Paper evidence
As described in the article, McAllen is one of the poorest counties in the United States of America. It has not enough capacity to provide for the overall and universal health living to its citizens. It is a border city and has an influx of unhealthy citizens. The city has a low level of physician supply. The Medicare institutions and programs are not sufficient to cater for the average people’s needs hence they are in struggle. However, this is not to the measure of the same state at El Paso where there are extreme poverty and unhealthy conditions among the residents. Therefore, McAllen fails to take responsibility of its poor and unhealthy ordinances.
McAllen’s national spending has always been very high. In the early nineteen nineties, the spending resembled that of El Paso. However after some period of time in the late nineties, the city was still spending more and yet not able to replicate the same in the Medicare attention to its citizens. This is contrary to the fact that the national data do not replicate a sudden fall in the health status or income among the residents. Most patients in McAllen spent more on all patient care than is done in El Paso. For instance, McAllen’s home health care services take a swoop of $3,500 in one Medicare beneficiary. This is almost five times as done in El Paso.
It is evident, though subject to opposition that health care provision in the entire US is influenced by the spending patterns; private insurance spending patterns. Private insurance pays more to the doctors, nurses, and other health specialists than is done by the Medicare. However, there is the similarity index in number of services provided per patient within the two patterns (Gawande 1-3).
Work cited
Gawande, Atul. The cost conundrum: what a Texas town can teach us about health care. Fannie E. Rippel Foundation, 2009. …