The New Yorker recently published a wonderful article on health care in McAllen Texas, America’s poorest metro area. Only in America would the government spend a fortune insuring certain poor people, and nothing on others:
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.
. . .
I was impressed. The place had virtually all the technology that you’d find at Harvard and Stanford and the Mayo Clinic, and, as I walked through that hospital on a dusty road in South Texas, this struck me as a remarkable thing. Rich towns get the new school buildings, fire trucks, and roads, not to mention the better teachers and police officers and civil engineers. Poor towns don’t. But that rule doesn’t hold for health care.
Suppose McAllen was an independent country with universal health care. How much would it cost the government to insure the entire population? If independent, McAllen would be poor relative to the US, but it certainly wouldn’t be poor in any absolute sense. My guess is that it would come in somewhere around Portugal or Slovenia. And I would also guess that it would spend less insuring the entire population than we now spend insuring the relatively small share of the population covered by Medicare.
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