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Federal health reform

The latest federal health reform news from The Texas Tribune.

  • TribWeek: In Case You Missed It

    By Evan Smith

    The Trib staff on the sweeping cuts in the proposed House budget, Grissom on what's lost and not found at the Department of Public Safety, Galbraith on the wind power conundrum, Hamilton on higher ed's pessimistic budget outlook, Stiles and Swicegood debut an incredibly useful bill tracker app, Ramsey interviews Rick Perry on the cusp of his second decade as governor, Aguilar on a Mexican journalist's quest for asylum in the U.S., Ramshaw on life expectancy along the border, M. Smith on the obstacles school districts face in laying off teachers and yours truly talks gambling and the Rainy Day Fund with state Rep. Jim Pitts: The best of our best from January 17 to 21, 2011. Full Story 

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  • TribBlog: Bills Get Social

    By Emily Ramshaw

    HJR 51 hasn't had a committee hearing, and was only filed Jan. 4, but it already has 111 Facebook friends and hundreds of Twitter followers. As lawmakers scramble in the coming months to push their legislation through the Lege, expect more and more bills to get their own social media presence. Full Story 

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    Credit: Graphic by Todd Wiseman

  • The Hispanic Paradox

    By Emily Ramshaw

    Many of the longest lives in Texas are lived in an unlikely place: along the impoverished border with Mexico, where residents often live until age 80 and beyond. Explanations for this so-called "Hispanic Paradox" range from theories about differences in the diet, faith and family values of first-generation South Texans to suggestions that natural selection is at play in immigration patterns. Full Story 

    Endoscopy tech Dora Facturan, right, prepares Maria Perez, 65, for a colonoscopy exam from Dr. Carlos Cardenas, back left, on December 8, 2010 at the Doctor's Hospital at Renaissance in Edinburg. South Texans lead some of the longest lives in the state.
    Credit: Gabe Hernandez

  • The Stroke Belt

    By Emily Ramshaw

    The proof of East Texas' live-hard, die-young culture is in the bread pudding — and the all-you-can-eat fried catfish, the drive-through tobacco barns and the doughnut shops by the dozen. In a community where heavy eating and chain smoking are a way of life, where poverty, hard-headedness and even suspicion hinder access to basic health care, residents die at an average age of 73, or seven years earlier than the longest-living Texans, according to a preliminary county-by-county analysis by the University of Washington Institute for Health Metrics and Evaluation. Full Story 

    Residents of East Texas, and particularly minorities, often make lifestyle choices, like smoking and eating high-fat diets, that affect their life expectancy.
    Credit: Lawrence Jenkins

  • Losing Dependence

    By Emily Ramshaw

    Federal health care reform’s biggest benefit for young adults — a mandate that insurance providers cover dependents until they reach age 26 — won’t apply to thousands of 25-year-old Texans for one simple reason: Their parents work for the state. The federal rule, which went into effect in late September, required all insurance providers to extend their cap to 26 at the start of their next “plan year.” For many private providers, that began Jan. 1. But the Texas Employees Retirement System plan year doesn't begin until next September, meaning 5,500 25-year-olds will miss out. Full Story 

    Kace Layton, 25, on the Texas State University campus in San Marcos. Layton was dropped from his grandmother's state insurance plan on his last birthday, even though federal health care reform expanded dependent coverage until age 26.
    Credit: Callie Richmond

  • TribBlog: Steady Medi(caid)

    By Becca Aaronson

    Thirteen states expanded Medicaid or CHIP eligibility last year, and 14 states made improvements in enrollment and renewal procedures. Texas didn't fall into either of these categories, but the state held steady in 2010, while making improvements in technology to prepare for the roll-out of federal health care reform. Full Story 

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    Credit: Graphic by Jacob Villanueva

  • The General at War

    By Ben Philpott, KUT News

    Rick Perry might be the state official most publicly doing battle with the the federal government, but Greg Abbott is quietly leading the charge on behalf of Texas. The Attorney General, who was just sworn into his third term in office, talked recently with Ben Philpott of KUT News and the Tribune. Full Story 

    Texas Attorney General Greg Abbott
    Credit: Marjorie Kamys Cotera

  • Needles and the Damage Done

    By Julie Chang

    Public health officials have been trying for years to get dirty syringes and the diseases they spread off Texas streets with needle exchange programs that allow IV drug users to get clean ones — and always they've come up short. Given November's election results, they fear 2011 may be no different. Full Story 

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  • TribWeek: In Case You Missed It

    By Ross Ramsey

    Ramshaw on how hard it is to sue over emergency room mistakes, Galbraith on paying for roads in an era of fuel-efficient vehicles, Aguilar on a disagreement about gun regulation, my interview with tort reformer Dick Trabulsi, Grissom on Perry's parsimonious pardoning, Hu and Chang interactively look at House committee chairs, M. Smith on an election challenge and who'll settle it, Ramshaw and Stiles on Dallas County's blue streak and Hamilton on a Valley school district that leads the nation in preparing kids for college: The best of our best from Dec. 20 to 24, 2010. Full Story 

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  • TribBlog: A Medicaid Crisis?

