Border states begin outsourcing health care to Mexico - what next.

Passport to Health Care At Lower Cost to Patient
California HMOs Send Some Enrollees to Mexico

By Sonya Geis
Washington Post Staff Writer
Sunday, November 6, 2005; Page A03

TIJUANA, Mexico -- There are world-class hospitals in San Diego, not far from where Luis Gonzales lives. But when he or a member of his family needs a doctor, they drive 50 miles south to a clinic in Tijuana.

The Gonzaleses are members of a Blue Shield of California HMO that provides all of the family's nonemergency care in Mexico. They are among 20,000 California workers and their dependents in health plans that cost 40 to 50 percent less than comparable care in the United States because the doctor's visits are outsourced south of the border.

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