What are some of the barriers to applying social media to healthcare issues and activities?

Question #1
What are some of the barriers to applying social media to healthcare issues and activities?
 
Question #2
Does the migration of American medical tourists negatively affect the U.S. healthcare system and economy? If so, how?  If not, why?
 
Please include at least two peer-reviewed article/journal/book as a citation not including the book
 
Reference: Thomas, R (2020). Marketing Health Services: Fourth Edition. Foundation of the American College of Healthcare Executives.

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