Why does Medicare spend $7,500 for patients in El Paso, Texas but spends $15,000 for patients in McAllen, Texas? It McAllen richer? Does McAllen receive better care? Are patients sicker in McAllen?
“Come on” the general surgeon finally said. “We all know these arguments are bullshit. There is overutilization here pure and simple.” Doctors, he said, were racking up chanrges with extra tests, services, and procedures.
The surgeon came to McAllen in the mid-nineties and since then he said, “the way to practice medicine has changed completely. Before, it was about how to do a good job. Now it is about ‘How much will you benefit?'”