Lots of people die without burial insurance and have their costs covered by local governments, he notes.

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While in the past couple of years cosmetic procedures not covered by insurance have dominated the medical tourism market, now orthopaedics, gynecological and heart procedures are all picking up.

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Instead, managed-care firms have been tempted by the 37m people covered by Medicare, the federally funded health-insurance scheme for Americans over 65 years old.

ECONOMIST: American health

But as drug prices in America have climbed and fewer people are covered by health insurance (18.4% of the non-elderly population had no insurance in 1998, up from 14.8% ten years earlier) patients have become aware that Canada and Mexico can sometimes provide the same drugs at half the price.

ECONOMIST: Prescription drugs

States would also have to demonstrate that the number of children in the state who are covered by private insurance isn't declining.

NPR: New Rules for Kids' Health Insurance

Instead, the poor would be liberated to enjoy the same health care as the middle class, because they would have the same health insurance as the middle class, which has to pay doctors and hospitals well enough so that those covered by the insurance can get timely care.

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