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.
Health care
In-depth reporting on public health, healthcare policy, hospitals, and wellness issues shaping communities across Texas, from The Texas Tribune.
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Health care
The Stroke Belt
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.
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Health care
Losing Dependence
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.
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Health care
TribBlog: Steady Medi(caid)
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.
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Criminal Justice
The General at War
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.
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Economy
Decision Time
The Texas Legislature today starts its 140-day effort to puzzle out a massive budget deficit, political redistricting, immigration and a slew of other gnarly problems. The budget issues came into focus Monday with new numbers from the comptroller, who says the state is recovering, slowly, from the recession. But first, legislators will get organized, voting on new rules, a new Speaker, and getting sworn in.
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Criminal Justice
Pomp, Circumstance, Consequences
The 82nd Texas Legislature convenes in Austin this week, and while it’s not as much fun as the circus — usually — it’s more important and does have its share of comedy and drama.
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Health care
Discharged?
Advocates for shuttering Texas’ institutions for people with disabilities say they have a big plus in their column this session: the state’s giant budget crunch.
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Health care
Needles and the Damage Done
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.
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Economy
The Revenue Guesstimate
Lawmakers are waiting for Comptroller Susan Combs to forecast exactly how much money the state will collect between now and August 2013 so they can write a two-year budget that spends no more than that. It’s not exactly like opening the envelopes at the Oscars, but the Capitol community will be hanging on her every word. If history is a guide, her estimate of revenues will be closer to the bull’s eye than the Legislature’s estimate of spending. But this is a dark art; accuracy can be elusive.