Chelsea Green Publishing

Chelsea Green Blog

Soaring Healthcare Costs in Small Texas Town Illustrate Need for Massive Reform

Healthcare reform means not only health insurance for every American (although it certainly means that), and it doesn’t only mean providing a single-payer, public option (although it absolutely means that)—it also means getting the soaring costs of American healthcare under control.

Health care in the U.S. is the most expensive in the world. Are we the healthiest people in the world, then? I can almost hear your derisive snort of laughter. No, of course we’re not.

This adds up to precisely one inescapable conclusion: something is really wrong here.

In McAllen, Texas—a small town with the distinction of being one of the most expensive healthcare markets in the world—Atul Gawande tries to figure out what that is.

From The New Yorker (h/t to Daily Kos):

It is spring in McAllen, Texas. The morning sun is warm. The streets are lined with palm trees and pickup trucks. McAllen is in Hidalgo County, which has the lowest household income in the country, but it’s a border town, and a thriving foreign-trade zone has kept the unemployment rate below ten per cent. McAllen calls itself the Square Dance Capital of the World. “Lonesome Dove” was set around here.

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 explosive trend in American medical costs seems to have occurred here in an especially intense form. Our country’s health care is by far the most expensive in the world. In Washington, the aim of health-care reform is not just to extend medical coverage to everybody but also to bring costs under control. Spending on doctors, hospitals, drugs, and the like now consumes more than one of every six dollars we earn. The financial burden has damaged the global competitiveness of American businesses and bankrupted millions of families, even those with insurance. It’s also devouring our government. “The greatest threat to America’s fiscal health is not Social Security,” President Barack Obama said in a March speech at the White House. “It’s not the investments that we’ve made to rescue our economy during this crisis. By a wide margin, the biggest threat to our nation’s balance sheet is the skyrocketing cost of health care. It’s not even close.”

The question we’re now frantically grappling with is how this came to be, and what can be done about it. McAllen, Texas, the most expensive town in the most expensive country for health care in the world, seemed a good place to look for some answers.

Read the whole article here.


Related Articles:

Bullshit. *Charisma, Icon, Intelligence, Empty Sandwich

How does the word “bullshit” connect to Charisma, Intelligence and the notion of The Empty Sandwich?To find out the answer to this question we meandered through David Fleming’s Lean Logic. A dictionary unlike any other, Lean Logic encourages readers to actively and intellectually engage with its entries. These entries are often cross-referenced so that you […] Read More

From Farm-to-Table to Farm-to-Everything

No longer restricted to the elite segments of society, the farm-to-table movement now reaches a wide spectrum of Americans from hospital and office cafeterias to elementary schools and fast-casual restaurants.Nearly a century ago, the idea of “local food” would have seemed perplexing, since virtually all food was local. Today, most of the food consumed in […] Read More

The Three Cs of Farm-to-School

Most people know about the three “R’s” – reading, writing, and arithmetic. But, have you heard about the three “C’s”?If you, or your kid, is at a school that takes part in the Farm-to-School movement, then you may already know about them.October is National Farm-to-School month, and in their book Farm to Table, authors Darryl […] Read More

“Rules for Revolutionaries” Offers New Political Playbook for Activists

A riveting behind-the-scenes look at the “rules” used by the “revolutionaries” who helped harness the volunteer power that fueled Bernie Sanders’ historic, and insurgent, presidential campaign.Authors Becky Bond and Zack Exley led the Sanders campaign’s efforts to recruit and engage volunteers at an unprecedented level, which was crucial to the Vermont senator capturing 46 percent […] Read More

Born on Third Base: A Q&A with Author and Inequality Activist Chuck Collins

As inequality grabs headlines, steals the show in presidential debates, and drives deep divides between the haves and have nots in America, class war brews. Does it have to be this way?Can we suspend both class wars long enough to consider a new way forward? Is it really good for anyone that most of society’s […] Read More
Follow us
Get every new post delivered to your inbox
Join millions of other followers
Powered By