Common Destinations Used By Canadian Medical Tourism Facilitators. Figure 1 shows destination countries commonly used by the 12 interviewed medical tourism facilitators. Solid arrows indicate primary destinations. These are destinations that are used on a regular basis. Dashed arrows indicate secondary destinations. These are destinations that are used sometimes, though not infrequently. The United States of America (USA), Cuba, India, and Thailand are all primary destinations for 4 facilitators. Mexico and Costa Rica are the most common secondary destinations, each being used by 3 facilitators. New Zealand, Malaysia, Barbados, the United Kingdom (UK), and the Bahamas are each secondary destinations for 1 facilitator.