Texas Healthcare System Withering Under Gov. Perry

LA Times: When Texas went to court last year to block President Obama's healthcare overhaul, Gov. Rick Perry pledged to do everything in his power to "protect our families, taxpayers and medical providers." Texas, he said, could manage its own healthcare.

But in the 11 years the Republican presidential hopeful has been in office, working Texans increasingly have been priced out of private healthcare while the state's safety net has withered, leaving millions of state residents without medical care.

Interactive Map: People without health coverage, by state - LA Times

On June 28, 2011 Gov. Perry signed a $172 billion budget passed by the super Republican majority Texas House and Senate. The budget signed by Gov. Perry cuts $15 billion from the level of spending last authorized in the 2009-11 state budget. The largest individual cut was to public education, which lost over $4 billion over the biennium.

While public education received the deepest cuts, other agencies that saw their budgets reduced, too. Other agencies cut included public universities and community colleges (with the two largest universities in the state losing $100 million in funding) and state health and welfare programs, which saw Medicaid and food stamp funds slashed by up to $2 billion.

Even after cutting billions of dollars from state education, Medicaid and other state agencies Republican legislative leaders in Texas acknowledge the 2011-13 budget signed into law by Perry under-funds the state’s projected Medicaid costs by about $5 billion.

A summary portion of the budget says that’s the amount the state expects the program to need in supplemental state aid in 2013. Also, the 2011-13 budget defers $2.3 billion state payment to K-12 public school districts to fiscal 2014.

[Full story on Texas debt growth and budget cuts]

"Texas just hasn't proven it can run a health system," said Dr. C. Bruce Malone III, an orthopedic surgeon and president of the historically conservative Texas Medical Assn.

More than a quarter of Texans lack health insurance, the highest rate in the nation, placing a crushing burden on hospitals and doctors who treat patients unable to pay.

Those costs are passed to the insured. Insurance premiums have risen more quickly in Texas than they have nationally over the last seven years. And when compared with incomes, insurance in Texas is less affordable than in every state but Mississippi, according to the nonprofit Commonwealth Fund.

That has taken a toll, as nearly a third of the state's children did not receive an annual physical and a teeth cleaning in 2007, placing Texas 40th in a state ranking by the fund. Over the last decade, infant mortality rates have risen in Texas while declining nationwide, according to the Centers for Disease Control and Prevention.

Seniors, despite guaranteed Medicare coverage, also are suffering, as nearly 1 in 5 ends up back in the hospital within a month of being released, one of the highest readmission rates in the country and a leading indicator of system wide problems.

Read the full story @ The LA Times