1. Guillermo Mendoza, M.D., M.P.H. El Paso, Texas October 14, 2004
Access to Health Care in the United States-Mexico Border Region U.S-Mexico Border Diagnostic of Health Care Services Summary
Guillermo Mendoza, M.D., M.P.H.
El Paso, Texas
October 14, 2004
Dr. Guillermo Mendoza

2. Diagnostic of Health Care Services
Demographics
Health Care Coverage
Human Resources
Facilities
Financial Resources

3. Mexico Demographics
Local border counties are characterized by immigration of young adults impacting the demand of both public and individual health services

4. Mexico Demographics

5. México Cobertura por la Seguridad Social
Fuente: XII Censo General de Población y Vivienda. 2000

6. México Cobertura de Servicios
Con
No Especificado
Sin

7. MEXICO RECURSOS FINANCIEROS

8. MEXICO RECURSOS FINANCIEROS

9. México Recursos Físicos y Humanos

10. Recursos Físicos y Humanos de las Comunidades Fronterizas

11. Demographics
The population of border communities is predominantly Hispanic.
While Hispanics represent 12.5% of the nation’s population and 31.9% of Border States’ population, in border counties 47.8% of the population is Hispanic.

12. United States. Demographics

13. United States Demographics.

14. United States Demographics.
The population of border counties is predominantly urban.
In fact, 83% of the population of border counties lives in the counties of San Diego, Pima, El Paso, Hidalgo and Cameron.

15. United States Demographics.
Rural border counties are characterized by migration of youth.

16. United States Demographics
Jeff Davis, Texas
Population by Five-Year Groups and Gender, 2000
150
100 50
0 - 4
90 +
Age Group
POPULATION
WOMEN
MEN
Source: Profile of General Demographic Characteristics. Census 2000
Kinney, Texas
Population by Five-Year Groups and Gender, 2000
150
100 50
0 - 4
90 +
Age Groups
POPULATION
WOMEN
MEN
Source: Profil of General Demographic Characteristics. Census 2000

17. United States Health Coverage
In the year 2000, 14.6% of the U.S. population lacked any type of health insurance, compared to 19.6% of the Border States population.
An average of 28.5% of the population of border counties lacked health insurance during the same year (double than the nation’s figures).

18. United States Healthcare Coverage by Type of Insurance

19. United States Healthcare Coverage by Type of Insurance Sister Cities, Healthcare Coverage by Government Insurance

20. United States Healthcare Coverage
Hispanics are the largest ethnic group with out any type of health insurance.
Nationwide, in the year 2000, 35% of Hispanics less than 65 years old had no medical insurance compared to 12% in White non-Hispanic.

21. United States Healthcare Coverage

22. United States Healthcare Coverage
Also, Hispanics are the ethnic group with the smallest health coverage through health insurance provided by employers (44% vs. 74% in White non-Hispanic)

23. United States Healthcare Coverage

24. United States Healthcare Coverage

25. United States Human Resources
Border States and border counties had 20% less health and social assistance employees per thousand people than the national average (40.8 and 39.1 per thousand inhabitants vs employees per one thousand inhabitants).

26. United States Human Resources
EMPLOYEES IN HEALTHCARE AND SOCIAL ASSISTANCE
United States
Four States
25 counties in border with Mexico
Texas
New Mexico
California
Arizona
Per Thousand Inhabitants
Source

27. United States Human Resources
Texas and New Mexico border counties have less health workers than the national and state average.
In fact, Texas border counties have almost half of the national’s average for physicians per one thousand inhabitants; half of the national’s average for registered nurses; and less than half of the national’s average for dentists.

28. United States Human Resources

29. United States Human Resources
In 1999, only 3.1% of U.S. physicians were Hispanic.
In Border States, although Hispanic population almost tripled national figures, only 4.4% of physicians were Hispanic.

30. United States Human Resources

31. United States Human Resources
In 2000, the average salary for health and social assistance workers in the United States was $30,579.
In the Border States the average salary was $31,261; while for the border counties the average salary was $27,429 (10% less than the national average).
In Texas border counties the average salary was 22,241 (27% less than the national average and 29% less than the Border States average).
Source:

32. United States Human and Financial Resources

33. United States Financial Resources

34. United States Financial Resource
Medicare and Medicaid Financing, 2000

35. UNITED STATES FINANCIAL RESOURCES