Njira yokhayo yomwe Bridget Flanagan, wophunzira pakoleji wazaka 21 wa ku Olympia, Washington, akanatha kupereka opaleshoni ya kunenepa kwambiri yomwe anafunikira ndiyo kupita ku Mexico. Inshuwaransi yake yaumoyo sinalipirire chithandizocho.
Kuyenda mtunda wa makilomita 2,000 kukachita opaleshoni yomanga m'mimba pachipatala cha San Jose ku Monterrey, Mexico, kunamupulumutsa $6,600, zomwe zimapangitsa kuti azitha kugula. Njirayi idayenda bwino, kulola Bridget wamtali mapazi asanu kutsitsa mapaundi 45 kutali kwambiri ndi kulemera kwake kwa 275.
Makampani azaumoyo ndi osunga ndalama amawona msika watsopano mwa odwala ngati Flanagan. Tecnologico de Monterrey, yunivesite yapadera yomwe ili ndi chipatala cha San Jose, ikukonzekera $ 100 miliyoni zachipatala ku Monterrey. Grupo Star Medica, omanga malo asanu ndi awiri aku Mexico m'zaka zisanu, akufulumizitsa kukulitsa kwa anthu aku America, mothandizidwa ndi ndalama zina ndi bilionea Carlos Slim.
"Uwu ndi mwayi wabwino osati ku Mexico kokha, komanso kuchepetsa ndalama zothandizira zaumoyo ku US," atero a Marco Antonio Slim Domit, mwana wa Carlos Slim komanso wamkulu wa kampani yake yaku Mexico City Grupo Financiero Inbursa SAB. Kampaniyo idatenga gawo lomwe silinatchulidwe ku Star Medica, chipatala chachinsinsi chomwe chili ku Morelia, Michoacan, kumwera kwa Mexico.
Ngakhale akuluakulu aku Mexico anakana kuyerekeza kuchuluka kwa ntchito zachipatala mdziko muno kuti zithandizire alendo azachipatala, makampani akumanga zipatala zatsopano, zipatala ndi malo opangira opaleshoni.
Kukula kwa Makampani
Makampani aku US akugulitsanso ndalama ku Mexico. Christus Health, osachita phindu ku Irving, Texas, ali ndi zipatala zisanu ndi chimodzi ku Mexico atatsegula ku Reynosa pafupi ndi McAllen, Texas. Dallas-based International Hospital Corp., yemwe amagwiritsa ntchito zipatala zitatu ku Mexico, akumanga chachinayi pakatikati pa mzinda wa Puebla.
Grupo Empresarial Los Angeles, chipatala chachikulu kwambiri chachipatala ku Mexico, akugwiritsa ntchito $ 700 miliyoni kuti amange zipatala 15 pazaka zitatu zikubwerazi, atero a Victor Ramirez, wamkulu wa chipatala cha kampaniyo. Chipatala cha Oca, kampani ya mabanja ku Monterrey, ikumanga malo okhala ndi mabedi 200 kumeneko.
"M'mizinda yosiyanasiyana yomwe imakopa anthu aku America, titha kupereka zipatala zomwe zimakhala zopikisana kwambiri komanso pamtengo wabwino kwambiri," adatero Ramirez.
Grupo Angeles ili ndi kampeni yotsatsa anthu aku America. Cholinga chake ndi chakuti alendo akunja apange 20 peresenti ya odwala mkati mwa zaka ziwiri, kuchokera pa 5 peresenti tsopano, Ramirez adanena. Pachipatala cha kampaniyi ku Tijuana, aku America adawerengera 40 peresenti ya odwala 100,000 omwe adalandira mu 2007, adatero.
Kugwiritsa Ntchito Mankhwala
Kugwiritsa ntchito zaumoyo ku Mexico mu 2005 kunali pafupifupi $49 biliyoni, kapena 6.4 peresenti ya ndalama zonse zapakhomo. Ku US, chuma chachikulu kwambiri padziko lonse lapansi chokhala ndi anthu pafupifupi katatu ku Mexico, ndalama zothandizira zaumoyo zidafika $ 2.2 thililiyoni chaka chatha, 16 peresenti ya katundu ndi ntchito zonse.
