Raleigh, Provo UT, and Fort Myers are going to double in size in the next 15 years.
New York, LA, and Chicago — the 1, 2, 3 of largest metros — are only going to grow by 10%.
Dallas, Houston, and Atlanta (4, 5, and 6) will grow about 50%.
As the Boomers retire to warm weather states, the change and impact to healthcare delivery services will be two fold. First, end-of-life care in these metro areas will boom, which has mixed financial results. Second, the migration of Boomers out of other (Northern/Mid-West) cities will reduce the baseline procedures that most healthcare systems rely on to stay in the black. (Heart, ortho, neuro, cancer, and peds/OBGYN.)
This suggests that we’ll see a clear two-tier health system emerge in the most rapidly growing cities — new buildings, new technology, new delivery mechanisms but likely only for those who can pay for it.