Atul Gawande. The Cost Conundrum: What a Texas town can teach us about health care. The New Yorker, 1 June 2009. “[H]ealth care [in the US] is by far the most expensive in the world. In Washington, the aim of health-care reform is not just to extend medical coverage to everybody but also to bring costs under control.” This article compares the health care systems of El Paso and McAllen, Texas and explores the problem of revenue-driven medicine.