Another take on health care reform

This is an interesting article from the New Yorker about healthcare costs in the U.S. Specifically, it focuses on a small town in Texas with the highest medicare costs in the nation. The town is not unique in terms of population. Higher costs there do not equal better care. In contrast, the Mayo Clinic has one of the lowest healthcare costs in the nation and one of the highest quality ratings. The question is, how do they do it, and can all cities adopt a similar philosophy. It's long, but a good read if you have the time.