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].