Emily Ramshaw Editor

Emily Ramshaw is the editor of The Texas Tribune. Under her leadership, the Tribune has won three national Edward R. Murrow Awards, IRE's Gannett Award for Innovation in Watchdog Journalism and a general excellence award from the Online News Association. Before coming aboard as one of the Tribune’s original reporters, Ramshaw spent six years at The Dallas Morning News, where she broke national stories about sexual abuse inside Texas’ youth lock-ups, reported from inside a West Texas polygamist compound, uncovered “fight clubs” inside state institutions for the disabled and investigated a series of deadly transplants where patients received rabies-tainted organs. The Texas APME named Ramshaw its 2008 Star Reporter of the Year.

Recent Contributions

Texas Keeps Registry of Kids Who Abuse Kids

James and his adoptive son wait to board the DART train in Dallas on January 30, 2011. The son, who is 15, is on a state registry of people who abuse children.
James and his adoptive son wait to board the DART train in Dallas on January 30, 2011. The son, who is 15, is on a state registry of people who abuse children.

“Dear future son,” the North Texas father wrote in a prospective adoption letter. “I am a single dad who adopted a middle school boy in 2008. Now we are looking for one more kid so he will have a brother.” Instead, the father got shocking news: He would not be allowed to adopt again because his son is on a state registry of people who abuse children.

Are Payment Reform, Texas Budget in Conflict?

Odiel Rodriguez, a physician assistant, checks a patient's file at Ashley Pediatrics Day and Night Clinic in Pharr. Family practitioners fear what budget cuts will mean for the funding that keeps them in business.
Odiel Rodriguez, a physician assistant, checks a patient's file at Ashley Pediatrics Day and Night Clinic in Pharr. Family practitioners fear what budget cuts will mean for the funding that keeps them in business.

Lawmakers are crafting legislation to make health care more affordable and effective by rewarding doctors who get the best medical outcomes. But the cuts they're proposing to meet the state's budget shortfall could hinder some of the same physicians they're relying on to implement payment reform.

David Dewhurst: The TT Interview

The lieutenant governor believes he knows how to save Texas money and improve patient care by overhauling how doctors and hospitals are paid: with carrots, not sticks. In an interview with the Tribune, he talks about what he sees as the root of the health care crisis, and his proposed solutions.

John Zerwas: The TT Interview

State Rep. John Zerwas, R-Simonton
State Rep. John Zerwas, R-Simonton

The state representative and anesthesiologist from Simonton on why he filed the House's first bill to implement a key piece of federal health-care reform and was the first in his party to openly suggest that dropping out of Medicaid wasn't such a great idea after all. 

Texas Hospitals Could Face Cuts in Federal Funds

Dr. Carlos Cardenas, chairman of the board at Doctor’s Hospital at Renaissance in Edinburg, performs an exam on a patient on Wednesday December 8, 2010. Many Texas hospitals like this one oppose certain aspects of the proposed expansion of Medicaid managed care.
Dr. Carlos Cardenas, chairman of the board at Doctor’s Hospital at Renaissance in Edinburg, performs an exam on a patient on Wednesday December 8, 2010. Many Texas hospitals like this one oppose certain aspects of the proposed expansion of Medicaid managed care.

Texas hospital administrators aren't thrilled about the 10 percent Medicaid provider rate cut included in the House's proposed budget. But what they fear more is the proposed expansion of Medicaid managed care, which could force them to forgo a combined $1 billion a year in federal funding.

Border Counties Have Some of Texas' Longest Lives

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.
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.

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. 

Bad Diets, Smoking Cause East Texans to Die Young

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

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.

25-Year-Olds on State Insurance Face Coverage Gap

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.
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.

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.