Telemedicine and bi-national insurance are two different issues. And actually, both are very god ideas. Telemedicine uses technology to deliver medical care to people with limited access to clinical resources. Bi-national insurance would allow insurance companies to sell insurance to people on both sides of the border. That would help reduce the amount of cost to the taxpayers of Texas, since Mexicans using US medical facilities could still have insurance coverage, rather than have the taxpayer pick up the tab.
So, finding more economical ways to provide health care and finding ways for health care to be paid by the private sector - gee, those sound like pretty conservative ideas to me!