    By Emily Ramshaw

    Texas' Medicaid program is in a "state of financial crisis," according to an analysis of caseload and costs published by the Texas Public Policy Foundation, a conservative think tank. It's the latest addition to the debate over whether Texas should drop out of the federal Medicaid program. Full Story 

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    Credit: Todd Wiseman

  • TribBlog: Christus CEO On Tort Reform

    By Emily Ramshaw

    Dr. Thomas Royer, president and CEO of the Christus Health System, says that if an error occurs at the hospital, the patient should be financially reimbursed — but not with limitless settlements. He has blogged a response to Sunday's Texas Tribune/New York Times article on the effects of tort reform on the safety of Texas emergency rooms. Full Story 

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  • Struggling to Sue

    By Emily Ramshaw

    The tort reform state lawmakers passed in 2003 made it more difficult for patients to win damages in any health care setting, but none more so than emergency rooms, where plaintiffs must prove doctors acted with "willful and wanton" negligence. Tort reform advocates say the law is needed to protect ER doctors operating in volatile environments. But medical malpractice attorneys argue the threshold is nearly impossible to cross. “You’d have to be a Nazi death camp guard to meet this standard,” says one. Full Story 

    Connie Spears had to have both legs amputated above the knee, and blames an emergency room doctor for missing a critical diagnosis. The San Antonio woman's search for an attorney to take her case has been futile.
    Credit: Caleb Bryant Miller

  • TribWeek: In Case You Missed It

    By Evan Smith

    Ramsey on what a GOP supermajority means, Ramshaw on a crime victim not eligible for crime victims' compensation, M. Smith on grave matters and state regulation, Hamilton on the college pipeline at San Antonio's Jefferson High, Hu on a senator's anticlimactic return, Grissom on the coming closure of juvenile lockups, Aguilar on the return of residents to their drug-war-torn Mexican town, Galbraith on next session's energy agenda, Philpott on the legal fight over federal health care reform and Stiles on the travel expenses of House members: The best of our best from Dec. 13 to 17, 2010. Full Story 

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  • TribBlog: Backtracking On McAllen?

    By Emily Ramshaw

    New Yorker writer Atul Gawande put McAllen's medical providers on the defensive in a 2009 article, claiming the region's health care was among the most expensive in the U.S. In a new blog post, Gawande seems to backtrack — at least in part. Full Story 

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  • Matching Medicaid

    By Emily Ramshaw, The Texas Tribune, and Phil Galewitz, Kaiser Health News

    Already facing a record budget shortfall, Texas has received more bad news: The portion of state Medicaid costs paid by the federal government is about to drop. Texas’ Federal Medical Assistance Percentage, a mathematical formula linked to a state's per-capita personal income, will fall more than 2 percentage points in late 2011, equivalent to a $1.2 billion hit. Only two states — Louisiana and North Dakota — will face a bigger percentage drop. And that’s after federal stimulus funds that have been artificially enhancing this match dry up in the spring, another blow to cash-strapped state Medicaid programs in Texas and across the nation. Full Story 

    Patients are shown checking out in 2010 at the People's Community Clinic in Austin, a safety-net clinic that serves Medicaid recipients and the underinsured.
    Credit: Callie Richmond for The Texas Tribune

  • TribWeek: In Case You Missed It

    By Evan Smith

    M. Smith and Butrymowicz of the Hechinger Institute on charter schools and public schools making nice in the Valley, Ramsey's interview with House Speaker candidate Ken Paxton and column on the coming budget carnage, Hu on the Legislature's disappearing white Democratic women, Grissom on the sheriff who busted Willie Nelson, Hamilton talks higher ed accountability with the chair of the Governor's Business Council, Aguilar on the arrest of a cartel kingpin, Ramshaw on the explosive growth in the number of adult Texans with diabetes, Philpott on state incentive funding under fire and Galbraith on the greening of Houston: The best of our best from November 29 to December 3, 2010. Full Story 

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    Credit: Illustration by Todd Wiseman