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The latest health care news from The Texas Tribune.

  • Dying on the State's Dime

    By Emily Ramshaw

    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. Full Story 

    An inmate sleeps in his cubicle in the geriatric unit of the Estelle Prison in Huntsville.
    Credit: Caleb Bryant Miller for The Texas Tribune

  • Quite an Undertaking

    By Julián Aguilar

    When a family member dies, accessing bank accounts and collecting on insurance policies requires proper paperwork. Despite a state mandate to process death certificates in a timely fashion, however, doctors are dragging their heels, funeral directors say, leaving survivors in the lurch. Full Story 

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    Credit: Jacob Villanueva

  • TribWeek: In Case You Missed It

    By Evan Smith

    Ramsey on what the new University of Texas/Texas Tribune poll says about the governor's race, education, immigration, and other issues; Grissom on a far West Texas county divided over Arizona's immigration law; Ramshaw talks health care reform and obesity in Texas with a legendary Dallas doctor; M. Smith on the Collin County community that's about to break ground on a $60 million high school football stadium; Aguilar on the backlog of cases in the federal immigration detention system; Philpott of the Green Party's plans to get back on the ballot; Hu on the latest in the Division of Workers' Comp contretemps; Mulvaney on the punishing process of getting compensated for time spent in jail when you didn't commit a crime; Hamilton on the fight over higher ed formula funding; and my sit-down with state Sen. Kirk Watson, D-Austin: The best of our best from May 24-28, 2010. Full Story 

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    Credit: Graphic by Jacqueline Mermea

  • Kenneth Cooper: The TT Interview

    By Emily Ramshaw

    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. Full Story 

    Dr. Kenneth Cooper
    Credit: Emily Ramshaw

  • We Like It Better Here

    By Ross Ramsey

    A majority of Texans believe the state is on the right track, while a plurality thinks the country is on the wrong track, according to a new University of Texas/Texas Tribune Poll. Full Story 

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    Credit: Graphic by Jacob Villanueva

  • TribBlog: Workers' Comp War of Words

    By Elise Hu

    As lawmakers on the Sunset Advisory Commission prepare to publicly review the Division of Workers' Compensation on Tuesday, the Commissioner and his former physician fraud investigator are waging a war of words in their letters to lawmakers. Full Story 

    April 29, 2010. Dr. Ken Ford at his Houston home.
    Credit: Nathan Lindstrom

  • TribWeek: In Case You Missed It

    By Ross Ramsey

    Thevenot on the ideological backbiting at the internationally famous State Board of Education; Stiles, Narioka and Hamilton plumb employee salary data in Texas colleges and universities; Grissom looks at the problem of insufficient indigent defense; Cervantes on the push for "veterans courts" emphasizing treatment and counseling over punishment; Aguilar finds border congressmen asking the governor for a fair break on federal homeland security dollars; M. Smith on another BP rig in the Gulf; Ramshaw reports on nurse practitioners trying to get permission slips from doctors; Hu follows up with lawmakers poking at whistleblower allegations of trouble in the state's workers' compensation regulation; Hamilton stops in on Luke Hayes and his efforts to turn Texas into a political powerhouse for Obama; and Ramsey writes on generation changes at the Capitol and on political pranksters: The best of our best from May 17 to 21, 2010. Full Story 

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    Credit: Caleb Bryant Miller

  • Health Care, Conservatives and 2011

    By Ben Philpott, KUT News

    When they return to Austin for the next legislative session. lawmakers will confront, for the first time as a group, federal health care reform. Ben Philpott of KUT News and the Tribune reports on how some conservative activists and politicians think Texas should respond. Full Story 

  • 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