Even as some U.S. cities tout themselves as “destination” vacation spots for medicaltourism, lots of U.S. citizens have other ideas. They’re headingsouth of the border for their care. Americans pay far morethan other countries per capita for health care, and aren’t getting what they payfor.

A Los Angeles Times report points out that outcomes in the U.S. are worse, withshorter lifespans, for Americans than they are in other developedcountries, as determined by the Organization for EconomicCooperation and Development. And to drive that point homecomes a report from the San Diego Union Tribune about a cross-borderhealth plan licensed by the state of California. Yes, you read thatcorrectly; U.S. workers getting coverage for a plan that providestheir health care in Mexico.

Says the report, “Patients come to SIMNSA [Sistemas MedicosNacionales, S.A. de C.V] for everything from dental care to medicaltests to physical therapy to consultations with specialists—allcovered under SIMNSA’Scross-border health plan. Nobody here is complaining aboutcrossing the border; in fact, many of them prefer it this way.”

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