Chiwerengero cha mabedi azipatala zaboma ku Mexico chinakwera 28 peresenti kufika pa 34,576 mu 2005 kuchoka pa 27,015 mu 2000, malinga ndi ofesi ya kalembera. Madokotala wamba kupitilira kawiri mpaka 55,173 kuchokera 21,565 nthawi yomweyo. Zipinda zochitira opaleshoni m'zipatala zapadera zidalumpha 46 peresenti mpaka 4,545 mu 2005 kuchokera 3,115 mu 2000.
Olemba ntchito ku US akulimbikitsa makampani a inshuwaransi kuti achepetse ndalama popereka chilimbikitso kwa ogwira ntchito kupita kunja kuti akalandire chithandizo. Pafupifupi anthu 47 miliyoni aku America alibe inshuwaransi yazaumoyo.
Kwa zaka zambiri Mexico yakopa anthu aku US omwe akufunafuna chithandizo chamankhwala chotsika mtengo. Mizinda yamalire monga Tijuana ndi Ciudad Juarez kudutsa El Paso, Texas, ili ndi zipatala zomwe zimagulitsa zida zamano kapena kuchotsera mayeso amaso ndi malo ogulitsa mankhwala omwe amagulitsa mankhwala olembedwa pakompyuta.
Beyond Cut-Rate Care
Ntchito zokopa alendo zachipatala zikuchulukirachulukira kuposa chisamaliro chochepa, adatero Arturo Garza, yemwe amayendetsa gawo la Mexico la Christus Health. Zipatala za ku Mexico tsopano zimapanga m'malo mwa chiuno, kuphatikizika kwa msana, opaleshoni ya mawondo ndi angioplasty. Kutsika mtengo kwa njira zotere ku US kumalimbikitsa anthu nthawi zina kusiya kulandira chithandizo kapena kuchoka mdzikolo, atero a Peter Maddox, 60, wachiwiri kwa purezidenti ku Christus Health.
Kulowetsa m'chiuno ku Mexico kumawononga $12,000, poyerekeza ndi $43,000 mpaka $63,000 ku US, malinga ndi kafukufuku wa Christus Health wofalitsidwa chaka chatha. Angioplasty, m’mene dokotala wa opaleshoni amagwiritsira ntchito chibaluni chaching’ono kutsegula mtsempha wapamtima wotsekeka, amawononga ndalama zokwana madola 10,000 ku Mexico, poyerekeza ndi $57,000 mpaka $82,000 pachipatala cha ku America.
Heath-Care Boom
Star Medica mu Seputembala idatsegula malo okhala ndi mabedi 53 ku Ciudad Juarez ndikukonzekera ena ku Tijuana ndi Mexicali, atero Fernando Padilla, mkulu wachipatala pachipatalachi. Unyolowu udzalunjika odwala aku America kuti achite opaleshoni yosankha monga arthroscopy ndi laparoscopy.
"Ichi ndi chinthu chomwe chidzakula mwachangu chifukwa ndizomveka," adatero Garza.
Christus akuyika chipatala chake chachisanu ndi chiwiri ku Mexico ku Reynosa, kumalire ndi McAllen, Texas, kuti akope odwala aku US. Ikuwonjezeranso malo opangira opaleshoni yamtima $ 100 miliyoni ku gawo la Monterrey komwe Flanagan adamupangira.
Flanagan, akupumula m'chipinda chayekha pachipatala cha San Jose, adati mtengo woyika bande m'mimba mwake kuti muchepetse kukula kwake ndi $ 10,600 ku Monterrey kuphatikiza $ 600 paulendo wobwerera. Akadawononga $17,800 ku Northwest Weight Loss Surgery ku Everett, Washington, chipatala chomwe chimagwira ntchito bwino.
Malipiro a madotolo ndi anamwino aku America, nthawi zambiri kuwirikiza ka 10 kuposa akumayiko otukuka kumene, ndiye chifukwa chachikulu chokwera mtengo wamankhwala, atero a Paul Mango, mnzake wa ku Pittsburgh ndi McKinsey & Co. kuchita.
Opaleshoni ya Flanagan
Makolo a Flanagan, omwe ali ndi kampani yawoyawo yazamalamulo, amapereka chithandizo chaumoyo kubanja ndi $300-mwezi inshuwaransi yowopsa ndi LifeWise Health Insurance. Ndondomekoyi imakhala ndi ndalama zokwana madola 3,500 ndipo siziphatikiza phindu la kunenepa kwambiri monga opaleshoni ya m'mimba.
