As you note, border clinics. My projection was hospital ships... just like gambling ships that operate outside of state or federal limits. Another poster pointed out that Indian Reservations are exempt from many laws, as we've seen with casinos. It would be ironic if the depressed reservations became new enterprise centers. Why, just the other day, I read that the location of a new oil refinery was contemplated in a reservation. Why not medical clinics, too?
The other benefit of Indians opening medical clinics - there are reservations scattered across the country. Even small ones in the East could find large customer bases. And the private medical care paid by gringos could subsidize decent medical care for Native Americans, versus the Native American health services today where they jokingly say not to get sick past March due to lack of funds.
And unlike building a refinery, medical practitioners could relocate to the reservations in a matter of weeks or months.
Excellent idea. Another irony would be the people who have suffered under the administration of the Indian Health Service (IHS) might be the salvation of the rest of us.