its reporters recorded the events when mcallen became incorporated in 1911. "the monitor" was there to record the history of the rio grande valley and its people. the names of the pioneering families leave a road map all across the rio grande valley. families like the lopez, the guy yars, the mcallens, the youngs, the sherry, the hinojosas, and the bensons. now a daily paper the mcallen monitor takes pride in telling the success stories of homegrown people who have become famous from martinez to kris kristofferson singing and acting. from bobby moreau's olympic gold medal to the late senator benson. mcallen monitor has covered the good and the bad. the sad and joyous news for 100 years. congratulations to them on its 100th year anniversary. . the speaker pro tempore: for what purpose does the gentleman from california rise? mr. lungren: to address the house for one minute. the speaker pro tempore: without objection, the gentleman from california is recognized to address the for one minute. mr. lungren: thank you, mr. speaker. when we were discussing and debat

perhaps they can help us understand what's going on in el paso and in mcallen. health care in el paso is about half what it is in mcallen, another border town. about half. people are spending -- spending for a person in el paso, texas, is about half of what it is in mcallen, texas. yet the outcome -- that is, how well patients do -- is a little bit better in el paso than it is in mcallen. why? according to the article -- the author of the article -- it is because of how medicine is practiced, what's the ethic, what's the sense in el paso regarding health care and what st's in m mca-- and what is it in mcallen regarding health care. according to the author, his conclusion is that, well, in el pass so, it's because -- in el paso, the care is more patient-centered, it is coordinated care. it is less on making a buck. whereas in mcallen, it is less coordinated care, more specialties hospitals, a little bit more providers than trying to make a buck. the medicine is practiced so differently all over the country, geographic disparities. some states in the northern high

i know they're recruiting ray mcallen and jones.t have the point guard depth to it. a young man can come in here and play a lot of minutes immediately. >> marques: they don't have the speed and push defense position that they need with sherron collins. they have to know how to get to the gut and create problems for the defense. get those wide open shots for shooters on the outside. they have jerime anderson. he throws the basketball away. >> steve: a pickup and score and kansas with a ten-point lead. that was a bad pass by anderson. >> marques: talking about speed and quickness elijah johnson the freshman on the floor from las vegas high school, he comes out of the game, jerime anderson, but gets a pat on the head from bill self because he did his job. he forced jerime anderson into the turnover. >> steve: that was the second foul on elijah. honeycutt. they say he traveled. >> marques: it's got to be tough. a situation like this, lloyd bridges in that airplane movie talks about you picked a bad day. you picked a bad day to have that

article why in mcallen, texas, they were paying more for medicare patients than any other place in the united states. and so he visited with doctors and surgeons and hospital administrators to ask them why. what is prospect about that city and its elder -- what is peculiar about that city and its elderly people? he sat down with the doctor and the first doctor said, well, it's defensive medicine. we're -- we're doing all these extra tests and extra costs to medicare to cover ourselves and protect ourselves. a doctor sitting next to him said, oh, come on. with the texas law, nobody's filing malpractice lawsuits around here. we're doing these extra proashz because -- extra procedures because it's a fee-for-service system -- you're paid more when do you more. so at least in this days cais, there was a dispute as to whether this was truly defensive medicine or just overbuilding. dr. carolyn clancy, in the h.h.s., has called national errors a national problem of epidemic proportions. according to that agency, the rate of adverse events has risen about 1% in each of the past six years. the i

spending for a person in el paso texas is about half what it is in mcallen, texas and yet the outcomes that his help patients do is a little bit better and el paso then it is then mckellan. why? according to the article, it is because the of, what is this sense in el paso regarding health care in what is it in mckellan regarding health care? it may be dangerous for me to say so but according to the author his conclusion is in el paso it is because the care is more patient-centered, is coordinated care. it is less on making a buck where is and mckellan it is less coordinated care, more special the hospitals and a little bit more providers wanting to make a buck. the main point is this common medicine is practiced of differently oliver the country, geographic disparities. some states in northern high plains states, it is less spending per person. the outcome is direct again some of the sun belt states, much more spending outcome is worse. just because it is based on volume in quantity and not based on quality. this legislation stars to put in place ways to move toward reversing-- reimbur

just on the point you just made and that is the gwandi piece which did that comparison between mcallen and the counselty which is the poorest county in the united states. a felllloy by the name of don burwick, an expert on integrated care. one of the things he says -- i'd be curious because i think you said this yesterday. it isn't just that the cleveland clinic or the mayo clinic where this happens. that kind of a culture that exists in community hospitals, small hospitals all over the country where they have figured out integrated care. that is, where doctors and hospitals have figured out how to provide services and reduce costs. i have 31 hospitals in my state and like all of our colleagues i presume are visiting many, talking to people. manchester community hospital, a very small hospital in ma manchester, connecticut, they have reduced costs. they have figured out between the provider physician physiciae hospital how to do that. your point is, this is happening all across america in many places and we need to be rewarding that when it occurs. that's really -- mr. baucus: that's i

perhaps they can help us understand what's going on in el paso and in mcallen.ealth care in el paso is about half what it is in mcallen, another border town. about half. people are spending -- spending for a person in el paso, texas, is about half of what it is in mcallen, texas. yet the outcome -- that is, how well patients do -- is a little bit better in el paso than it is in mcallen. why? according to the article -- the author of the article -- it is because of how medicine is practiced, what's the ethic, what's the sense in el paso regarding health care and what st's in m mca-- and what is it in mcallen regarding health care. according to the author, his conclusion is that, well, in el pass so, it's because -- in el paso, the care is more patient-centered, it is coordinated care. it is less on making a buck. whereas in mcallen, it is less coordinated care, more specialties hospitals, a little bit more providers than trying to make a buck. the medicine is practiced so differently all over the country, geographic disparities. some states in the northern high p