The only reason you may consider a trip beyond The Wall is to minimize medical waiting time and expenses. My enviable medical history started to become unenviable on the early 1990's. I gained weeks worth of experience in Mexican hospitals and similarly weeks worth of experience with Sebastopol, Concord, and Chula Vista hospitals.
The referral staging between IMSS periferico and 2o and 1o expertise can become maddening. I waited months to see a specialist and spent 10 days waiting for a surgeon with no signals that the wait could take yet another month.
Mexicoruss has it made. The primer IMSS facility in Hermosillo is one of the best in the entire country (they do heart/lung transplants there).
With MediCare and HMO my medical care and medications in the states are free 100% gratis. Being that you folks are 25 minutes from an airport with frequent flights to all over the USA it is an option worth considering. Alaska Airlines there gave me the straight up dope. If a passenger can climb the stairway to board an aircraft they get aboard. I did it with heart problems but brother was I winded at the top a stewardess had to help me to my seat.
I am usually pro-Mexico in my choices but as far as 1o medical care is concerned it isn't a contest -- if the USA destination is in a medically counterweighted area like Santa Rosa, Concord, or San Diego area. I understand Houston is another choice medical destination, and of course so is Boston.
Some folks fly away home if they get into trouble. And that is foolish to the extreme. Any 2o IMSS hospital has a talented trauma team and their specialty is to stabilize the patient -- something that is impossible to do if a cardiac infarction or a stoke is involved. My last encounter was last August. When I entered Sharps Medical Center in San Diego I had a pulse of 38 and a BP of 92/57
The final reason I prefer the USA is that even with amazingly serious operations, the strongest analgesic administered is paracetamol (Tylenol) and an injection of NSAID like Iboprofen. This isnt rumor or conjecture -- effective opioids are NOT available anywhere in the country. The strongest opioid is hard to find -- it's brand name is TYLEX. One eighth grain of codeine and a little over 5 dollars a pill. I had stainless steel pins holding my hand to my arm August 2011 and I DROVE two thousand miles like that using an NSAID and paracetamol. Neat huh?
The IMSS facilities in Morelia and DF burned me out of gummy rice, a stewed chicken leg more akin to quail than a real chicken and a stack of curled dry tortillas that if blackened would have perfectly mimicked heat warped 45 RPM records from the sixties. There was a tablespoon a salad and a squeeze of limon.
Mexico 5-week wait and a 600 mile drive for an MRI
USA Which MRI is available at 2:00 PM?
Mexican specialists IMHO are talented as all get-out. There's just 5% available of what they really need, here. Monitoring machinery where I went is reserved for the most serious of the critically ill. Being an old decrepit EMT I recognize this stuff and can match appropriate monitoring versus symptoms.