- Charitable engagement or volunteer coordination (e.g. Samsara Foundation)
Who we are
ก๊วนนี้โหดนะ
DEFIANT was founded in June, 2025 by three truly ferocious American expat patriots* in response to the rapid deterioration we observed in the U.S. healthcare system. We see what's going on there, guys, and we are so concerned for you! (Blink twice if you need help--or better yet, message us!)
'NaN' (she/her)
'NaN' is a former U.S. government employee who spent years assisting citizens with medical travel across Asia. Her first taste of 'medical tourism' came 15 years ago in Chiang Mai, fixing bad military dental work she couldn't afford to get done in the States--and she's been a believer ever since.
'KAI' (he/him)
'KAI' is a former IT program manager for a U.S. urgent care chain. In 2022 KAI relocated full-time overseas for their own ongoing treatment and remote work. They use FSA/HSA and Thai medical facilities for HRT as well as a chronic health condition.
'ROBIN' (she/her)
'ROBIN', born to U.S. missionaries in Nairobi, is a lifelong overseas resident, semi-retired management consultant and 'dog mom' based in Mauritius. She recently helped her cousin get a hip replacement in Phuket. 'It was more fun for everyone than it sounds.'
TL/DR: We're disabled queer motherfuckers. We're woke as fuck. We're DEIA as fuck. We have a ton of organizational skills and a lot of fucking empathy. And if that offends you--fuck the hell off.
*names changed for privacy
Find us in Chiang Mai
แถวหลังมอ
Chiang Mai, Thailand — behind the university, where the good coffee is. Turn at the 7-Eleven (เซเว่น). Not that 7-Eleven. The other one. Across the street from the first one. Yes, there are two. มันเป็นเรื่องปกติ — it's fine, it's normal.
We run on Thai time and Thai logic: everything is เดี๋ยว ("in a moment," which means anywhere from five minutes to next Songkran), the pharmacy that matters is open till late, and when the vendor swears it's ไม่เผ็ด ("not spicy"), write your will first. We'll translate all of it — the menus, the paperwork, the doctors. Working with clients across every US time zone.