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The latest health care news from The Texas Tribune.

  • Diagnosis: Turf War

    By Emily Ramshaw

    In Texas, nurse practitioners’ livelihoods are tied to physicians: By law, they can’t treat patients without a doctor’s permission. That means if they want to open their own practice, they must petition, and pay, a doctor to grant them “prescriptive authority” — to essentially keep an eye on their work and, in some cases, to be held liable for it. Doctors say this is as it should be. Nurse practitioners and their allies say doctors don't want the competition and charge them enough to run them out of business. “It borders on an immoral situation,” says state Rep. Wayne Christian, R-Center. Full Story 

    Family nurse practitioner Jean Gisler at her office in Victoria, Texas.
    Credit: Marjorie Cotera

  • Defenseless

    By Brandi Grissom

    Before adopting the Fair Defense Act in 2001, Texas was considered abysmal in legal circles when it came to providing representation for the poor. Proponents and critics of the current system agree the situation has improved since lawmakers started requiring counties to implement minimum representation standards. But has it improved enough? Full Story 

    State Share of Indigent Defense Costs 2001-2009
    Credit: Graphic by Task Force on Indigent Defense

  • Uninformed Consent

    By Emily Ramshaw

    Lawmakers said Monday that the state's newborn disease screening program — which has been used to warehouse infant blood samples for biomedical and forensics research — has misled parents and given them few options to protect their babies' DNA. Full Story 

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  • The Red Party

    By Ross Ramsey

    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. Full Story 

  • TribWeek: In Case You Missed It

    By Evan Smith

    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. Full Story 

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    Credit: Caleb Bryant Miller

  • A Conversation with David Dewhurst

    By Evan Smith

    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. Full Story 

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    Credit: Caleb Bryant Miller

  • The Workers' Comp Whistleblowers

    By Elise Hu

    Former employees of the Division of Workers' Compensation at the Texas Department of Insurance say their higher-ups have failed to sanction or remove dozens of physicians accused of fraudently overbilling and overtreating patients, costing insurers millions of dollars. The allegations of stalled enforcement action have sparked an inquiry by the State Auditor’s Office, records show. Full Story 

    Dr. Ken Ford and attorney Cathy Lockhart, who until recently investigated medical fraud for the state Division of Workers' Compensation, say the agency has failed to properly sanction unscrupulous doctors over the last half decade.
    Credit: Nathan Lindstrom, Jacob Villanueva

  • Doctors Without Borders

    By Emily Ramshaw and Matt Stiles

    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. Full Story 

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    Credit: Graphic by Matt Stiles, Jacob Villanueva

  • TribWeek: In Case You Missed It

    By Ross Ramsey

    Aguilar and Miller on the immigration rally in Dallas; E. Smith interviews T. Boone Pickens and, in a two-on-one matchup, Jerry Patterson and Hector Uribe; Ramsey on how to make $2 billion disappear from the budget shortfall with creative accounting and on the $1.5 billion problem with health insurance for state employees; Kreighbaum on money bombs; Hamilton and Stiles on the remarkably similar policies for policing immigration in Texas and its largest city; Ramshaw on doctors ducking government health care programs; Kraft on the ups and downs of base closures; Grissom interviews Pulitzer-Pize wine David Oshinsky on the death penalty; M. Smith on the three Texans who want to run the state GOP; and Philpott on the lawsuits already in motion over the oil spill that's still underway in the Gulf of Mexico. The best of our best from May 3 to 7, 2010. Full Story 

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  • TribBlog: Capitol CPR

    By Emily Ramshaw

    Lawmakers and state employees are getting trained in CPR and defibrillator use today — almost a year after Rep. Edmund Kuempel, R-Seguin, suffered a heart attack and collapsed in a Capitol elevator. He was saved by his colleague, Rep. John Zerwas, an anesthesiologist who resuscitated him with CPR. Full Story 

    Rep. Edmund Kuempel, R-Seguin

  • Keeping Their Bottom Lines Healthy

    By Emily Ramshaw

    With health care reform expected to place up to 1 million more Texans on the state rolls in the next several years, experts predict a surge in the number of doctors who opt out of accepting Medicaid and Medicare patients, thanks to reimbursements well below private-payer rates. Full Story 

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    Credit: Graphic by Jacob Villanueva

  • TMA Supports HPV Vaccine For Boys

    By Emily Ramshaw

    The Texas Medical Association's leadership body voted this weekend to support vaccinating not just young girls but young boys for the human papillomavirus. But organization officials were quick to note that the vote did not include making such vaccines mandatory, which Gov. Rick Perry tried to do for Texas schoolgirls in 2007. Full Story 

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    Credit: Reuters File Photo

  • The Shell Game

    By Ross Ramsey

    If history is any guide, the Legislature will turn to accounting illusions to mask large portions of a budget shortfall of at least $11 billion. Trouble is, such trickery is a bet on the economy roaring back to life — and that's no sure thing. Full Story 

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    Credit: Jacob Villanueva

  • Magical Accounting

    By Ross Ramsey

    It's 1983. Oil prices are in the toilet. The Texas economy is suddenly and unexpectedly reeling. Lawmakers, who happen to be in session, have a choice between big cuts or new taxes or something creative. Comptroller Bob Bullock and his top propeller-heads find a creative out — a way to balance the budget without big cuts or tax hikes. Full Story 

  • TribWeek: In Case You Missed It

    By Evan Smith

    Stiles and Thevenot's searchable database of more than 5,800 public schools, Thevenot on why smaller high schools are better, Garcia-Ditta on the possible unification of Big Bend National Park with Mexico, Grissom on what's likely to happen on immigration reform this year (nothing), Hamilton on how Admm Bobby Ray Inman is managing a crisis, Hu on the health care reform straw man, Ramsey on the no-shoo-in-for-the-experienced-guy special election in Senate District 22, Philpott on the likely post-Arizona immigration brawls, Ramshaw on the emergence of concierge care as a response to health care reform, Aguilar on how Texas will soon become Cuba's top U.S. trading partner, Stiles and Babalola's searchable database of more 160,000 inmates in Texas prisons, M. Smith on the depressing fact that every single U.S. Attorney position in Texas is now vacant, and my on-camera sit-down with Texas Transportation Commission chair Deirdre Delisi. The best of our best from April 26 to 30, 2010. Full Story 

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    Credit: Graphic by Jacob Villanueva

  • Counting the Colonias

    By Bobby Cervantes

    A joint effort among the U.S. Census Bureau, Valley lawmakers and community groups is smoothing over the tensions of the past couple of weeks, when the bureau announced that 95 percent of residents of South Texas colonias were not getting their Census forms in the mail. Full Story 

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    Credit: Bob Daemmrich