Teaser | “McAllen [Texas] …is one of the most expensive health-care markets in the country. Only Miami—which has much higher labor and living costs—spends more per person on health care. 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.” What is going on here?

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Read about it | The New Yorker article, “The Cost Conundrum, What a Texas town can teach us about health care,” by Dr. Atul Gawande in the June 1 issue

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Reflect | Which of the people interviewed in the article is most like you? Where, if at all, do you see the dynamics described in this article at play?

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Weigh In | With five clicks, let us know what you think.  After you weigh in, see the results so far.

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Culture Shift invites consideration of deep cultural issues we need to face in order to build a sustainable and just U.S. health system. Read, reflect, weigh in, and converse with others. Through this process of public conscience work, you contribute to reshaping health care for the next generation.

What kind of health care system do we want to leave the next generation? This packet offers a step-by-step process for helping an organization, community or other collection of people to get clear on what is most important to them when it comes to health care. Two modules follow this one: #2 offers guidance in using the priority data to write a shared vision for the future of U.S. health care. #3 offers direction in using this vision to assess proposals.

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