Tag Archives: Rick Perry

Texas Health Scare: What’s our alternative?

Now that the Supreme Court has upheld the Patient Protection and Affordable Care Act (you know… Obamacare), states are slowly coming to the inevitable conclusion. It is the LAW. The clock is now ticking for states like Texas to begin implementation of these new provisions of health care.

But don’t be fooled, that particular clock was ticking in Texas a long time ago. As evidenced in a previous post, Obamacare or not, state healthcare costs have been on a meteoric rise between 2005 and 2009, skyrocketing 36% during just those 4 years. Even as the costs for the state continue to mount, the number of Texans without insurance continues to rise as well.

Here are some sobering facts from the Texas Medical Association

1 in 4 Texans are uninsured. That’s over over 6.2 million people as of 2010.

-These uninsured people have no but choice to seek the emergency room. As a result they drive up Healthcare costs for everyone else. The average cost to treat a minor ailment in the Doctors office? $56.21. In the emergency room? $193.92 That’s almost 4 times the expense as it would be going to the doctor for a similar ailment (much less waiting until it becomes WORSE). Guess who absorbs those costs? And Texans wonder why our healthcare costs are soaring.

Only 50% of working Texans have health insurance… 49th in the country. The common misconception here is that employers are supposed to offer some form of a health insurance plan. That wasn’t actually a law until the passage of the Affordable Care Act. As a right-to-work state with a plethora of low-wage jobs, Texas companies have very little incentive to offer health insurance. So contrary to popular belief, it’s not just those on welfare in Texas that are struggling to find health care. It’s many of the employed public too.

In the face of these staggerring statistics, Governor Perry, Attorney General Greg Abbott and the Republican-led Texas legislature have vowed to fight the Affordable Care Act tooth and nail. It’s quite an odd stance too, as many Texas Hospitals are in full support of the Medicaid Expansion. Here is a statement from Dan Stults, President of the Texas Hospital Association

“Texas hospitals recognize there are concerns with expanding the Medicaid population, but given the state’s high number of uninsured, all options for gaining insurance coverage must be closely considered. Under PPACA, a significant number of low income individuals could gain insurance without any cost to the state of Texas for several years. Without the Medicaid expansion, many will remain uninsured, shifting costs to the insured and increasing uncompensated care to health care providers,” said Dan Stultz, M.D., FACP, FACHE, THA president/chief executive officer.

“The law was never meant to fix all the problems facing the health care system,” Stultz said. “Texas hospitals look forward to a continued discussion on how to improve the effects of the law for patients, families and communities.”

So Texas hospitals are all for the expansion of Medicaid, the state funding gap for healthcare is increasing at an alarming rate, and our uninsured continue to tax our emergency rooms, and pass ever-ballooning costs to us Texans that are lucky enough to actually have insurance. But Perry and the boys don’t want any government help from “Obamacare”.

Only one question remains to the Governor. What is your alternative?? You continue to reject implementation of the new law, but how would you propose that Texas solve these problems? Are our good Texas companies going to have a change of heart and start insuring all of their workers? Maybe they’ll be nice enough to donate directly to the hospitals so the uninsured can get treated at the ER “for free”? Maybe all of our aging Baby-Boomers will get fed-up and move to Florida??

All Texans should be asking Governor Perry and state lawmakers these questions. If our state really does decide to opt-out we need a real plan in place, and it needs to get implemented now. Mr. Perry… Time’s up.

Texas Senate Debate… Democrats included

Something quite unexpected and welcome occurred during last night’s Texas Senate debate. Titled “Conversation with the Candidates” it was produced and Co-Sponsored by Houston Public Media and the Texas Tribune.

For the first time since 2006, the state of Texas had a major political debate in which both Democrats and Republicans were present. Sure the Democrats were outnumbered 4 to 2, but at least both viewpoints were there and were voiced. This was a huge “win” for Texas Democrats even if one of their candidates doesn’t win the seat.

Now you may be thinking “2006? That can’t possibly be true. We had a Gubernatorial election in 2010… Rick Perry vs. Bill White.” Bill White and Rick Perry only participated in Primary debates, but there was never a debate in the General Election. Had Perry debated White, we may have been spared the abysmal performances he gave us in the 2012 Primary Election cycle. You know what they say… Practice makes perfect, right?

As divided as those viewpoints were at times, last night’s debate was quite respectful among the candidates. The presumed GOP front-runner David Dewhurst spent most of his time attacking The President saying that real economic improvement couldn’t occur until we “send Barack Obama back to Chicago, get a good, conservative Republican in the White House that will follow a stable, predictable course.”

Dewhurst also spent much of his time touting his accomplishments along side Rick Perry. Though, it’s fair to say that Texas is no longer under a surplus and education and health care costs for our state continue to surge out of control. He apparently thought it was a record worth sharing.

