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Consumption and delivery of health care is unique along the Texas-Mexico border. This region is unique in many ways. Some aspects of its uniqueness are due to its socioeconomic conditions, and its ethnic, linguistic and cultural demographics. The most significant aspect is the border’s geographical location, which straddles a developed industrialized economy (U.S.) and an underdeveloped country with a developing economy (Mexico). The interactions between the location and unique culture of the border counties make it an interesting site for the study of public health against the backdrop of migration and globalization. According to Waters (2001), public health is influenced by global migrations and countries that were once able to manage and contain infectious diseases may not be successful given enormous population movements between two disparate countries as seen along the U.S.-Mexico border. The issue of global public health is becoming important primarily because of the reemergence of diseases especially in regions where they were contained (for example the United States). The rates for diseases like hepatitis A, and tuberculosis are high in border counties along the U.S. – Mexico border (Power and Byrd 1998). The emergenc