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    Arty Emile

    The Economist had a useful analysis some years back. They found 2 US towns close to the Mexican border that had very similar social and age structures and similar health outcomes. One town was spending twice as much on health as the other.

    It took the Economist researcher some time to work out why. Eventually in the high cost town he was speaking to a specialist who complained about a case where “money was left on the table”

    The practice was to charge whatever the client could afford. The specialist was complaining that a sick human had got away without leaving all of their money with the health system.

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