When Texas expanded its Medicaid managed care program in 2003 to cover more than urban centers, the Rio Grande Valley narrowly avoided being included. But as state leaders stare down a multibillion-dollar budget shortfall, they say it’s unlikely the Valley will make it through another session without being roped in.
Medicaid
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Health care
Far From Home
Alaska officials sent 16-year-old Richard DeMaar 4,000 miles away from his parents to a psychiatric facility in San Antonio because his home state wasn’t equipped to handle his severe depression. Within six weeks, he had tied a makeshift noose around his neck, strangling himself to death. He’s one of roughly 900 out-of-state kids sent to residential treatment centers in Texas in the last five years, part of a national compact that allows states that don’t have adequate psychiatric services to send kids to states that do. But the practice has come under fire from children’s health advocates, who say it takes kids away from their families and their communities — two things they need to make a full-fledged recovery.
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Criminal Justice
Dying on the State’s Dime
Texas’ “geriatric” inmates (55 and older) make up just 7.3 percent of Texas’ 160,000-offender prison population, but they account for nearly a third of the system’s hospital costs. Prison doctors routinely offer up the oldest and sickest of them for medical parole, a way to get those who are too incapacitated to be a public threat and have just months to live out of medical beds that Texas’ quickly aging prison population needs. They’ve recommended parole for 4,000 such inmates within the last decade. But the state parole board has only agreed in a quarter of these cases, leaving the others to die in prison — and on the state’s dime.
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Health care
Threatening the Safety Net
The biggest consumer benefit of federal health care reform — adding millions more Americans to insurance rolls — could spell disaster for some public hospitals.
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Health care
Kenneth Cooper: The TT Interview
The world-renowned Dallas doctor who essentially invented jogging as exercise talks with the Tribune about health care reform, the crisis of obesity in Texas, and what lawmakers must do to shore up the physical-education legislation they passed last session.
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Health care
TribBlog: Health Care Reform Could Cost TX Only $4.5 Billion?
In an ironic twist, states that have done the least to bring low-income residents onto state Medicaid rolls — including Texas — stand to benefit the most from federal health care reform, according to a report released this morning by the Kaiser Commission on Medicaid and the Uninsured.
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Health care
The Red Party
Don’t look now, but the Texas GOP, the party of budgetary teetotalers, has been piling up debt like a college kid with his first credit card. According to Federal Election Commission reports, this isn’t exactly a new development. The Republican Party of Texas has ended every year in the red since 2001. But lately that amount has ballooned from a low of about $70,000 in 2003 to last year’s high of $624,000. Now — a month out from the state party convention where 14,000 delegates will elect the chairman who will guide the faithful for the next two years — the latest FEC report, for the month of April, shows $556,000 in financial obligations. In contrast, the Texas Democratic Party currently carries about $49,000 in debt.
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Health care
TribWeek: In Case You Missed It
Grissom on the transgender marriage conundrum, Hu on the workers’ comp whistleblowers, M. Smith on the Texas GOP’s brush with debt, Garcia-Ditta on why student regents should vote, Aguilar on the tripling of the number of visas given by the feds to undocumented crime victims, Hamilton on the paltry number of state universities with graduation rates above 50 percent, Ramshaw and Stiles on the high percentage of Texas doctors trained in another country, Ramsey and Stiles on congressmen giving to congressmen, Galbraith on how prepared Texas is (very) for a BP-like oil spill, and my conversation with Lt. Gov. David Dewhurst: The best of our best from May 10 to 14, 2010.
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Health care
A Conversation with David Dewhurst
For the ninth event in our TribLive series, I interviewed the lieutenant governor about the budget shortfall, state-federal tensions, immigration, why he doesn’t release his taxes, and his future plans. We’ve provided the conversation with the lite guv in three forms: full video, full audio and a transcript.
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Health care
Doctors Without Borders
That’s right — they’re not from Texas. Newly licensed physicians enlisting to treat the state’s Medicaid and Medicare patients are more likely to have been trained at international medical schools, according to a review of state medical licensing data.
