Before being allowed to continue her world tour, insurers require that Madonna, who recently recovered from a near-fatal bacterial infection, undergoes rigorous physical exams.
This testing is believed to be necessary to ensure that she has fully recovered before resuming her tour.
Despite the 64-year-old superstar's recent health challenges, she has promised to go on with her world tour.
Live Nation, the concert promoter for the star, must ensure that specific criteria are met before any live work is commenced. An independent doctor's checkup primarily demands a complete physical assessment.
The evaluation process for those involved in creative pursuits is often strictly demanding, according to a source familiar with the matter who spoke to The Mirror.
Most notably, these assessments can include examinations such as heart rate, blood pressure, body mass index, electrocardiogram output, and capacity of the lungs.
To ensure Madonna's safety and well-being, performers sometimes go through rigorous inspections. Blood tests, X-rays, and MRI scans can be used to check for any potential illnesses or complications with bones or discs.
In some cases, certain celebrities have even been asked to take drug tests on the day of a show to secure insurance coverage. While the artist's name shall remain anonymous for legal reasons, this was necessary for them to get approved by underwriters.
Recent news of the hospitalization of the iconic Queen of Pop has severe implications for insurers.
Her "high risk" status means that costs associated with cancellations or postponements could run into tens of millions and may even lead to legal action in the United States.
According to a source, Madonna has been notified that she must pass a complete physical checkup to resume her work. This is due to health concerns that have prompted an insurance review of her fitness for performance.
Despite her status as one of the world's most famous personalities, the "Material Girl" diva still must comply with the insurance companies' requests. When they ask for a medical evaluation, it cannot be negotiated - she has to sit down with a physician and go through all of the necessary examinations.
Given Madonna's recent stay in the ICU, a more practical mindset has taken hold.
When it comes to touring, the source said her insurer must ensure she is well enough to participate. Should this be the case, it will become a matter of examining how she can continue her performance.
Insurers have signed off a doctor, rather than an artist's in-house practitioner, to manage tests and examinations for physical fitness.
It has also been revealed that all the exams focus on health issues such as heart, liver, kidney, or bone welfare. However, other factors must be taken into consideration.
Meanwhile, not all providers offer a comprehensive package covering all tour aspects. Madonna's current situation is an example; with so many components in play, predicting what will occur next is difficult.
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