Abstract
Texas Bix Bender is not a known health economist. In fact, he's not an economist at all. He is the author of “Don't Squat with Yer Spurs On! The Cowboy's Guide to Life”, and in that book he provides some insight into the issues that affect improving healthcare effectiveness and efficiency. One of his guides to life is as follows: “If you find yourself in a hole, the first thing to do is stop digging” [3].
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