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Politics : View from the Center and Left
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From: Win Smith5/29/2009 9:09:46 AM
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To add a bit to the on-again off-again discussion here of the US medical system here, I happened upon this long article in the New Yorker: The Cost Conundrum: What a Texas town can teach us about health care. by Atul Gawande . It meanders a bit, but centers on McAllen, Texas, which has a dubious distinction:

McAllen has another distinction, too: it is one of the most expensive health-care markets in the country. Only Miami—which has much higher labor and living costs—spends more per person on health care. In 2006, Medicare spent fifteen thousand dollars per enrollee here, almost twice the national average. The income per capita is twelve thousand dollars. In other words, Medicare spends three thousand dollars more per person here than the average person earns.

The article runs on a bit, but the main reason for McAllen's exceptionalism seems to be the toxic mix of our dubious health care funding mechanisms and extremely entrepreneurial doctors determined not to leave any money on the table.
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