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UTB-CBIRD Report: “At The Crossroads” Economic Development 133 Southern California and for Texas they are Houston-Galveston-The Woodlands, San Antonio, and Dallas-Fort Worth. Cameron County faces many challenges in developing its health services and perhaps life science clusters, particularly the lack of R&D, major medical businesses, challenging demographics, persistent poverty and unemployment, and the presence of a transient border population. The region has attracted retirees from around the nation, while at the same time serving as an immigration gateway to young, legal and not-legal immigrants from Mexico and other Latin American countries. These two expanding demographic groups pose significant and different healthcare challenges that could also provide valuable healthcare research and development “experiential” learning laboratories. Access to quality education, professional development, and healthcare prevention will play a decisive role. In the past, Cameron County has struggled to provide local labor to fill the high-skill, high-wage positions available in the health services sector. The continuing expansion of healthcare related courses and degrees at TSTC, UTB-TSC and the creation of the RAHC centers in Harlingen, Brownsville, and Edinburg will help correct these deficiencies. The new RAHC residencies in internal medicine, obstetrics and gynecology, and pediatrics promise to help alleviate some of the more pressing healthcare professional shortages in the region. The Valley experiences unique challenges due to its binational realities. With very different care options on either side of the border, local residents will continue crossing the border in search of lower healthcare costs and/or increased quality and availability. US residents, particularly the elderly, will continue to purchase drugs across the border because of low cost and increased availability. The large medical centers of the region will continue to receive a large numbers of indigent patients from both sides of the border. While crossborder cooperation in healthcare faces many regulatory and financial challenges, the long-term financial health of the regional medical establishment requires creative binational solutions. NAFTA, by opening some medical care markets and allowing investment in health facilities across national boundaries, has the potential of stimulating much more trade in health services. Eventually, NAFTA will gradually open health insurance markets by liberalizing the terms under which providers may offer services in the neighboring nation. Some exceptions to these liberalizing tendencies have been entered into the annexes of the NAFTA Agreement by affected state medical boards and other interested governmental entities. Due to significant differences in the U.S. and Mexico relative to the training of health professionals, reciprocity in licensing is expected to be achieved at a slower rate than the transferability of credentials already in existence between Canada and the United States. 1 1 David Warner and Jillian Hopewell, “NAFTA and United States Mexico Border Health: The Impact on Health Resources and Services Administration (HRSA)-Sponsored Programs” Center for Health Economics and Policy, The University of Texas Science Center at San Antonio, 1999. 1 These action initiatives are based on discussions at the Future of the Region, Regional Forum – Lower Rio Grande Valley Council of Governments – Healthcare Issues Focus Group. Conference Co- Hosts: Texas Center for Border Economic and Enterprise Development, The University of Texas at Brownsville and Texas South Most College; Texas State Technical College; and Lower Rio Grande Valley Development Council, Harlingen Texas, June 25, 2002. One Region -- One Future
UTB-CBIRD Report: “At The Crossroads” Economic Development 134 Action Initiatives 1 The U.S./Mexico border has one of the fastest growing populations in the nation and regional healthcare delivery is severely constrained by a longstanding scarcity of physicians, dentists, nurses, and allied healthcare providers. The regions’ transit (e.g., Winter Texans and Mexicans) and resident population presents unique healthcare problems such as binational and bicultural challenges to wellness education, teenage pregnancy, diabetes, drug resistant TB, and cross-border bio-terrorism. However, the population mix also provides a “unique living laboratory environment” for problem-centered R&D and for binational healthcare education and training programs that focus on the unique healthcare needs of the Lower Rio Grande Valley. There is a lack of worldclass research on border healthcare problems and such research activities could establish a new vision of healthcare business and manufacturing growth for the Valley. Perhaps more than any other region of the U.S. the Lower Rio Grande Valley needs to embrace a multi-disciplinary approach to healthcare. Teams of doctors, nurses, and other healthcare professionals need to treat the “Border Patient” in terms of: ⇒ The importance of different cultural and ethnic backgrounds on healthcare challenges and cures as well as “Wellness Education” and preventative healthcare ⇒ Environmental challenges on the border and how they impact regional public health – including water use in arid lands, pollution, and healthcare issues specific to colonials ⇒ Healthcare attitudes and beliefs related to mental health and psychological issues specific to border regions ⇒ Healthcare concerns specific to the elderly a fast growing segment of the border population ⇒ Healthcare concerns specific to the young – teenage pregnancy, substance abuse, alcoholism ⇒ Sexual transmitted diseases, e.g., HIV/AIDS where the fastest growing group is heterosexual females which had an increase of 433% during 2000-2001, it is predicted that there will be a 500% increase in AIDs patients in the border region over the next 60 years ⇒ Research on diseases that are most prevalent in the border region such as Diabetes and Drug resistant TB Regional Healthcare The Lower Rio Grande Valley needs to better link and leverage regional assets on both sides of the border to meet border healthcare challenges and concerns and to link with the regional healthcare clusters including education and training, business retention and development, and other border-specific issues. Regional Healthcare Focus Group 2 Participants noted the following: “We are fractionalizing Border healthcare, preventive care, and healthcare delivery. There are too many restrictions and too much compartmentalization. There is a general lack of collaborative efforts by all healthcare providers in the LRG Valley. The State’s medical plan needs to be revamped currently it has 1 These action initiatives are based on discussions at the Future of the Region, Regional Forum – Lower Rio Grande Valley Council of Governments – Healthcare Issues Focus Group. Conference Co- Hosts: Texas Center for Border Economic and Enterprise Development, The University of Texas at Brownsville and Texas Southmost College; Texas State Technical College; and Lower Rio Grande Valley Development Council, Harlingen Texas, June 25, 2002. 2 Ibid. Una Region -- Un Futuro The Border Region needs centers of research excellence that focus on border healthcare challenges. The region will not have excellence in healthcare unless it has excellence in research within the region (not located in Houston or San Antonio) and in medical areas that target border healthcare needs.
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CAMERON COUNTY/MATAMOROS AT THE CRO
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For George and Ronya Kozmetsky Dedi
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There is no choice in whether this
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University of Texas at Brownsville;
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SECTION 4. EDUCATION & TRAINING INT
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SECTION 6. CONCLUSIONS & RECOMMENDA
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Tables 3. 1. Respondents' Professio
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SECTION 6 Figures 6. 1. Border Secu
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Cross-Border Patient Needs: Develop
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UTB/TSC Student Profile Wage Compar
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⇒ EDUCATION & TRAINING INTRODUCTI
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Percentage UTB-CBIRD Report: “At
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⇒ Top Five User Requirements 1. I
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BIBLIOGRAPHY
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Duca, John V. and Mine K. Yucel.
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Rylander, Carol Keeton. Texas Regio
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PROJECT PARTNERS
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UTB-CBIRD The Cross Border Institut
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IC² Institute, The University of T
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