Ted Cruz spent most of the evening going after Dewhurst for harsh campaign ads, and name-dropping all of the Washington insight he’s built up as an Attrorney arguing before the Supreme Court. Not a whole host of solutions.

It was clear from the debate that former NFL-player Craig James had no prior political experiences. Between living off of mayo sandwiches, fear of “hurting our lizards” during natural gas fracking, and his invaluable life lessons on the goat ranch, his other pie-in-the-sky answers left this viewer non-plussed. He calls for lowering corporate tax rates to 0 percent, and then somehow jobs and business will simply flood our shores. He’s not ready for Prime Time yet.

Among the GOP contenders, the most capable candidate to handle real problems of everyday Texans was former Dallas Mayor Tom Leppert. Even if you don’t agree with his positions, you have to respect him for presenting logical solutions to our state and our nation’s issues. He presented his views with a clarity and poise that wasn’t present in the other Republican candidates. That’s not an endorsement… just a recognition.

The best surprise of the debate was a 31 year-old Dallas business owner named Sean Hubbard. A clear, unapologetic Liberal who stands up for his values, but also presented the logic skills that are so desperately needed in Washington right now. When asked about the future possibility of drought in Texas, he say that “We should be investing now in Deselination plants.” A solution that no other candidate (and most in our state government) have even considered. Though mostly in agreement with his Democratic opponent Paul Sadler, Hubbard maintained a more concise, prominent and straight-forward presence among the group. When discussing Women’s Rights, Hubbard said that it’s “an embarrassment” and stated that “women are more than capable of making their own decisions about their bodies and their health.” He even revealed that for a time his wife used the services of Planned Parenthood “not for abortions, but for cancer screenings”.

After two long hours, my endorsement would have to go to Sean Hubbard for his clarity of thought, innovative solutions and strength of viewpoint. The Honorable Mention would go to Tom Leppert, because even if I didn’t agree with his positions, the willingness to search for real solutions instead of just saying no.

Here’s a link to the full debate. Watch for yourself and form your own opinion.

Texas Health Scare: The Silent Majority

In watching the historic litigation over Health Care this week, many are left to wonder what the Supreme Court’s ruling will be. Three days of vigorous discussions that mostly centered on the Individual Mandate. To be certain there is much more debate ahead before the landmark ruling (full audio and transcript here via NPR).

But there is one constant in the HealthCare battle that no one is talking about… the millions of people in our country that remain uninsured. They can’t go to the Doctor, the Dentist, or anywhere to get regular check-ups and wellness visits, but instead have to wait until a crisis point occurs and be admitted to the ER. No where else is this a greater problem than in the state of Texas, with the nation’s highest percentage of uninsured people… roughly 6.3 million residents.

It should come as no surprise that Texas, having the highest percentage of the uninsured, also has some of the nation’s most dire health care crises. Houston’s Memorial Hermann was named the “Busiest Trauma Center in the US” by ABC in 2009. Sadly since then the situation hasn’t gotten much better. Houston-area ERs are still inundated by an ever-growing number of uninsured patients who have nowhere else to turn. Texas isn’t rushing to help them however… the Governor and lawmakers in Austin continue to put their political principles over the needs of real Texans, and are playing political football with the Federal Government in its attempt to help our state.

One of the most recent stunts affects the Texas Women’s Health Program. Governor Perry and Austin politicians have just recently decided to remove funding from the program if it goes to Planned Parenthood (eventhough this has never been a problem in the past). According to the State Comptroller’s Office, Texas Healthcare costs are skyrocketing faster than any time in history. Between 2005 and 2009, state Healthcare expenditures have grown by 36%. Factors cited for this growth include costs that continue to be driven by an unbridled private market, an increase of Emergency Room use across all sectors (but especially the uninsured and MediCaid patients), and a growing number of specialty tests per patient. It’s clear that Governor Perry doesn’t have the money or the time to play with ANY Healthcare funding. If we turn down funds for TWHP, where do we expect them to come from?

More of the same is at play with the Affordable Care Act. Originally a Conservative idea, the GOP has become so obsessed with defeating President Obama that they have run away from their own previous positions and forced the Supreme Court to argue the semantics of the law. Even Liberals will tell you that “Obamacare” is far from perfect, but it is much better than doing nothing, and waiting until costs and emergencies are far beyond our control. We’ll soon have longer wait times, for more severe issues.

So the question remains… Who is going to drop the politics and stand up for the betterment of all Texans?? Apparently we can’t expect our Governor or the Legislature to do so. Our fate lies only among those 9 justices in the Supreme Court. And even then, Perry will probably find a way to shoot us in the foot for the sake of politics. Great… another ER visit!!