Kupatula kusungirako ndalama, Flanagan adakopeka ndi mlingo wa chisamaliro ndi chithandizo mu chipatala chokwanira, chomwe chipatala sichingafanane. Adakumana ndi madotolo anayi ku Monterrey, kuphatikiza dokotala wamkulu wa opaleshoni Roberto Rumbaut, yemwe adafotokoza mwatsatanetsatane njirayi. Rumbaut adaphunzira pansi pa Dr. Franco Favretti, dokotala wa ku Italy yemwe adathandizira kupanga laparoscopic gastric banding, ndipo akuti adachita njirayi nthawi zoposa 4,300.
Flanagan, wophunzira pa Evergreen State College ku Olympia anati: “Madokotala analankhula nane kwa nthaŵi yonse imene ndinkafuna. "Lingaliro langa ndikuti madokotala pano amachita zinthu payekha payekha."
Madokotala Ochita Opaleshoni aku Mexico
Madokotala ochita opaleshoni ku San Jose amagwira ntchito pafupifupi alendo awiri patsiku, ndipo chipatalachi chili ndi ofesi yodzipereka yowathandiza makasitomala, atero Ernesto Dieck, wamkulu wamkulu. Oposa 90 peresenti ya madotolo omwe ali pamalopo - omwe adachitapo zoikapo mtima - agwira ntchito kuzipatala zaku US kapena ku Europe, adatero.
"Tili ndi chidziwitso," adatero Dieck. "Malire apakati pa Mexico ndi US ndi Canada pazamankhwala atsika pakanthawi kochepa."
Pamene zipatala zaboma zaku Mexico zikuyenda bwino, akopa odwala ambiri, kuphatikiza anthu olemera aku Mexico omwe m'mbuyomu adapita ku Los Angeles, Houston ndi mizinda ina yaku US kuti akasamalidwe, adatero Dieck.
Pampikisano wokopa alendo azachipatala, Mexico yatsalira kumbuyo kwa mayiko ena omwe akutukuka kumene monga India, Thailand, Singapore ndi Brazil. The Joint Commission, gulu loyima palokha, lopanda phindu lokhala ku Oakbrook Terrace, Illinois, limawunika ndikutsimikizira mabungwe azachipatala padziko lonse lapansi omwe amakwaniritsa miyezo yotsimikizika. Komitiyi idatsimikiza kuti zipatala 11 ku Singapore zikukwaniritsa miyezo yake ya chisamaliro, monga momwe zidachitikira zisanu ndi zinayi ku Brazil pomwe Mexico ili ndi ziwiri zokha: San Jose ndi Christus Muguerza Alta Especialidad, onse ku Monterrey.
Ubwino: Malo
Ubwino waku Mexico ndi komwe uli, adatero Dieck. Ulendo wa pandege wochokera ku Chicago kupita ku Monterrey, makilomita 150 kum’mwera kwa Laredo, Texas, umatenga pafupifupi maola atatu, poyerekeza ndi maola oposa 20 kuchokera ku Chicago kupita ku Bangkok.
Kusiyana kwachikhalidwe pakati pa Mexico ndi US kwachepa pambuyo pazaka zopitilira khumi zotchinga zamalonda pansi pa mgwirizano wamalonda waulere waku North America. Ulendo wapamtunda kuchokera ku eyapoti ya Monterrey kupita kutawuni imatengera apaulendo kudutsa hotelo ya Marriott, malo odyera ofulumira a Carl's Jr. komanso malo ogulitsira 7-11.
Mexico ili ndi dongosolo lazaumoyo la boma lomwe limapereka chithandizo kwa onse ogwira ntchito omwe amalipira misonkho ndi mabanja awo. Makampani ambiri amalipiranso chithandizo ku zipatala zapamwamba zapamwamba.
Slim's Inbursa ikuthandizira kukulitsa kwa Star Medica posinthana ndi mwayi wotenga gawo losadziwika mu kampaniyo, adatero Slim Domit. Inbursa imawona Star Medica ngati ndalama zogulira ndalama ndipo sakukonzekera kuyendetsa chipatala, adatero.
Slim adati akufuna kuwona boma la US likukulitsa zopindulitsa za Medicare ndi Medicaid kwa nzika zaku US zomwe zimapuma pantchito ku Mexico. Ngakhale akuluakulu aboma la US ati lingalirolo silikuganiziridwa, osunga ndalama ngati Slim ali ndi chiyembekezo.
"Zingapangitse ntchito zambiri ku Mexico," adatero Slim. "Zingakhale zabwino kwambiri."
bloomberg.com
