New Mexico Health and Health Care in 2050
By Nandini Pillai Kuehn and Fred Harris
()
About this ebook
In this E-short edition from New Mexico 2050, health and health care specialist Nandini Pillai Kuehn examines the complex subject of health in New Mexico. She describes the issues involved in health outcomes for the state—including race and ethnicity, socioeconomic factors, and insurance—and how the federal Patient Protection and Affordable Care Act has impacted the health system, as well as possible scenarios for New Mexico’s future.
Nandini Pillai Kuehn
Nandini Pillai Kuehn, PhD, has fifteen years of experience in health care administration and in health funding and policy. She is presently the director of New Mexico Health Services Consulting and is the founder and board president of the New Mexico health insurance cooperative New Mexico Health Connections.
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Book preview
New Mexico Health and Health Care in 2050 - Nandini Pillai Kuehn
ISBN for this digital E-short: 978-0-8263-5612-3
© 2015 by the University of New Mexico Press
All rights reserved. Published 2015
This E-short includes abridged content and chapter 3, New Mexico Health and Health Care,
from New Mexico 2050, edited by Fred Harris.
Cover photograph by Lila Sanchez
Designed by Lila Sanchez
Contents
New Mexico 2050?
Hakim Bellamy
Preface
Fred Harris
New Mexico Health and Health Care in 2050
Nandini Pillai Kuehn
Epilogue
Fred Harris
Contributors
Index
New Mexico 2050?
A Prefatory Poem
Hakim Bellamy
New Mexico has been called
lots of things
by the Upper 48.
My favorite
is recession proof.
Like some sort of backhanded condiment,
like vinegar, when I ordered chile,
like drought, instead of desert,
like climate change for dinner
instead of rain for breakfast.
But mean
is not what they mean.
When poor is the new normal,
you can’t feel the economy flatline.
Just like you couldn’t feel it
when it was booming.
Just like the bottom of the ocean
unmoved by the waves.
What they meant
is irrelevant,
even insignificant.
Because we take everything
as a compliment.
Because at 2050,
with the oldest state capital in the country,
we look damn good for our age.
Compared to their Dow Jones Average
we are finally exceptional,
breaking the curve
one border at a time.
36 years from here,
New Mexico will still be exotic to others
and enchanting to us.
We’ll still be inventing
new names to call ourselves.
Still be creating new races
every monsoon season of love.
New Mexico will still be magic,
Like a horizon-taut canvas
making something out of nothing.
Pulling a rabbit out of the mesa
waiting a sign, with both ears
to the sky.
Nothing under its sleeve
but sacred heart ink.
Acequia Sangre underneath
its adobe-flavored skin.
Hungry for the snowpack
to finally shed a tear.
As the highways grow
wider and western than the Rio.
As the river banks
collapse like a recession
in vein.
As the scales of justice
elevate us out of poverty
instead of shackling us to it.
As the education system
weights opportunity
over place of worth.
As the sites
become more sacred,
and the sacred
becomes more scarce.
New Mexico will endure,
evolve and enchant,
as it has always done.
Under many different names . . .
But what about
the Nuevomexicanos?
Preface
What Can We Be? What Will We Be?
Fred Harris
The past is prologue. True. And so is the present. But in New Mexico, neither of these is necessarily destiny.1
A local announcer once opened the great annual Montana Crow Indian Fair Rodeo with the words, Ladies and Gentlemen and all you white people, we have cowboys here tonight from all over the world—and many other places!
Well, I’m not a cowboy exactly, not an Indian either, but I’ve been nearly all over the world, and many other places, and I’ve never found any place I like as much as New Mexico. That’s the truth.
We’ve got our problems. Everybody knows that.
And maybe people say that we’ve made our own bed. But we don’t have to lie in it. The problems we have here in this wonderful state were by and large made by people. And they can be solved by people, too. That’s what New Mexico 2050, the book from which this text is taken, is about.
A blueprint for New Mexico’s future.
A handbook for New Mexico’s leaders and public officials, present and potential.
A textbook for New Mexico’s students.
A sourcebook for New Mexico’s teachers and researchers.
A hymnbook for proud New Mexicans who want our beloved Land of Enchantment also to become the Land of Opportunity, fully and for all.
■■■■
That, I am sure, is what John Byram, the dedicated and farsighted director of the University